The Elevated Athlete Podcast

Episode 16: THE HAMSTRING CONUNDRUM....AND HOW TO SOLVE IT. FEARGHAL KERIN.

13 snips
Jan 31, 2025
Fergal Kerin, a hamstring specialist and physiotherapist with experience at Leinster Rugby and Chelsea FC, delves into the complexities of hamstring injuries. He discusses his rehab philosophy, the BAMIC grading system, and how different injury grades affect recovery timelines. Fergal highlights the importance of strength assessments, activation patterns, and the role of T-junction injuries. Listeners gain insights into effective recovery strategies, the importance of personalized rehabilitation, and why understanding biomechanics is crucial for preventing future injuries.
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INSIGHT

Diagnosis Drives Rehab Strategy

  • Clarify anatomical diagnosis first because it changes prognosis and loading strategy.
  • Use location and recurrence status to set expectations and tailor hip/knee dominance of rehab.
ADVICE

Use BAMIC To Refine Prognosis

  • Use the BAMIC classification (A peripheral/myofascial, B MTJ, C intramuscular tendon) to refine prognosis.
  • Expect longer timelines and higher re-injury risk for intramuscular tendon (C) injuries and plan loading accordingly.
INSIGHT

Strength Isn't The Whole Story

  • Strength alone doesn't explain most recurrent hamstring injuries; activation and where force is produced matter more.
  • Many athletes are strong but dominant in short-head/medial hamstrings while long-head remains under-prepared and vulnerable.
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