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Athlete stretching hamstring and back before running at city beach. Black runner exercising and warming up for outdoor summer workout. Gijon, Asturias, Spain.

<p>Or any other pulled/strained&nbsp;muscle. Pulled or strained hamstrings can result in bruising, inflammation, pain, and soreness. The causes or risk factors that put you at risk of this injury can include stiffness, lack of proper warm up, high quad to hamstring ratio, fatigue, hamstring weakness when compared to opposite leg, or poor lumbar posture and core stability. The biggest risk factor for a hamstring&nbsp;strain is if you have had one before, this more than doubles the risk of re-injury.</p><p>As fall approaches athletes are getting into their sports again. Whether it's football, soccer, track, or any other sport there is a risk of injury. More than likely yourself or someone you know will pull their hamstring. It's important to learn how to manage this injury in order for this to not be a nagging problem for the rest of the season.</p><p>The hamstrings are located behind the top part of your leg and includes 3 muscles (semitendinosus, biceps femoris, and semimembranosus). The most common one injured is the biceps femoris which is on the outside part of your leg. Let's get a light break down on how a muscle strain repairs itself. A strain is essentially a tear of the muscle. Whenever there is an injury to the muscle a hematoma fills the gap in the tear. Then connective scar tissue replaces that hematoma and holds it together. Regenerating fibers then penetrate that scar tissue to make it stronger until a myotendinous junction is formed in 10 days post injury. After day 10 the scar tissue is essentially stronger than the fibers themselves but contraction remains weak. It is very important within the first 10-14 days to not stretch a strained muscle due to the risk of re-injuring that area. Stretching will prolong that healing process and increase the amount of time when returning to sport. During these first 2 weeks and after you should seek a physical therapist to follow specific guidelines of rehabilitation. Later, I will include a short video tutorial on my IG page @activebodyphysiotherapy to show early, middle, and late stage exercises to perform after a hamstring tear.</p><h5>Tyler TF et al. ""Rehabilitation After Hamstring Strain Injury Emphasizing Eccentric Strengthening at Long Muscle Lengths: Results of Long Term Follow-up" J Sport Rehab, 2016</h5><h5>Brockett CL, et al; Med Sci in Sports and Ex 2004</h5><h5>Jesper Petersen et al., Preventative effect of eccentric training on acute hamstring injuries in Men's Soccer: A cluster-randomized controlled trial. AJSM, 2011</h5><h5>Schache AG et al. Med Sci Sports Exerc, 2011</h5><h5>Jarvinen et al. AJSM, 2003</h5><h5>Zvijac et al,. AJSM, 2013</h5><h5>Engebretsen et al., 2010</h5><p><br></p><p><br></p>

Don't Stretch that Pulled Hamstring!

