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Tests and diagnosis
By Mayo Clinic staffDuring evaluation of your injury, you doctor may:
- Ask questions about your medical history. In particular, you doctor may want to know what you were doing when the injury occurred, what types of sports activities or exercise programs you regularly participate in and whether you've experienced past hamstring injuries.
- Perform a physical examination. During the exam, your doctor observes your walking or running gait to look for limping and other abnormalities. Your doctor will feel (palpate) along the back of your thigh for signs of bruising, tenderness and inflammation. Your doctor also might move your leg in certain ways to check your range of motion and muscle strength.
- Order imaging tests. An X-ray helps your doctor assess the extent of your muscle injury. X-rays also show whether your injured muscle still has stable attachments to your thigh bones. MRI can provide a more detailed image of soft tissues, such as the hamstring muscles and tendons.
References
- Hamstring muscle injuries. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00408. Accessed May 18, 2010.
- Vetter CS, et al. Hamstring strain. In: Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/202267569-2/0/1678/62.html?tocnode=55148419&fromURL=62.html#4-u1.0-B978-1-4160-4007-1..50061-4_982. Accessed May 18, 2010.
- Shah A, et al. Hip, pelvis, and thigh. In: DeLee JC, et al. DeLee & Drez's Orthopaedic Sports Medicine Principles and Practice. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/book/player/linkTo?type=bookPage&isbn=978-1-4160-3143-7&eid=4-u1.0-B978-1-4160-3143-7..00021-X. Accessed May 18, 2010.
- Heiderscheit BC, et al. Hamstring strain injuries: Recommendations for diagnosis, rehabilitation and injury prevention. The Journal of Orthopaedic and Sports Physical Therapy. 2010;40:67.
- Sprains and strains. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Sprains_Strains/default.asp. Accessed May 19, 2010.
- Brooks GP, et al. Musculoskeletal injury in the young athlete: Overview of treatment principles for nonoperative injuries. http://www.uptodate.com/home/index.html. Accessed May 18, 2010.
- Brooks GP, et al. Musculoskeletal injury in the young athlete: Overview of rehabilitation for nonoperative injuries. http://www.uptodate.com/home/index.html. Accessed May 18, 2010.
- Hoskins W, et al. The management of hamstring injury - Part 1: Issues in diagnosis. Manual Therapy. 2005;10:96.
- Hoskins W, et al. Hamstring injury management - Part 2: Treatment. Manual Therapy. 2005;10:180.
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