Posterior Thigh

Hamstring Tendinopathy










What is it?      

Commonly seen in long distance runners and athletes taking part in sprinting or hurdles. It is also common among athletes taking part in sports that involve sudden changes of direction. It can also affect people who do not participate in sport. .This condition can include tendon degeneration, partial tearing and peritendinous inflammatory reactions. Proximal Hamstring Tendinopathy-related Sciatic Nerve Entrapment (PHTrSNE) is a neuropathy caused by fibrosis interposed between the semimembranosus tendon and the sciatic nerve, at the level of the ischial tuberosity.

What does it feel like?

It is characterised by deep, localised pain in the region of the ischial tuberosity. Pain is usually worse during or after activities such as running, lunging, squatting and sitting.

Why does this happen?

With tendinopathy there is a multitude of factors that can be contributing. These factors are usually load related. Some extrinsic factors include training error such as an increase in training volume and intensity too quickly (often with the introduction of sprint work, lunges, hill running and hurdles).  Another cause of symptoms may be excessive static stretching, i.e in yoga or Pilates. These type of exercises involve sustained end range hip flexion postures.Long periods of sitting can also be a cause for some people.

  • Deep buttock pain and pain in the posterior thigh.

  • The pain is often felt on the lower gluteal region, radiating along the hamstings

  • Provocative activities include activities requiring deeper hip flexion i.e. squats, lunging. long periods of sitting (especially on harder surfaces)

  • The pain increases with repetitive activities (such as long-distance running).In some cases pain flares with sitting or driving.

  • Rarely painful with activities such as slow walking on a level surface, standing and lying as these type of activities do not involve energy storage or compression

  • Occasional stiffness in the morning may be present or when starting to move after a period of prolonged rest

  • The onset is mostly gradual, not with acute trauma

Hamstring Strains









What is it?      

Unfortunately, hamstring strains are both common and painful. They strike athletes of all sorts -- including runners, skaters, and football, soccer, and basketball players. During a hamstring strain one or more of the 3 hamstring muscles get overloaded. The muscles might even start to tear. You're likely to get a hamstring strain during activities that involve a lot of running and jumping or sudden stopping and starting.

What does it feel like?

  • Sudden and severe pain during exercise, along with a snapping or popping feeling

  • Pain in the back of the thigh and lower buttock when walking, straightening the leg, or bending over

  • Tenderness

  • Bruising

Why does this happen?

  • You don't warm up before exercising.

  • The muscles in the front of your thigh (the quadriceps) are tight as they pull your pelvis forward and tighten the hamstrings.

  • Weak glutes. Glutes and hamstrings work together. If the glutes are weak, hamstrings can be overloaded and become strained.









What is it?      

Sciatica is the name for a syndrome which is characterised by pain that radiates along the path of the sciatic nerve. The sciatic nerve is the longest and largest nerve in the body — it is as thick as one of your fingers where it arises in the lower spine. It then travels from your lower back through your hip and buttock and down your leg where it divides into two branches at the knee. Each leg has its own sciatic nerve.


What does it feel like?

  • The pain from sciatica is felt along the path of the sciatic nerve and can be felt deep in the buttock, with pain that travels down the back of the leg, sometimes to the foot.

  • The pain can be accompanied by tingling, ‘pins and needles’, or numbness, and sometimes by muscular weakness in the leg.

  • Sciatica is usually felt in only one leg at a time.

  • Sometimes, a sensation like an electric shock can be felt along the nerve.

  • Can range from a mild ache to incapacitating pain.

  • Sciatic nerve pain is often felt when you sneeze, cough, go to the toilet, or when you’re sitting, and may be accompanied by lower back pain.

Why does this happen?

  • Herniated Disc

  • Osteophytes (bony growth)

  • Piriformis Syndrome (tight muscle in the hip that puts pressure on the nerve)

  • Lumbar Spinal Canal Stenosis

  • Spondylolisthesis

  • Nerve Root Irritation

  • Neural Tension

Adverse Neural Tension












What is it?      

Nerves are some of the most important structures in our body. They are responsible for all movement, sensation and control all our bodily functions.Nerves need to slide and glide freely as we move for normal function to occur. The lack of adequate movement of the nerve creates signals that are received by the brain, and the brain then creates a protective response within the body. Conventional approaches to stretching are mostly ineffective at providing relief. 

What does it feel like?

  • Chronic tension

  • Pain

  • Altered movement

  • Muscle weakness

  • Pins and needles

  • Numbness

  • Burning sensations

Why does this happen?

  • Compression and irritation from surrounding tissues & structures

  • Postural adaptations

  • Piriformis Syndrome

  • Lumbar Spinal Canal Stenosis

  • Spondylolisthesis

  • Nerve Root Irritation

  • Excessive or aggressive stretching

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