Skip to main content
Seacoast Spine & Sports Injuries Clinic

Hamstring Strain

Hip, groin & thigh · Before your visit

A hamstring strain is a muscle injury at the back of the thigh, usually during sprinting, rapid acceleration, or forced lengthening.

When to seek urgent medical care

Seek prompt medical evaluation after a fall or impact if you cannot bear weight, the leg looks shortened or rotated, swelling develops rapidly, or new numbness, weakness, redness, or fever appears.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is hamstring strain?

A hamstring strain is a muscle injury at the back of the thigh, usually during sprinting, rapid acceleration, or forced lengthening. Location and severity affect the rehabilitation timeline and reinjury risk.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

Common signs of hamstring strain

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • sudden back-of-thigh pain
  • pain running fast
  • bruising in higher-grade injury
  • pain with resisted knee bend

What may be loading the area

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For hamstring strain, the history commonly examines:

  1. 1max-speed sprinting
  2. 2fatigue or exposure gap
  3. 3forced stretch

What a useful assessment should answer

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focusinjury location and grade
Clinical focusstrength at long muscle lengths
Clinical focusrunning-speed tolerance

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What a plan for this usually covers

Care for hamstring strain is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

restore long-length strength

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

progress running in planned stages

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

reach full-speed exposure before return

Progress is checked against symptom response and function so the plan can change when capacity changes.

Common questions about hamstring strain

Short answers to the decisions people usually face before an evaluation.

What is hamstring strain?

A hamstring strain is a muscle injury at the back of the thigh, usually during sprinting, rapid acceleration, or forced lengthening. Location and severity affect the rehabilitation timeline and reinjury risk.

How is hamstring strain assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include injury location and grade, strength at long muscle lengths, running-speed tolerance. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for hamstring strain include?

A plan may draw from Physical Therapy, ART, and Graston, but the service is not the diagnosis. Care is selected around the examination and may focus on restore long-length strength, progress running in planned stages, reach full-speed exposure before return. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with hamstring strain?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does hamstring strain need urgent medical care?

Seek prompt medical evaluation after a fall or impact if you cannot bear weight, the leg looks shortened or rotated, swelling develops rapidly, or new numbness, weakness, redness, or fever appears.

Related hip & thigh guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse hip, groin & thigh

Get clarity on hamstring strain.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
Book Call