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mterapist-manual-terapi

by Marlon Buriti

There is an important relation between back pain and the hamstring muscles. A lesion in the hamstring can cause a dysfunction in the muscles that support the lower back. Today I had a patient with back pain, it was her third treatment and she told me her history. 20 years ago, she was water skiing, and she felt in a way, that injured her right hamstring. She went to her general practitioner and she got diagnosed with a hamstring strain. I began to treat the ischiocrurale group and it was very tense, specially the semitendinosus and semi mambranosos. I used different soft tissue techniques to loosen the muscle up.  What to treat? Her problem has different aspects. Here we have a muscle with a trauma that occured 20 years ago. The muscle was very tense, with bad motility, mobility and bad nutrition. The lesion in the hamstring was responsible for pulling the ischia tuberosita down and creating a tension in the gluteus area and lower back.

 

Anatomically speaking the hamstring starts at the bottom of the pelvic ischial tuberosity and connects to the knee at both sides. The Semi tendinosus and semi menbranosus is located outside the Knee and the bicepsfemoris is on the inner side of the knee. We can say that they work as an antagonist to the m. quadriceps femoris. We could also think about, what impact we can have on the arteries that supply this muscles, and if this kind of lesion can cause a coordinative problem in the pelvis and knee as well.

 

While treating we could think for example, what will happen within the inferior gluteal artery and Artery femoris profound that supply the hamstring. To explain how to relate the symptoms of back pain and hamstring, we don’t need to go deep, we just need to give attention to the connectivity of the tissue in general, but specially in the lower back and hamstring area.

If you injured the hamstring you will probably decrease the flexibility in the lumbar area. Today I want to focus in showing a treatment of these groups having in mind the hamstrings, gluteal muscle and lower back muscles.

 

https://www.nlm.nih.gov/medlineplus/ency/imagepages/19841.htm http://www.exploringnature.org/graphics/teaching_aids/Tissue_identification.pdf https://www.merckmanuals.com/home/fundamentals/the-human-body/tissues-and-organs http://orthoinfo.aaos.org/topic.cfm?topic=A00111 http://www.healthline.com/health/strains – Overview1

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mterapist-manual-terapi
Hamstring and back pain