Hamstring injuries

Hamstring injuries

Pulled a hammy? Let us rehabilitate your injuried hamstring to full recovery

Understanding what is a hamstring injury?
Hamstring injuries refer to problems involving the group of three muscles at the back of your thigh — the biceps femoris, semitendinosus, and semimembranosus. These muscles play a crucial role in walking, running, and explosive movements like sprinting and jumping.

Hamstring injuries can present in several different forms:

1. Muscle Strains or Tears

These typically occur suddenly during high-speed running, kicking, or overstretching. You may feel a sharp pain, pulling sensation, or even a "pop," often requiring you to stop activity immediately.

Common in sports like football, rugby, athletics.

2. Hamstring Tendinopathy

This is a gradual onset condition that causes pain at the top of the hamstring, near the sitting bone (ischial tuberosity). It often worsens with running, prolonged sitting, or deep bending at the hip (e.g. deadlifts, lunges).

Often seen in distance runners, CrossFitters, or after under-rehabilitated strains.

3. Avulsion Injuries

More severe and less common, this is when the hamstring tendon pulls away from the bone — usually with a sudden, forceful movement. These injuries can sometimes require imaging and specialist referral.
More likely in adolescents or during high-load movements.

Each of these injuries requires a different management approach — so accurate assessment is essential.

Hamstring injury treatment at West Coast Physio

Common causes of hamstring pain

Hamstring injuries can result from several different sources, including:

  • Rapid acceleration or sprinting
  • Inadequate eccentric hamstring strength
  • History of previous hamstring injury
  • Poor lumbopelvic control or hip strength
  • Overload from running volume, hills, or speed work
  • In tendinopathy: rapid increase in training load, poor recovery, or technique issues in gym exercises

How we can help with your hamstring injury

Our physiotherapists are experienced in managing all forms of hamstring injuries — from acute strains to chronic tendinopathies — using a tailored, evidence-based approach.

Comprehensive Assessment & Diagnosis

We assess which type of hamstring injury you have, its severity, and any contributing biomechanical or training factors.

Progressive Strength & Eccentric Loading

Whether you have a tear or tendinopathy, progressive strengthening — particularly eccentric exercises — is essential to rebuild muscle capacity and tendon health.

Nordic hamstring exercises significantly reduce injury risk — van Dyk et al., BJSM 2019
Heavy slow resistance is beneficial for tendon recovery — Beyer et al., 2015

Running Retraining & Sport-Specific Rehab

We gradually reintroduce high-speed running and sport-specific movements, including acceleration and deceleration control, to prepare you for return to play.

High-speed running is a key rehab component and must be progressed gradually — Mendiguchia et al., 2017

Management of Tendinopathy

We use targeted loading programs for proximal hamstring tendinopathy, combined with load management and hip strengthening. In some cases, isometrics or manual therapy can assist symptom relief.

GLA:D-style progressive loading has strong evidence for tendon rehab — Cook & Purdam, 2009

Return-to-Play Planning

We use clear criteria including strength testing, movement control, and sprint capacity to ensure you're ready to return safely and reduce the risk of reinjury.

Return-to-play should be based on strength, function, and confidence — Reurink et al., 2016

Physio for hamstring injuries: FAQs

Stretching too early can worsen a tear or aggravate tendinopathy. Guided strengthening is far more effective for both muscle and tendon recovery.

Areas We Serve

We provide physiotherapy services to clients with hamstring injuries across the Perth northern suburbs. Some of the most common areas we serve include:

Doubleview, Scarborough, Innaloo, Woodlands, Wembley Downs, Churchlands, Karrinyup, Gwelup, Osborne Park, City Beach, Floreat, and Trigg.

If you're located nearby and looking for expert hamstring injury care, we're just a short drive away.

Additionally, we provide expert and specialist physiotherapy care to many clients who live in Perth and regional Western Australia – your rehabilitation is our priority and many of our clients are prepared to drive further to receive quality care.