Recurring hamstring strains, adductor tendonitis and hernias

[scottmcniven]

Thanks Canuck!

Yes, I'm getting treatment now. I'm on indomethecin for the osteitis pubis. I'm focusing my core workouts around a protocol groin injury designed for Major League Soccer players. I've got an appointment tomorrow with a physical therapist who specializes in the pelvis.

I'm curious if there's a connection between the adductor tendonitis/alignment issues and the hamstring strains, but no professionals have suggested a link.

I'll plan to get my hamstring stronger than they have ever been before returning to sprinting. I'll do the standard physio hamstring protocol and, later on, weight training.

Do I need to work in any hamstring speed exercises before sprinting? Or is power and endurance sufficient? Therapists have recommended easing into full sprints but haven't recommended any particular remedial speed training exercises.

I hadn't thought of a biomechanics assessment. I'll give that a try. Great call!

Another thought: I've read a bit about adverse neural tension and lumbo-sacral nerve roots causing hamstring problems. (Mostly they cause pain and feelings of tightness but can cause the strain in some cases. I'm not sure if I'm reading the literature correctly, here! I'll try to get someone to do the "slump test" on me.) Could any of these problems be causing parts of my hamstring to misfire, leading to strains?

[sharileedahl]

Thanks Canuck!

Yes, I'm getting treatment now. I'm on indomethecin for the osteitis pubis. I'm focusing my core workouts around a protocol groin injury designed for Major League Soccer players. I've got an appointment tomorrow with a physical therapist who specializes in the pelvis.
-Get back to us how that appt. goes and what you find out. I would expect it to be a very useful appt and provide a good base for rehab.

I'm curious if there's a connection between the adductor tendonitis/alignment issues and the hamstring strains, but no professionals have suggested a link.
-Absolutely! As Canuck noted before re. "muscle imbalance". Hamstrings tend to be under more strain if they are not getting much back up from the muscles that are more adequate for core stabilization including the gluteals. (However they can also be under strain due to weakness relative to the quads.) Adductors also assist in stabilizing the pelvis and can be under strain for the same reason. Again will be interesting to hear what you find out from your upcoming appt.

I'll plan to get my hamstring stronger than they have ever been before returning to sprinting. I'll do the standard physio hamstring protocol and, later on, weight training.

Do I need to work in any hamstring speed exercises before sprinting? Or is power and endurance sufficient? Therapists have recommended easing into full sprints but haven't recommended any particular remedial speed training exercises.

I hadn't thought of a biomechanics assessment. I'll give that a try. Great call!

Another thought: I've read a bit about adverse neural tension and lumbo-sacral nerve roots causing hamstring problems. (Mostly they cause pain and feelings of tightness but can cause the strain in some cases. I'm not sure if I'm reading the literature correctly, here! I'll try to get someone to do the "slump test" on me.) Could any of these problems be causing parts of my hamstring to misfire, leading to strains?

-I'll chime in again after your appointment. Thanks.