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REHAB PROGRAMME4-week programme

Hamstring Strain Rehab

Heal fast and prevent re-injury

4-week

Programme length

£60

Assessment

Not needed

GP referral

Level 5 therapists

Written by

OVERVIEW

Hamstring strains are the most re-injured muscle in sport. This 4-week plan uses a Nordic-focused eccentric protocol proven to cut re-injury risk by 50%.

Written by our sports therapists at RE:UP · Reviewed May 2026

WHAT IS IT

What is Hamstring?

A hamstring strain is a tear to one or more of the three muscles at the back of the thigh — biceps femoris, semitendinosus, or semimembranosus. Strains are graded 1 to 3 by severity: Grade 1 is a mild pull, Grade 2 is a partial tear, and Grade 3 is a complete rupture. Hamstring strains are among the most common sports injuries in sprinting and football, and carry a high re-injury rate when rehabilitation is cut short — making a structured return-to-sport protocol essential.

COMMON CAUSES

What causes Hamstring problems?

  • 01Acute strain during sprinting, kicking, or sudden acceleration
  • 02Poor eccentric strength — the muscle is not strong enough under lengthening load
  • 03Fatigue during training or competition
  • 04Inadequate warm-up before high-intensity activity
  • 05Previous hamstring injury — the most significant risk factor for re-injury
  • 06Muscle imbalance — hamstrings significantly weaker than quadriceps
  • 07Proximal hamstring tendinopathy — pain at the sitting bone, common in runners

IMPORTANT

When to seek urgent help

Seek medical attention before starting this guide if you experience any of the following. Call your GP, NHS 111, or go to A&E.

  • !Complete inability to put weight through the leg after injury
  • !Immediate severe bruising or swelling
  • !A "pop" or sudden sharp pain with immediate loss of function
  • !Numbness or tingling running down the leg

SUITABLE FOR

Is this guide right for you?

  • Grade 1–2 hamstring strain
  • Recurrent hamstring injuries
  • Sprinters & footballers
  • Post-injury return to running

WHAT'S INCLUDED

What this guide covers

  • 4-week progressive exercise programme (PDF)
  • Eccentric loading protocol (Nordic curls)
  • Return-to-sprint criteria checklist
  • Warm-up & activation routine
  • Booking link for 1:1 assessment at RE:UP

TRAINING

Can you train during recovery?

Yes, with significant modification in the early phase. Upper body and non-loaded lower body work is appropriate almost immediately. Running and sprinting are reintroduced progressively through the programme — the timing depends on the grade of strain. Full training loads are restored only when strength symmetry is confirmed.

TIMELINE

Recovery timeframe

Grade 1 (minor) hamstring strains typically resolve in 2–4 weeks. Grade 2 (moderate) strains take 4–8 weeks. Grade 3 (severe) strains can take 3–6 months. Proximal hamstring tendinopathy often takes 3–6 months of consistent rehabilitation. Re-injury risk is high if full loading is rushed.

PROFESSIONAL ASSESSMENT

How RE:UP can help

A sports therapy assessment at RE:UP for hamstring injuries grades the strain, identifies strength and flexibility deficits, and reviews the training load that contributed to the injury. The rehabilitation programme is progressive — avoiding re-injury is the priority, which requires returning to full eccentric loading rather than stopping at "pain-free rest".

Book an Assessment, £60

FAQ

Frequently asked questions

RE:UP ALTRINCHAM

Want a personalised assessment?

This guide is a starting point. For a diagnosis and a programme built specifically around your injury, book a 1:1 with our sports therapists.

Book an Assessment, £60Ask a question

ALSO AT RE:UP

Combine your rehab with contrast therapy. Sauna and ice bath from £20.

View recovery sessions