Tom Best on hamstring injuries
21 Mar, 12 | by BMJ Group
Tom Best, co-medical director of Ohio State University Sports Medicine and professor of Family Medicine, OSU College of Medicine, talks about his work on the treatment of hamstring injuries.
1.00 - Clinical scenario: acute hamstring injury
4.15 - Recovery time
9.34 - Considerations before returning to sport
17.00 - Recurrence
19.30 - Use of NSAIDs
23.30 - Role of massage in sports medicine injuries
26.20 - American College of Sports Medicine 2012 meeting in San Francisico
30.30 - Other hamstring injury resources
See also:
Carl Askling’s BJSM podcast on hamstring injuries
BJSM article: Do you consider two types of injury?
Feb 2012 issue of BJSM
Tom also mentioned:
Gisela Sole’s paper
Jan Ekstrand
Tom’s book is Evidence Based Sports Medicine
Great podcast! This would be my favorite BJSM podcast so far, Tom did a nice job of summarising the current evidence, his thoughts and the way he approaches hamstring injuries clinically. Its a nice interview by Karim too
David Pope
March 25th, 2012 at 7:17 am
Hamstrings are very simple when you read R.Lieber Plasticity of Muscles. In the modern world of performance the majority of Rehab and Strength training protocols focus on the hamstring working upside down and as a force muscle.
The hamstring’s main function is to deal with velocity in picking the foot up off the ground. If it played this role the foot would spend less time on the ground and therefore the kinetic chain would not have to deal with bigger rotational forces, where the root cause of all injuries stem from.
My message is to understand good form biomechanics in running first to understand how the body has evolved to deal with gravity and ground force reactions.
Rollo Mahon
March 29th, 2012 at 6:49 pm
A very interesting listen, I was particularly interested in the comments regarding his research on early intervention of massage therapy to improve the prognosis. Traditionally avoiding HARM (Heat, Alcohol, Running, Massage) is taught, and massage is commonly avoided in practice at the early stage. Have they produced any recommendations as to how early this should be done? Also would they be using pain scales as the indicating factor as to pressure etc?
Thanks,
Tim Trevail
April 20th, 2012 at 2:19 am