Posted 4.15.2025
If you’ve ever felt tightness in your hamstrings, the typical advice you get from friends, family, and even healthcare professionals is to stretch them.
If you’re constantly stretching, foam rolling or theragunning a tight or tense muscle and nothing seems to be changing then it’s time move on and to start considering that it might be something else that is the root of the issue.
Just recently, a woman (we’ll call her “Stacy”) came to us with what she thought was a “chronic hamstring strain.”
She had been stretching her hamstrings consistently but they just weren’t loosening up and Stacy was getting so frustrated that it just wasn't working.
She wanted to know if there were better stretches she could be doing to loosen up the tight, uncomfortable feeling she was experiencing in the back of her thighs every day.
First, it was crucial to make certain that Stacy’s problem was in fact a tight hamstring.
If the chronic tightness in the back of Stacy’s thigh was due to a hamstring problem, her stretches really should’ve been having some sort of impact.
Sometimes after stretching a lot she would “feel” her hamstring for the rest of the day even when she was just sitting. We checked that she was using proper stretching technique and she was, so something wasn't making sense.
When you’re having a problem with your muscle and only your muscle you’ll experience discomfort, tightness, or pain when you’re either using that muscle or stretching that muscle.
Otherwise you should generally feel perfectly fine.
Muscles are made up of what we call contractile tissue. When you truly strain a muscle, this contractile tissue gets disrupted. You heal it by moving and stretching it and eventually it goes back to normal. On occasion, people don’t move enough after a muscle strain and the tissue can become chronically tight. But still, you would only experience that tightness when trying to use or stretch the muscle.
Her pain would, on occasion, linger throughout the day when she was resting or sitting. Sometimes she’d notice hamstring discomfort at night when she was trying to sleep.
Stacy was feeling symptoms in her hamstring whether she was using that muscle or not and her stretches weren’t making a difference in her symptoms.
This immediately tells us that there was another problem causing her symptoms and it was more than just a tight hamstring. When the hamstring or thigh tightness doesn’t respond to stretching or exercise we must always consider the lower back.
Since Stacy wasn’t feeling any pain in her lower back she never considered this herself.
But the key was in how Stacy’s pain was behaving.
Your pain behaves in different ways depending on where it’s coming from.
As we mentioned previously, when your muscle is the source, your pain behaves in a very specific and repeatable manner.
You can feel symptoms in your back, your butt, and your limbs. You’ll have good days and bad days. You’ll feel symptoms at rest, and you can certainly feel tightness in your hamstring, just like Stacy.
The other interesting thing about problems that originate from the spine is that you’ll often be able to trigger your symptoms by moving your spine.
When we investigated Stacy’s spine we found that when she moved a certain way over and over it would produce her hamstring tightness.
Bingo!
This explains why Stacy’s hamstring stretches were doing absolutely nothing. She was stretching her thigh when she really needed to stretch her back.
If you’re feeling chronic tightness or pain in your hamstring that just isn’t going away chances are that you’re missing something.
Do yourself a favor… DON’T check YouTube or “Dr. Google” for advice…
Click HERE to Speak with a Doctor of Physical Therapy to schedule a telehealth session!
Dr. Amanda Hoffman, PT, DPT is dedicated to the wellness of each and every person who walks through the door. With her knowledge, she helps health conscious individuals live their most active and fit life without the need for pills, injections or surgery. When Dr. Hoffman isn't using her magic touch to keep people as active and healthy as they can, she's attending classes and conferences to implement the most innovative practices and technologies to address her patients' needs.
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