<p>Many people that come to see me ask this question because it is a fairly new procedure. Trigger point Dry Needling (TrpDN) hasn't been around for centuries like Traditional Chinese Acupuncture (TCA) but it can be very effective. TCA and TpDN are uniquely different. TCA uses the theory that the human body is controlled by the force or energy of "Qi" (pronounced "chee"). This&nbsp;Qi is accessed through acupoints in the body on the skin or deeper tissues. If an acupuncturist detects an abnormal flow of Qi, they use&nbsp;the corresponding acupoints to &nbsp;attain/maintain homeostasis. TCA is used to treat musculoskeletal dysfunction, infertility, smoking cessation, allergies, depression, and other conditions. Treatment sessions can include needling of 4-10 acupoints and needles being left in up to 30 mins. Acupuncturists can add other therapies like massage, cupping, moxibustion, herbal preparations, and electrical current to the treatment session.</p><p>Trigger point Dry Needling is the most frequently used of the dry needling models. this model targets Myofascial Trigger Points (MTrPs) in hopes of relieving motor, sensory, and autonomic abnormalities that can occur. The goal is to get a local twitch response in order to relax and alleviate pain/dysfunction caused by these trigger points. MTrPs are hyperirritable spots on muscles described as taught bands or nodules that you can feel under the skin. Typically they are painful with pressure. MTrPs are believed to be caused by excessive buildup of acetylcholine which is used to activate contractions in the muscle. They can also have decreased blood flow and&nbsp;oxygen that contributes to a shortening of the local surrounding tissues.</p><p>To be a candidate for dry needling you should have a PT diagnosis that will improve with dry needling, ability to comprehend the procedure, communicate effectively your response to the treatment, lie still, and ability to provide informed consent. You may not be able to have dry needling if you have an abnormal reaction to needles, unwilling participant, needle phobia, on anticoagulant therapy, thrombocytopenia, into an area with lymphodemia, abnormal bleeding, auto immune diseases, vascular disease, cancer, Diabetes, frailty, epilepsy, allergy to metals or latex, and people on blood thinning medications. It is not suggested to perform DN on morbidly obese participants due to the risk of the inflammatory factor that dry needling causes.</p><p>During the dry needling procedure the PT identifies the MTrP using their fingers. A sterile disposable solid filament needle is inserted into the skin using a guide tube. Once the needle is inserted different techniques can vary from PT to PT. Current research suggests that leaving the needle in for up to 30 mins with estim to be the most effective way to get a local twitch response. Although an adequate outcome can happen from precise palpation and pistoning with needles being left in up to 8 minutes. To further your understanding of dry needling and its risks/benefits associated with your particular diagnosis, please speak with a Physical Therapist trained in this procedure.</p><p>FYI: Currently, health insurance does not cover its application. Costs can vary from clinic to clinic and cash options are available.</p><h6>Unverzagt, Berglund, Thomas. Dry Needling for Myofascial Trigger Point Pain:A Clinical Commentary. IJSPT. 2015; 10:402-418</h6><h6><span class="authors">James Dunning, Raymond Butts, Firas Mourad, Ian Young, Sean Flannagan &amp; Thomas Perreault</span>&nbsp;<span class="date">(2014)</span>&nbsp;<span class="art_title">Dry needling: a literature review with implications for clinical practice guidelines,</span>&nbsp;<span class="serial_title">Physical Therapy Reviews,</span>&nbsp;<span class="volume_issue">19:4,</span>&nbsp;<span class="page_range">252-265,</span>&nbsp;<span class="doi_link">DOI:&nbsp;<a href="https://doi.org/10.1179/108331913X13844245102034" data-mce-href="https://doi.org/10.1179/108331913X13844245102034">10.1179/108331913X13844245102034</a></span></h6><h6><br></h6><p><br data-mce-bogus="1"></p>

What is Trigger Point Dry Needling?

<h2>Introduction</h2>
<p>Physical therapy can be a crucial part of your recovery process after an injury or surgery, or for managing a chronic condition. Choosing the right physical therapy clinic is essential to ensure you receive the best care and achieve optimal results. With so many options available, it can be overwhelming to make a decision. In this blog post, we will guide you through the process of choosing the right physical therapy clinic for your needs.</p>

<h2>Consider Your Specific Needs</h2>
<p>Before starting your search for a physical therapy clinic, it's important to consider your specific needs. Are you recovering from a sports injury, surgery, or managing a chronic condition? Understanding your needs will help you narrow down your options and find a clinic that specializes in your specific area of concern.</p>
<figure id="figure-fp0imct6dalm2b3gpz"><img id="fp0imct6dalm2b3gpz" src="https://images.unsplash.com/photo-1545463913-5083aa7359a6?crop=entropy&cs=tinysrgb&fit=max&fm=jpg&ixid=M3wyNjI5NjF8MHwxfHNlYXJjaHw0fHxwaHlzaWNhbCUyMHRoZXJhcHl8ZW58MHx8fHwxNjkzNjc2MjI2fDA&ixlib=rb-4.0.3&q=80&w=1080" alt="physical therapy" class="object-cover bg-gray-100" style="aspect-ratio: 16/9"></figure>

<h2>Research the Clinic's Expertise</h2>
<p>Once you have identified your specific needs, it's time to research the expertise of different physical therapy clinics. Look for clinics that have experienced and qualified physical therapists who specialize in your area of concern. Check their credentials, certifications, and years of experience to ensure they have the expertise to provide the care you need.</p>

<h2>Location and Convenience</h2>
<p>When choosing a physical therapy clinic, consider its location and convenience. It's important to find a clinic that is easily accessible from your home or workplace, as this will make it more convenient for you to attend your therapy sessions regularly. Additionally, check if the clinic offers flexible appointment times to accommodate your schedule.</p>
<figure id="figure-yh6fu6m94alm2b3kxw"><img id="yh6fu6m94alm2b3kxw" src="https://images.unsplash.com/photo-1499728603263-13726abce5fd?crop=entropy&cs=tinysrgb&fit=max&fm=jpg&ixid=M3wyNjI5NjF8MHwxfHNlYXJjaHwxfHxwaHlzaWNhbCUyMHRoZXJhcHklMjBjbGluaWN8ZW58MHx8fHwxNjkzNjc2MjMyfDA&ixlib=rb-4.0.3&q=80&w=1080" alt="physical therapy clinic" class="object-cover bg-gray-100" style="aspect-ratio: 16/9"></figure>

