Fighting Fit Physiotherapy Nerang Gold Coast
Whats better for Hamstrings

Hamstrings… Stretching vs Strengthening?

Whats better for Hamstrings... Stretching or Strengthening?

Hamstring Stretch vs Strength

Ever wondered which is better or which one you should do following a hamstring injury?

In this blog, I’ll talk about something I’ve seen recently in the clinic with patients trying to return to sport after the break earlier this year.

When sports returned a few months ago, we had more presentations of hamstring pain, niggles and strains. Which makes sense, considering most hamstring injuries occur in the first few weeks of returning to sport!

The hamstrings are used in our daily lives and even more so in sporting settings.


Hamstring strength, size, length and endurance relates to a person’s ability to jump, land, change direction, sprint and stop from sprinting.

anatomy of the posterior upper leg hamstrings

The hamstring group consists of the Biceps Femoris (on the outside) and the Semimembranosus and Semitendinosus (on the inside).

As you can see these are big, long muscles. The hamstring muscles are also responsible for providing stability to the knee and protecting the knee and hip from a number of injuries such as knee ligament strains or tears.

 

Should I keep stretching my tight hamstrings?

One patient said to me “I keep stretching my hamstrings but they still feel tight”.  

The feeling of hamstring tightness doesn’t always mean that the hamstrings need to be stretched. Sometimes the tightness is a response to over-stretching and it is actually the body’s protective mechanism from further stretch/stress on the muscle.

 

Some have so much hamstring weakness, the hammy tightens quickly to prevent injury and pull you up before injury.

 

Other people naturally have tight hamstrings. The hamstring is also made up with a high percentage of tendon. Tendons are like springs, they store and release energy really effectively for speed and explosiveness.

Picture 1 1

Have you ever stretched a slinky? Did it ever work the same again?

NO!

We need to stop continuing to stretch out the hamstrings and transition to a strengthening based approach.

The hamstrings need to be strong throughout their range of motion and supported by good mobility and strength through the hips, lower back and calf.

 

Let’s strengthen your hamstrings!!

Strengthening your hamstrings with home or gym based exercises will help you run faster, improve explosiveness, improve power and endurance all while helping out posture as well as preventing hamstring and lower limb injuries.

Here are some great exercises to start your hamstring strengthening journey!

 

Hamstring bridge

Perform with your on your back with your heels away from your glutes. Push your hips toward the roof to straighten your hips.
Hamstring Bridge

Hamstring slider

You’ll need a surface with less friction for this one.

  1. Lay on your back with your heels away from your glutes.
  2. Bend your knees and bridge your hips.
  3. Then slowly extend your legs, sliding your heels away from you bringing your butt and legs to the floor.
Hamstring Slider

Nordic Curl

One of the hardest hamstring exercises and not for the beginner.

  1. This one is performed on your knees with your feet anchored (we’re lucky to have a Vald nordbord).
  2. Lower yourself toward the floor while keeping your hips and back as straight as you can.
Nordic Curl

What’s important is that we need to determine what hamstring exercise is best for you based on your activity and goals.

We need to work out the intensity to perform that hamstring exercise to avoid overload or injury and when to progress it, not just do the same thing, in order to become stronger over time. 

 

That’s what Physiotherapists are great at doing.

If you’re feeling like your hammy’s are tight or not performing at their best, come in and visit us in the Clinic! 

Happy Hamstring Strengthening!!

KYLE WELLS 1

Kyle Wells is a Physiotherapist at Fighting Fit Physio.

He has a special interest in arthritis, neck pain and tendinopathy. Just to name a few.

Kyle loves cross fit and has an exceptional eye for technique and performing exercise correctly.

He use exercise to improve patient results and get them moving better for the long term.

morning back tightness

Morning Back Tightness

Morning Back Tightness

If you are working from home and experience morning back tightness, we’ve got you covered.

Let’s admit it, having back pain is no fun, especially when you wake up in the morning with it knowing that you have a full day ahead of you.

Add in sitting at your desk all day, and it can lead to more lower back stiffness and pain. This feeling can even extend into the neck, shoulder, and other areas resulting in more pain and issues at the end of your workday.

It’s important to pay attention to the times when your pain increases because it can give us insight into some of the factors influencing your pain experience and how to best manage them.

