Proximal Hamstring Injury Exam (vs Sciatica)

Подписаться 120 тыс.

Просмотров 50 тыс.

50% 1

In this video I do a proximal hamstring injury exam with the thought that there may be an element of sciatica. I demonstrate a neurologic exam to rule out sciatica and perform selective tissue tension testing during the proximal hamstring injury exam. We go through a brief history and work through the evaluation to explain why someone could have sciatica symptoms with a proximal hamstring injury.
💥Get your Lateral Hip Pain e-Book today! tinyurl.com/yc5v47pm
✅ Support OEP: paypal.me/OrthoEvalPal?locale...
✅ OEP Website: orthoevalpal.com/
✅ Online Coaching: orthoevalpal.com/coaching
✅ OEP Podcasts: orthoevalpal.com/podcast
▶▶ Like us on facebook: / orthoevalpal
▶▶ Follow on Instagram: instagram.com/
▶▶ Follow on Twitter: home
✔ Get our NEW downloadable 1.5 hour shoulder anatomy with cadaver dissection lecture: www.meorthopedicseminars.com/s...
✔Get our NEW downloadable 7.5 hour cervical and lumbar continuing ed course: www.meorthopedicseminars.com/s...
✔Get our NEW downloadable 6.0 hour shoulder continuing ed course: www.meorthopedicseminars.com/s...
Interested in our Sponsor Product
EZ Slant (ezslant.com/)
Check out our new OEP merchandise: 👚👕☕️ / @orthoevalpal
#proximalhamstringinjury #hamstringinjury #hamstringexam #sciatica #OrthoEvalPal #SpecialTests #Orthopedics #physicaltherapy #physicaltherapytests #athletictraining

Опубликовано:

21 янв 2023

Ссылка:

Скачать:

Готовим ссылку...

Добавить в:

Мой плейлист

Посмотреть позже

Комментарии : 56

@yunqing5891 Год назад

Learned a lot, thanks!

@calebdavis845 Год назад

Best PT channel on RU-vid for students!

@OrthoEvalPal Год назад

Thanks a bunch Caleb! Happy to do it.

@tomash2o 7 месяцев назад

Same type of injury happened to me on a spin bike. Sciatic symptoms with hamstring tightness and spasms with peripheral neuropathy. Combo of TENS and stretching has helped immensely. Injury happened over 2 yrs ago. No one could diagnose the issue. Your differential diagnosis method is solid.

@BoiWondaful 4 месяца назад

What are tens

@pamstrauch4372 Месяц назад

I have a TENS unit, but I don't know where to properly place each of the pads. Plz help!

@tomash2o Месяц назад

@@pamstrauch4372 pam, google search trigger points for leg muscles and or ITBS muscles . you can use the maps as a guide to electrode placements, and dont be afraid to move the pads around for optimal results.

@UrviShah-hp7hq Год назад

Excellent!

@OrthoEvalPal Год назад

Many thanks Urvi!

@PhysioChrisToff Год назад

As a PT in Austria, I got to say, this guy is a professional, great channel!

@OrthoEvalPal Год назад

Thank you Chris!

@carliharrison Год назад

Super helpful thank you!

@OrthoEvalPal Год назад

Glad it was helpful Carli!

@promisedprince6201 Месяц назад

Crazy good video!

@fabiennehubener9754 Год назад

Thanks for the hepful video. Just one comment. Even without bruising, without an accident like slipping and even when the patient can still run (with pain) the underlying cause can be a full hamstring avulsion (tendons ripped of the bone). Only an MRI can tell. The operation should happen within 2 weeks for the best outcome. This injury is often overlooked. It seems to happen more often to people around 50 and to women.

@marbury77 11 месяцев назад

Came here after I heard a pop on my sciatica and hamstring during a quick take off trying to catch a ball. Very thorough explanation and no bruising so hopefully just inflammation.

