Proximal hamstring rupture, restoration of function without surgical intervention: A case study on myofascial trigger point pressure release

Summary 

Proximal hamstring rupture is a rare occurrence, although documented in the literature during water skiing. This case study highlights the treatment of a proximal hamstring rupture whilst water skiing. In this case, physiotherapy was the main therapeutic intervention with no subsequent surgical referral. An initial first course of extensive physiotherapy rehabilitation had increased hamstring strength and everyday function. However, the patient a 26-year-old tennis player and runner, had been unable to return to running or tennis. A second (substantially shorter) course of physiotherapy was initiated, the therapist utilizing myofascial trigger points (MTrPs) in the treatment and diagnosis. This case study highlights how the identification and treatment of MTrPs using trigger point pressure release within a physiotherapy and home self management programme, was effective in restoring her sporting function. It also highlights the need for medical and healthcare professionals to include MTrPs as an assessment and therapeutic tool in musculoskeletal dysfunction. Further research is needed to fully ascertain the clinical efficacy of this intervention.

Keywords: Proximal hamstring rupture, Case study, Myofascial trigger points (MTrPs), Trigger point pressure release