The most significant risk factor for hamstring injury is a history of previous hamstring injury, with risk of re-injury 2 to 6 times that of healthy individuals.1,2 Therefore, proper initial management of an acute hamstring injury may be paramount to preventing future injury in an active population. Listed below are factors that increase a person’s likelihood of developing high (proximal) hamstring tendinopathy.

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While some risk factors such as age cannot be changed, others, such as muscle imbalances and lack of flexibility, can be addressed through physical therapy.

See Treatments for Chronic High Hamstring Tendinopathy

Patients should work with their medical professional to strengthen weak muscles, increase flexibility in tight muscles, and optimize alignment and form where applicable.

References

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  • 2.Gabbe B, Finch C, Bennell K, Waj-swelner H. Risk factors for hamstring injuries in community level Australian football. Br J Sports Med 2005;39:106-10.
  • 3.Fredericson M, Moore W, Guillet M, Beaulieu C. High Hamstring Tendinopathy in Runners: Meeting the Challenges of Diagnosis, Treatment, and Rehabiliation. Phys Sports Med 2005;33:32-43.
  • 4.Askling C, Lund H, Saartok T, Thorstensson A. Self-reported hamstring injuries in student-dancers. Scand J Med Sci Sports. 2002;12(4):230-235
  • 5.Askling C, Tengvar M, Saartok T, Thorstensson A. Sports related hamstring strains: two cases with different etiologies and injury sites. Scand J Med Sci Sports. 2000;10(5):304-307
  • 6.Croisier JL, Ganteaume S, Binet J, Genty M, Ferret JM. Strength imbalances and prevention of hamstring injury in professional soccer players: a prospective study. Am J Sports Med. 2008;6(8):1469-1475
  • 7.Orchard J, Marsden J, Lord S, Garlick D. Preseason hamstring muscle weakness associated with hamstring muscle injury in Australian footballers. Am J Sports Med 1997;25:81-5.
  • 8.Thelen D, Chumanov E, Sherry M, Heiderscheit B. Neuromusculoskeletal models provide insights into the mechanisms and rehabilitation of hamstring strains. Exerc Sport Sci Rev 2006;34:135-41.
  • 9.Fields K, Bloom O, Priebe D, Foreman B. Basic biomechanics of the lower extremity. Prim Care 2005;32:245-51.
  • 10.Ali K, Leland J. Hamstring strains and tears in the athlete. Clin Sports Med 2012;31:263-72.
  • 11.McCarthy MM, Hannafin JA. The Mature Athlete: Aging Tendon and Ligament. Sports Health. 2014;6(1):41-48. Dio:10.1177/1941738113485691.
  • 12.Frizziero A, Vittadini F, Gasparre G, Masiero S. Impact of oestrogen deficiency and aging on tendon: concise review. Muscles, Ligaments and Tendons Journal. 2014;4(3):324-328.
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