@abicdefghijkl 3 месяца назад

this makes me feel better bc this happened to me when attempting a cartwheel, nice to know people injure themselves doing silly things. I’m 26 though and i don’t think i should still be in pain 6 weeks later 😭

@Nobod-p5f 2 месяца назад

@abicdefghijkl hey man! So actually you will be, I was anyways, I went and saw a chiro, he showed me how to use my hips! Think of that golfing movie with Sandler, ITS ALL IN THE HIPS!! love you brother get better ❤️

@Pete.Ty1 Год назад

👍👍👍 Thanks Paul

@OrthoEvalPal Год назад

You got it Pete!

@andreasmaher8749 7 месяцев назад

Describes my issue to a T. Went to a physio and he did all the same tests and said pretty much hamstring strain. Felt mine "pop" during a 5k race.

@OrthoEvalPal 7 месяцев назад

I hope this resolves quickly Andreas!

@amiirhosseinkn6376 Год назад

Very enjoying

@greganikin7003 2 месяца назад

Great! Thanks! I identified i don’t have that spot pain. But i have pain in lover ligaments and sciatica problem

@OrthoEvalPal 2 месяца назад

You are welcome!

@DipBuyer83 7 месяцев назад

This is really what I'm dealing with!! Dr's have told me it's piriformis syndrome, I've been told it's a herniated disc, I've been told my hip is out of alignment/tipping to one side, it's sad! It's been like 4 years now. I'm finally starting to see these videos of high hamstring tendinitis, but I didn't get the right help and now I get numbness down the leg, I don't have the flexibility anymore, if I try running faster with longer gait then the pain comes back!!

@OrthoEvalPal 7 месяцев назад

It's possible. Hard to tell without seeing you.

@mrhmd8308 24 дня назад

Would you consider using a modality of Cupping or Dry Needling first before exercises? Excellent demonstration. Cheers.

@vsam2987 5 месяцев назад

I have the same issue and tried exercises but I started doing Angamardhana offered by Isha institute (Sadhguru) and I cannot live without it now. And if I skip for a week or two and the pain is back. Previously I suffered everyday with hamstring pain and needed. Now Angamardhana is like a massage to me though it’s very intense hatha yoga..

@bakedalaska1 2 месяца назад

Can you recommend any videos here on yt?😢

@artykslam 2 месяца назад

Thanks i thought it was the sciatic nerve but i feel just like him, ithink im going to take off leg days and just walk in sted to give my hamstring a rest😅

@twizzler57 4 месяца назад

So how should I work it out??

@N1TRO 4 месяца назад

I get the same pain/strain in the same scenarios but rather than either attachment site the feeling of 'my hamstring feels like its going to tear' is directly in the middle of the muscle. I believe ive adapted around this and my more servere injuries and tend to not deal with the pain fueing daily life but i do this by heavily avoiding my hamstrings and walking very inificiently. Theres a lot of other things but thats all thats directly relevant. What type of injury would you imagine this this to be? Added info: I avoid my right side and weight bare 70% or more of weight on left leg. I definitely have an anterior pelvic tilt. My ankle dorsiflexion is awful especially on my right (dodgy side), knee to wall test with right foot i can barely touch the wall with knee with toes touching the wall. Some degree of pelvic torsion.

@stevej1427 4 месяца назад

Happened to me sliding head first to 2nd base in high school. I thought the ball hit me because it felt like a pop or a bang. Thought I was safe until the short stop tagged me out. I said what the hell just happened. Tried to get up and it was a wrap. Never rehabbed it but got better. Yesterday playing basketball it happened again and now I’m here. I always thought it was a bone issue because I thought it was too much pain to be a pull.

