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Torn Muscle (Hamstring)

Background

 

  • The client is a 42-year old female seeking treatment for help with a hamstring injury six months ago.
  • She tore her left hamstring at the attachment at the ischial tuberosity during a waterskiing accident and has been experiencing a slow recovery.
  • She continues to have pain at the left hip joint, weakness and fatigue in the left hamstring, and tightness in the low back.
  • She also experiences plantar fasciitis that tends to flare up on occasion in both feet, wrist pain, discomfort in her upper shoulders and neck.
  • She also sustained a rotator cuff injury in her right shoulder years ago.
  • She has been undergoing physical therapy for her hamstring injury and is performing a lot of stretching on her own.

Observations

  • The initial postural and range-of-motion assessment reveals range of motion restrictions in the right shoulder in external rotation and overhead arm extension, as well as in the neck looking right.
  • A scar is noted at the gluteal fold on the left leg.
  • Tension is noted in the illiac crest attachments along the entire low back, with adhesions palpated in the lumbar region erector spinae group and QL on both sides.
  • Tight bands are noted in gluteus maximus and medius and in the external hip rotators (especially quadratus femoris).
  • Restrictions and trigger points noted in the left TFL tissue proximal to the greater trochanter.
  • Two to three large adhesions are also noted in the belly of the left hamstring and at the distal attachment points at the fibula.

Treatment

 

  • The client begins 60-minute treatment sessions.
  • The first three treatments are spaced about 2 weeks apart, and the remaining 13 treatments are spaced 7-10 days apart.
  • Manual tissue therapies, to include Chinese medical massage rolling technique, kneading, compression, pressing technique are applied to the back, gluteal muscles, and hamstring.
  • Deep tissue frictioning and stripping are applied to the left hamstring.
  • Pressing and rotating is performed around the greater trochanter of the left hip.
  • Acupressure points of focus include: GB30, GB31, BL36, BL60/KD3, BL40, and BL26.
  • At every session, cupping is applied along the belly of the left hamstring, along the scar at the gluteal fold, and at BL40.
  • Cups are also applied around the left greater trochanter.
  • Cups are left on for 15-20 minutes per treatment.

Outcome

  • Following the first session, the client reports that she feels less discomfort in her hamstring and hip and notices that it is easier for her to go up and down stairs.
  • Following the third session, the client notices substantial reduction in her hamstring pain and weakness, however continues to notice low back discomfort.
  • Following the fourth and fifth sessions, the client begins to notice “knitting pains” at the belly of her hamstring and a “buzzing” sensation at the proximal hamstring attachment, which makes her think that her hamstring is starting to undergo some permanent change as a result of the treatments.
  • Beginning with Session 6, the client begins to notice aches and pains in her shoulders, arms, and back need as much, if not more attention compared to the hamstring, indicating that the hamstring weakness and discomfort has improved substantially.
  • The client continues with treatments aimed at maintaining hamstring integrity while also focusing on other areas of the body needing attention from past injuries and the overall shift in her body’s compensation mechanism in response to the hamstring improving.