Proximal Hamstring Repair — Hamstring Tendon Repair

University of New Mexico (UNM) Sports Medicine · Will Curtis MD, Dustin Richter MD, Christopher Shultz MD, Gehron Treme MD…

Weight-Bearing

50% WB with crutches 0-2 weeks; advance to full WB and wean crutches by 4 weeks

Key Restrictions

No hamstring stretches until 6 weeks post-op; passive ROM only for hip and knee initially; avoid terminal knee flexion/extension on isotonics until 8 weeks

Timeline & Phases

Phase 1 (0-4 wks): 50% PWB progressing to FWB by wk 4, passive ROM of knee/hip, no hamstring stretches; Phase 2 (6-8 wks): gait training, hamstring stretches, active/passive ROM, isotonics limited ROM (full ROM at 8 wks), aquatic therapy, core, CKC; Phase 3 (12 wks+): dry land jogging, isokinetic eval (60/120/180 deg/sec vs contralateral), sport/vocation specific drills; Return to sport with >=80% isokinetic strength vs contralateral (anticipated 6-9 months post-op)

Notes

PT starts 2-4 weeks post-op, 1-2x/week for 12+ weeks; revised 2025

Surgeon / Author

Will Curtis MD, Dustin Richter MD, Christopher Shultz MD, Gehron Treme MD, Andrew Veitch MD

Published

2025