@wadeparker8695 2 месяца назад

Thank you! I find that a foam roller helps. Lately I’ve been worried I don’t know if it’s my hamstring or sciatica. I’m 51 years old is there any suggestions that you might have? Thank you

@francishubertovasquez2139 8 дней назад

Nerve pain such as in Sciatica due to slipped disc problem can be in aid for diagnosis but what if the spinal injury is so tilted that it almost obstruct the nerve pathways in that gray effects in there towards the limbs and theres pain signallings as well as muscles effects of its levels of problems to peripheral muscles and nerves, can a particular nerve be turned off or be created a segway by the modes of wireless thing or distal nerve implant signal receptor or something while the schwanns cells tuned to regenerate by specifics while surgery was being contemplated by patients relatives for example to whatever reason an example of if factor of emergency measures after neuro assessment or a scan or something with nerve specifics to wherever connectivities damaged by focusing in genetics concentrated fix meaning the machine have a copy of genetic make up.

@Khaos969 Месяц назад

I was playing fighting in loafers with no grip and my foot flipped and I hyper extended my hamstring I felt a pop …. Next day I couldn’t walk it been a week now I can walk pretty ok , but my glute is killing me and my hamstring still feels bruised … I’m guessing if I tore my muscle of the bone I wouldn’t be walking around already?

@silesiadiver 24 дня назад

How it's possible that i have pain in exactly same moments like your son, but when this spot is pressed by finger there is no pain? It's painful in mentioned spot only when straight leg is stretched. What do you think about it? Its painful when running and going uphill and no pain when walking on stairs

@pamstrauch4372 Месяц назад

I've had this pain for 3 years, and chiropractors and massotherapists haven't relieved it or given me any exercises to fix it! I feel totally helpless and afraid I'll have this pain for the rest of my life ive tried all kinds of stretches for hamstrings, and exercises i found online for glutes, hamstrings and hips. Nothing has worked. Maybe the wrong exercises??

@Skills2821 Год назад

Question sir. So I pulled it strained my hamstring back in June of 2022. We’re in march of 2023 and it still hasn’t fully healed. I’d that normal? I can run I can do weight training on it and even stretch but I still feel discomfort.

@stttggg7663 Год назад

same

@Eagle_data Год назад

Same

@samalexander6273 10 месяцев назад

Same

@RekhaRanjith-bx9ws 8 месяцев назад

Sir my baby 3 year old she suffering from gbs from December treatment is everything over but now right leg problm sciatica hip side bone problm eny suggetion

@OrthoEvalPal 8 месяцев назад

Need to see a pediatric orthopedist

@lilT-Ride Год назад

Same thing happened to me except i do jiu jitsu This was last night 2/7/23 Its now 2/8/23 and im so sore

@OrthoEvalPal Год назад

Rest a couple days and see how it does.

@lilT-Ride Год назад

@@OrthoEvalPal its getting better. I have Almost full motion. Thank you

@user-xj1md1xq8c 10 месяцев назад

What are the exercises?

@pamstrauch4372 Месяц назад

Wondering the same

@billibob-tr8tp 3 месяца назад

i had like a really bad like sharp pain in my hamstring it at like 6pm 8pm dont know and it was better at 3 am i was scared it was like a pulled muscle as i ran quite alot that day stll not sure as my muscles are still prety tight 3 days later well the leg that i think cramped up was im still not sure if it was cramp or if i couldve pulled my hamstring im not sure it hurt i thought at the time it was a pulled hamstring but now i think it was a cramp as t cleared within like 6-9 hours although its still sore and stiff like 3 days later (started hurtng thursday typing this sunday)

@OrthoEvalPal 3 месяца назад

Possibly a cramp. Make sure it's not a pinched nerve in the back sending pain down to that spot.

@billibob-tr8tp 14 дней назад

@@OrthoEvalPal yea i didnt have any pain after that it was only a cramp probably. i did go to a athletics carnaval sport event where i did 200m, 400m, 100m relay and wheel and ball then went to football(aussie rules) training wich goes for a hour i also hadn drunk or eaten much that day and after the 400m (first even) my legs were jelly but im all good now