Does Hamstring injury come from the back?

What is the research evidence on this type of injury? What, as sports medicine practitioners, do we need to know?

"Short" hamstring muscles are often reported in patients with low back pain (LBP), and I can personally attest to this phenomonen!

The cause of such muscular tightness, however, has not been fully understood. Some studies have attributed hamstring tightness in patients with LBP as a compensatory mechanism for controlling the excess lumbar lordosis induced by specific patterns of muscle impairments known as ‘pelvic cross syndrome’. But in the sports community, the reverse pathway is important. Can issues at a spinal level cause hamstring injury in athletes?

First, let's take a quick peek at the anatomy.

Simon Bartold
Director of Bartold Clinical