<h2>Ask for Recommendations</h2>
<p>Seeking recommendations from friends, family, or healthcare professionals can be a valuable way to find a reputable physical therapy clinic. Ask people you trust about their experiences with different clinics and if they would recommend any specific ones. Hearing firsthand experiences can give you insights into the quality of care and outcomes you can expect.</p>

<h2>Check for Insurance Coverage</h2>
<p>Before finalizing your decision, check if the physical therapy clinic accepts your health insurance. Contact your insurance provider to inquire about coverage for physical therapy services and get a list of in-network clinics. This will help you avoid unexpected expenses and ensure that you can receive the care you need without any financial burden.</p>
<figure id="figure-897akbn8sslm2b3ohv"><img id="897akbn8sslm2b3ohv" src="https://images.unsplash.com/photo-1526506118085-60ce8714f8c5?crop=entropy&cs=tinysrgb&fit=max&fm=jpg&ixid=M3wyNjI5NjF8MHwxfHNlYXJjaHwxNnx8cGh5c2ljYWwlMjB0aGVyYXB5JTIwZXF1aXBtZW50fGVufDB8fHx8MTY5MzY3NjIzNnww&ixlib=rb-4.0.3&q=80&w=1080" alt="physical therapy equipment" class="object-cover bg-gray-100" style="aspect-ratio: 16/9"></figure>

<h2>Visit the Clinic</h2>
<p>Once you have narrowed down your options, it's a good idea to visit the physical therapy clinics in person. During your visit, observe the clinic's cleanliness, organization, and overall atmosphere. Talk to the staff and physical therapists to get a sense of their professionalism, communication style, and willingness to answer your questions. A personal visit can help you assess if the clinic is a good fit for you.</p>

<h2>Consider the Treatment Approach</h2>
<p>Every physical therapy clinic may have a different treatment approach. Some clinics may focus on manual therapy techniques, while others may emphasize exercise-based rehabilitation. Consider your preferences and the treatment approach that aligns with your goals and needs. It's important to find a clinic that offers a comprehensive and personalized treatment plan tailored to your specific condition.</p>
<figure id="figure-nzxnuogfrvlm2b3tse"><img id="nzxnuogfrvlm2b3tse" src="https://images.unsplash.com/photo-1518310383802-640c2de311b2?crop=entropy&cs=tinysrgb&fit=max&fm=jpg&ixid=M3wyNjI5NjF8MHwxfHNlYXJjaHwxMnx8cGh5c2ljYWwlMjB0aGVyYXB5JTIwZXhlcmNpc2VzfGVufDB8fHx8MTY5MzY3NjI0M3ww&ixlib=rb-4.0.3&q=80&w=1080" alt="physical therapy exercises" class="object-cover bg-gray-100" style="aspect-ratio: 16/9"></figure>

<h2>Read Reviews and Testimonials</h2>
<p>Before making a final decision, take the time to read reviews and testimonials from previous patients. Online platforms, such as Google reviews or the clinic's website, can provide valuable insights into the experiences of others. Look for positive feedback regarding the clinic's expertise, staff, and overall patient satisfaction. This can help you gain further confidence in your choice.</p>

<h2>Trust Your Instincts</h2>
<p>Lastly, trust your instincts when choosing a physical therapy clinic. If something doesn't feel right or if you have any concerns, it's important to listen to your gut. Your comfort and confidence in the clinic and its staff are crucial for a successful rehabilitation journey. Remember, you have the right to choose a clinic that best meets your needs and makes you feel comfortable.</p>
<figure id="figure-glcdhu1yvlm2b3z9p"><img id="glcdhu1yvlm2b3z9p" src="https://images.unsplash.com/photo-1589190959334-1e0d241dea82?crop=entropy&cs=tinysrgb&fit=max&fm=jpg&ixid=M3wyNjI5NjF8MHwxfHNlYXJjaHwxM3x8cGh5c2ljYWwlMjB0aGVyYXB5JTIwc2Vzc2lvbnxlbnwwfHx8fDE2OTM2NzYyNTB8MA&ixlib=rb-4.0.3&q=80&w=1080" alt="physical therapy session" class="object-cover bg-gray-100" style="aspect-ratio: 16/9"></figure>

<p>By following these guidelines, you can make an informed decision and choose the right physical therapy clinic for your needs. Remember, finding the right clinic is an important step towards your recovery and overall well-being. Don't hesitate to take the time to research, visit, and ask questions to ensure you receive the best care possible.</p>

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Don't Stretch that Pulled Hamstring!

What is Trigger Point Dry Needling?

How to Choose the Right Physical Therapy Clinic for Your ...