Morning back stiffness can also be a result of inflammation. A long period of inactivity like sleeping can intensify the feeling of stiffness and often will ease as you get moving. This is more common as we age, and see degenerative or age related changes within the spine.

Pain that gradually comes on over the day is often attributed to the activities you are doing across the day. This can be an indication that your body does not have the tolerance or capacity to do the task or tasks you are putting your back through.

Morning back tightness, stiffness and pain can also be a result of inactivity and sedentary behaviour. It is your back, screaming out to get moving as the body is designed to move!

Performing morning stretches can help you get moving, loosen your muscles and improve your flexibility, making your body more mobile and prepared for the day ahead.

If its morning back tightness and pain that’s troubling you try these movements below.

morning back tightness

Morning Back Tightness – Exercise 1

Childs pose

The most common pose in yoga, the child’s pose can help you relax.

Here is how to do it!

  1. Position yourself on the floor on hands and knees with your knees just wider than the hip. Push your hips backwards bending your knees.
  2. Once you reach a comfortable seated position, extend your arms forward fully and allow your head to fall forward into a relaxation position.
  3. Hold this pose for 20 seconds and slowly return to starting position.
  4. Repeat 3-5 times.

Pro Tip: For modification if you have shoulder pain or limited shoulder mobility, place your arms on either side of your body, extending towards your feet.

morning back tightness

Morning Back Tightness – Exercise 2

Knees to chest

Use this to stretch the lower back into flexion while in a comfortable laying position. It is a great exercise to help restore flexion (bending forward) and assist with restoring a normal movement following injury.

Here is how to do it!

  1. Lie flat on your back with toes pointing up.
  2. Bring both your knees to your chest wrap your arms around your thigh, knee or shin, and gently pull the knee towards your chest allowing the lumbar spine to relax and bend. (Don’t just flex and stretch the hip joint and buttocks muscles, allow the back to bend too.)
  3. Hold for 20-30 seconds.
  4. Repeat 3-5 times.

Pro Tip: If getting two legs up at once is difficult or painful, try just one knee to start with and once able, progress to two legs.

morning back tightness

Morning Back Tightness – Exercise 3

Lumbar rotation

This is a great movement to stretch the back and gluteal muscles as often back pain will extend into the upper buttock region..

Here is how to do it!

  1. Lie on your back with your legs extended straight out. Bend the right knee up, then cross it over the left side of your body.
  2. Use your opposite hand to grab the knee and push toward the ground for added stretch.
  3. Hold this position for 20 seconds while you feel a gentle stretch through the back and buttocks muscles.
  4. Repeat three times on each side.

 

Pro Tip: Remember to relax your breathing during each rep, it helps relax those tight muscles!

morning back tightness

Morning Back Tightness – Exercise 4

Cat-camel

The is a great exercise to help move the lumbar spine into it’s two main movements. Flexion and extension.

Here is how to do it!

  1. Start this movement by kneeling on all fours with your hands beneath your shoulders and your knees directly below your hips.
  2. Gently arch your spine bringing your head upward to the ceiling, making a hollow in the back.
  3. Then move in the opposite direction, bring you head down looking toward the feet and tucking the chin, lightly tighten your abdominal muscles to round your back to the ceiling.
  4. Repeat 10 times to complete the rep. 
  5. Rest and repeat 2-3 times

Pro Tip: Move slowly between movements. 

morning back tightness

Morning Back Tightness – Exercise 5

Cobra

This movement is helpful to stretch tight abdominal muscles and/or ease the lower back.

Here is how to do it!

  1. Start by lying on your stomach with your legs extended and with palms planted on either side of your head with your forearms and elbows flat on the ground.
  2. Slowly, push your body upwards, so your weight is resting on your forearms. Be sure to keep your hips on the ground.
  3. Once you reach a comfortable position that gently stretches your abdominal muscles and lower back, hold for 10 seconds.
  4. Slowly return to starting position and repeat five times.

 

Pro Tip: If you don’t have the flexibility in your lower back, try completing on your forearms, rather than extended elbows.

morning back tightness

Morning Back Tightness – Exercise 6

Bow and arrow

This is great for the upper back. Remember it is connected to the low back and if you are sitting a lot they can both go out in sympathy for sitting too long.

Here is how to do it!

