Non-Operative — Hamstring Strain (Non-Operative)

SAM Health · Travis Obermire PT

Weight-Bearing

FWB as tolerated; return to walking as soon as possible

Key Restrictions

No passive stretching Phase I; no kicking/sprinting/passive stretching Sub-Acute; no sprinting until completing Stages 1-2 pain free

Timeline & Phases

Acute Phase (0-1 wks): protect, control inflammation, restore ROM, return to walking; Sub-Acute Phase (1+ wks): hamstring strength, light jogging, eccentric progression; Remodeling Phase (2+ wks): end-range eccentrics, sprint stages 2-3; RTS Phase: hop testing, Askling H-Test, LSI within 10%; 4-12 weeks total

Notes

Non-operative protocol; includes Askling L-Protocol eccentrics, PATS progression, return-to-sprinting stages chart, and acute examination form

Surgeon / Author

Travis Obermire PT

Published

2023-09