Padel World Press .- Most of the players usually comment that your legs are stiff and have little elasticity, even manifesting real discomfort in directed stretching sessions and localized massage. In this article we are going to talk about localized pain in the posterior area of the thigh, which we commonly refer to as hamstrings although it is an incomplete term. The correct name would be hamstring or hamstring because it refers to the anatomical position of the entire region that we are going to talk about. This area is made up of three muscles, the semitendinosus, semimembranosus, and the biceps femoris. In case of doubt when naming them, it is as simple as calling them 'hamstrings'.
In general, rehabilitation and manual therapy professionals tend to divide into two areas: proximal ischium (area that is closest to the pelvis) and distal ischium, which would encompass the middle part of the thigh to the knee.
These muscles have a long journey and are small in diameter but very robust since, biomechanically speaking, they have the effect of a spring. By this we mean that they allow them to be stretched by increasing the degree of length little by little but that they have a great capacity to contract quickly. Functions of these muscles are to avoid the tendency to flex the hip when walking when we support and help us to extend the hip and flex the knee, also for both external and internal rotation of the same.
The game of paddle tennis is very fast unlike other racket sports, which causes great stress on the muscles of the lower limbs, being in this case, the movements towards the net which overload the back area of the leg and if we do not carry out adequate care both in the warm-up, as a correct stretching after playing together with a bad movement technique in the game, it can take its toll in the long term.
The main problems that we find in this muscle group are the appearance of trigger points, which can increase when we are sitting and with walking, not letting us sleep adequately due to the pain caused. The appearance and continuous repetition of these points can be due to overload in a specific or repetitive way and to inadequate support when sitting, exerting a lot of pressure on specific areas of origin or insertion of this musculature.
We can also find problems with these muscles when we have had ailments in the ankle or foot causing an alteration of the biomechanics of the same during the march. It should be noted that this sport is very demanding in the displacements along the track as well as very fast so it is very common to develop musculoskeletal problems to which we do not pay attention or think it is a nuisance without major importance. It is very important at the time we go to the professional who will treat us whether to download at the muscle level, rehabilitate or train to tell you what conditions of the lower train have suffered prior to the current situation.
Sometimes during the game we reach a level of muscular demand in which we can feel like a whiplash or the famous "stone" in which it clearly indicates that there has been a degree of fibrillar rupture, possibly with a posterior hematoma and surely it forces us to retire because of the pain. If this happens it is very important that we go to the corresponding doctor so that he diagnoses us through diagnostic imaging what has happened to us and recommends rest and adequate pharmacological treatment with its corresponding rehabilitation process.
Again I reiterate that the ailment of these muscles take a long-term bill because as explained above act as a spring and there comes a time when they are forced or elongate can lose or deteriorate their properties to return to normal. more contracted than usual or a localized breakage of fibers and from there begin the pains that disable us functionally.
A Treatment Model
1ª Session: palpation of the affected and peripheral area together with assessment. Proceed to masotherapeutic treatment to unload the leg, emphasizing the quadriceps and area
2ª Session: Masoteric treatment of discharge and activator in the affected area. Selective directed stretches. Proceed to normalization of the pelvis to assess possible structural misalignment and possible joint blockages with osteopathic techniques. Localized kinesiotaping use and treatment of trigger points by dry puncture.
3ª Session: Selective directed stretch. Search for trigger points and their inhibition. Deep transverse massage procedure in affected areas. Application of localized kinesiotaping and magnetotherapy.
4ª and 5ª Session: Selective directed stretch. Pelvic alignment and ankle manipulation. Proprioceptive lengthening of the posterior thigh muscles by prone bipedestration. Magnetotherapy.
6ª, 7ª and 8ª Session: Analysis and reeducation of the normalized march.
9ª and 10ª Session: Functional muscle reinforcement.
We leave you a very interesting video about the eccentric work of the muscle groups mentioned in this article that gives very good results and helps to prevent future ailments.
María Palacios Vela
Ergos Functional Rehabilitation
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