  1. Start in side-lying with knees tucked up toward your chest and arms outstretched. Keeping knees together, pull the uppermost arm back past your body (try to imitate pulling a bow and arrow back into firing position). 
  2. Gently pinch your shoulder blades back and down to the ground and hold for 5 seconds and reverse the movement back to the starting position.
  3. Repeat for 5 times each side.

Pro Tip: You want to move slowly enough through the Bow and Arrow positions that your stretch is strong, but controlled!

As always if these lower back exercises increase your pain at all or if they don’t improve your symptoms they may not be right for you.

Remember no one’s back is the same. Therefore, everyone will respond differently.

If you are unsure how to perform any of these exercises, they cause more pain or discomfort contact us a Fighting Fit.

We will tell you if these exercises are the right ones or not, treat you with our expert physiotherapy techniques and then show you how it’s done properly.

Wry Neck

Wry Neck

What is a Wry Neck?

Have you ever woken up in the morning, tried to move your neck and found that you have significantly restricted movement with loads of pain?

It is a common story for many people.

If you have experienced this chances are you are suffering from acute wry neck or what also be termed a torticollis.

Approximately 70% of Australia’s population will experience this condition in their lifetime, and it typically occurs in younger people between the ages of 12 and 30 years of age.

The pain and dysfunction caused by this condition can have different levels of severity. The good news is that this condition will typically resolve in a short period of time either on its own or quicker with treatment.

Wry Neck - Why does it hurt so much and how can we prevent it for the future

Common signs and symptoms of acute wry neck

Pain:
The onset in Acute wry neck will typically occur upon waking in the morning. The pain will be localised to the neck region, typically to one side and will not pass the shoulder or spread into the arm.

Reduced range of movement:
The movement of the neck will be significantly restricted, again usually to one side as this is a natural protective response by the body.

The reason this occurs, is that a joint will become stiff or what is typically reported by patients as “feeling like my neck is locked”.

As a result, the muscles around the joint and through the side of the neck will become tight, further reducing your movement.

The exact cause of wry neck is not completely understood. However, some of the common reported episodes are reported by patients as:

  • Sleeping posture or poor pillow
  • Inadequate work station ergonomics
  • Weakness and poor endurance of the neck musculature
  • Weakness and poor endurance of musculature surrounding the shoulder
  • Sleeping with a cold breeze or air con blowing on them directly all night
  • A past history of wry neck

As mentioned earlier, this condition will typically resolve quite quickly with treatment.

The best form of treatment is Physiotherapy. Yes, we maybe biased here, but our treatments are more effective when compared to things like manipulation, massage or some of the weird and wonderful things you can find on the internet for it.

How to treat a Wry Neck

At Fighting Fit, the first thing must be a detailed assessment of your neck. This will determine which treatment technique/s will best benefit you for improving both pain and range of movement!

The most common treatment will be soft tissue techniques and joint mobilisations. Once range is restored, specific movement based exercises will follow to ensure the treatment effect continues and normal motion of the neck is maintained post therapy.

This combination of treatment will typically resolve your pain and restore full movement within in 1-3 sessions.

However, if any underlying factors such as previous history of wry neck, trauma to the head and neck such as a whiplash are identified in your assessment. You will need further treatment in order to address the underlying cause of the issue and stop wry neck becoming chronic.

Later phases of treatment will include muscle activation exercises which are prescribed to begin strengthening the neck. These exercises will then be progressed to more advanced exercises involving bands and eventually weighted exercises. This is the most important part as it significantly reduces the risk of your condition returning in future. So don’t skip out on this.

Whiplash injury treatment

What can you do if you don’t access a physio for wry neck?

Apply heat to the area that is painful.

This can help ease the muscle tension in the neck and can improve movement of the joint itself.

While suffering from the pain and dysfunction it is also important to concentrate on relaxed unguarded movement in your available range.

If you are constantly tensing the muscles around your neck and experiencing restricted movement it can create more stiffness in the joint and increase the muscle tension worsening your condition.

Begin some light movement based exercises

It is important to only move in your available range of movement and concentrate on keeping it as relaxed as possible.

Following using heat, simple movements either forward and backward, or rotating side to side will help free up the muscles and joints. Just don’t push to hard into pain, it won’t help.

Once it begins to settle and movement is returning, go a little further each day until full motion is restored.

Remember, if it doesn’t fully return to normal, don’t leave it! Get it assessed, treated and back to 100% to avoid further neck pain in the future.