Proximal Hamstring Repair

Sutter Health / Palo Alto Medical Foundation · Kevin Roth MD

Weight-Bearing

50% PWB wks 1-6; FWB wks 7+; brace locked 0° extension wks 1-6 (prevents hip flex + knee ext position)

Key Restrictions

Brace locked 0° extension wks 1-6; no hip flexion with knee extended; no active knee flexion wks 1-6; no hamstring stretch or active hamstring until wk 7; no active hip extension until wk 6; no running until wks 16+; no sprinting until 20+ weeks; RTS with MD clearance at 22+ weeks

Timeline & Phases

Wks 1-2: 50% PWB, brace locked 0°, hip flex limit 60° (no flex with knee extended), avoid active hamstring/hip ext — quad sets, ankle pumps, scar mob, STM along hamstring, upper body circuit, sciatic nerve gliding (not stretching); Wks 3-6: 50% PWB, brace locked 0°, hip flex 60°→90° by wk 6, continue avoiding hamstring stretch/active hamstring/hip ext — glut setting prone/supine, double leg bridge, side-lying hip abduction, calf raises; Wks 7-12: FWB, no brace, full ROM — progressive active hip/knee flexion, uninvolved stretching, double→single leg bridge, wall slides, clam shells, partial squats, step ups/downs, stationary bike (no running); Wks 13-16: FWB — gentle hamstring stretching, single leg CKC, eccentric→concentric hamstring progression, resisted step-ups, double leg deadlift, bridge on ball, walk progression (prepare to run); Wks 16-20: FWB — progressive hamstring stretching, single leg deadlifts, reverse lunges on sliders, kettle bell swings, walk→jog (no sprinting); Wks 20+: FWB — single leg jump, lateral bounding, progressive running/jumping after 22 wks, plyometrics, ladder drills, sprint progressions, RTS with MD clearance

Notes

No publication date on PDF; brace locks knee to prevent hip flex + knee ext stretch on hamstring; no hamstring stretching until wk 7; no running until 16+ weeks; sprint progressions after 22 weeks; RTS with MD clearance

Surgeon / Author

Kevin Roth MD