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  • Writer's pictureLuke Nelson

Is it hamstring tendinopathy? Key tests to diagnose

🙋🏼‍♀️Is it hamstring tendinopathy?🤕

There are a number of tests that can be used to diagnose hamstring tendinopathy including:

  1. Puranen-Orava test: sensitivity of 0.76, specificity of 0.82. (Cacchio 2012)

  2. Modified bent knee test: sensitivity of 0.89, specificity of 0.91. (Cacchio 2012)

  3. Active 30 & 90 test: sensitivity of 0.89, specificity of 0.91. (Martin 2018) Palpate the hamstring tendon for the site of pain as the patient contracts.

  4. Progressive loading response: like other tendinopathies, the pain should increase with an increase in load & increase in stretch-shortening cycle demands. This means going from double leg to single leg, then increasing speed should all increase the pain.

Watch these tests in the video below


  • Cacchio, A., et al. (2012). "Reliability and validity of three pain provocation tests used for the diagnosis of chronic proximal hamstring tendinopathy." Br J Sports Med 46(12): 883-887.

  • Martin, R. L., et al. (2018). "Accuracy of 3 Clinical Tests to Diagnose Proximal Hamstrings Tears With and Without Sciatic Nerve Involvement in Patients With Posterior Hip Pain." Arthroscopy 34(1): 114-121.


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