Physio Network [Physio Discussed] Making sense of hamstring injuries with Adam Johnson and Scott Hulm
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Feb 4, 2026 Scott Hulm, a sports physiotherapist and biomechanist researching hamstring structure, and Adam Johnson, a pro football physiotherapist with 14+ years managing lower-limb muscle injuries. They unpack injury mechanisms, BAMIC classification, imaging roles, differential diagnoses, key objective tests, and criteria-driven rehab strategies. Short, practical, and clinically focused conversation on making sense of hamstring problems.
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Location Determines Lesion Type
- Palpatory location and mechanism together help identify specific structural sites like distal aponeurosis or proximal avulsion.
- Different locations and tear directions importantly change prognosis and management.
Use BAMIC Plus Dynamic Imaging
- Use the BAMIC classification plus imaging to guide rehab but avoid over-reliance on a single grade.
- Combine MRI with dynamic ultrasound for distal aponeurosis injuries because MRI can undersell severity.
Set Risk By Player And Context
- Tailor risk tolerance by player profile, role, season timing and injury history when deciding to push or protect.
- Discuss risk and goals with the player and staff to set an individualized acceptable outcome.