Orthopedist specializing in sports medicine at the Southern bone & joint specialists.

Chase D. Smith, M.D.

What to Expect After Surgery

On this page, you will find therapy instructions to help make your recovery successful.

Therapy Instructions

Proximal Hamstring Repair

Therapy Protocol

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Orthopedist specializing in sports medicine at the Southern bone & joint specialists.
ENDOSCOPIC PROXIMAL HAMSTRING REPAIR REHABILITATION PROTOCOL

Chase D. Smith, MD

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Precautions:
  • X-Act ROM Brace for 4-6 weeks (per physician recommendation)
  • WBAT with crutches for 2-4 weeks (per physician
  • Avoid active hamstring strengthening/hamstring stretching
Phase I – Acute Phase (weeks 0-6)

Goals:

  • Gradually improve weight bearing and ROM
  • Diminish pain and inflammation
  • Retard muscle atrophy and strength loss
  • Enhance healing of repair
  • Cryotherapy
  • e-stim for pain/swelling
  • Teach pt. to transfer safely
  • Gait training; restore normal gait

Exercises:

  • Gentle hip flexor, quad, calf, hip adductor stretches
  • Quad sets
  • Ankle strengthening
  • Isometric hip abd/add
  • Initiate core stabilization exercises
  • ROM: Gradually increase hip flexion (with knee flexed)
Phase II – Subacute Phase (Weeks 6-12)

Goals:

  • Improve flexibility and ROM
  • Enhance muscular strength and endurance
  • Promote healing
  • Control any inflammation and pain
  • Modalities as needed
  • Heat, ultrasound, ice
  • Soft tissue mobilization

Exercises:

  • Initiate isometric hamstring contractions (knee flexed to 45 degrees)
  • Progress to isotonic strengthening
  • SLR’s
  • Knee extensions
  • Backward lunges
  • Lateral step overs
  • Forward and backward step overs
  • Calf raises
  • Bridges
  • Wall squats
  • Lateral lunges
  • Leg press
  • Initiate proprioception drills
  • Iiniitate pool exercises, pool running or alter g running(with physician approval)
Phase III – Dynamic Phase (Week 12-16)

Goals:

  • Improve dynamic flexibility of hamstrings
  • Normalize static flexibility
  • Normalize muscular strength

Exercises:

  • Active warm-up
  • Stretch all major LE muscle groups
  • Continue strengthening exercises listed above
  • Jogging on dry land
  • Initiate light ballistic maneuvers when appropriate
  • Plyometric leg press
  • Plyometric front lunges
  • Scissor jumps
  • Scissor box jumps
  • Side to side box jumps
  • Skip lunges
  • Fast speed lateral step overs
  • Forward knee high running
  • Stretch after workout
  • Cryotherapy
Phase IV – Sports specific and agility phase (Weeks 16 and beyond)

Goals:

  • Normalize ballistic flexibility
  • Normalize muscular strength and agility
  • Gradual return to sports participation

Exercises:

  • Active warm-up
  • Stretch all LE muscles
  • Continue strengthening program
  • Continue selected ballistic drills
  • Initiate sport specific program
  • Side shuffles
  • Forward running
  • Backward running
  • Progress to sprints
  • Running and cutting drills
  • Gradually increase intensity of running (jog to run to sprint)
  • Stretch following
  • Gradual return to sports participation
Orthopedist specializing in sports medicine at the Southern bone & joint specialists.
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  • Randall Building
  • 1500 Ross Clark Circle
    Dothan, AL 36301

Dothan/West Location

  • Granger Building
  • 345 Healthwest Drive
    Dothan, AL 36303

Enterprise Location

  • 404 North Main Street
    Enterprise, AL 36330

Ozark Location

  • 2126 W. Roy Parker Rd. ,
    Suite #201, Ozark, AL 36360

Troy, Alabama

  • 717 John H. Witherington Drive,
    Troy AL 36081

Eufaula Location

  • 820 W. Washington Street
    Eufaula, AL 36027

Andalusia Location

  • 512 E. Three Notch Street
    Andalusia, AL 36420