Right Hamstring

Case Description: Pt is a 73 y/o male who arrived to physical therapy with a right hamstring strain after playing pickleball for the first time. Following this he has significant pain and difficulty with performing daily activities that require bending such as dressing/self care and loading the dishwasher.

Objective Measures: The patient was seen for physical therapy 16 visits over a course of 2 months. 

Tests and Measures	Initial Evaluation	Day of Discharge from Physical Therapy
Numeric pain rating scale	7/10 at worst5/10 at best	0/10 at worst
LEFS	28/80	77/80
Lumbar range of motion	Flexion 50% limited Extension 75% limited (compensations through LE to perform extension) R/L sidebending 75% limited	Lumbar flexion & extension within functional limits R/L sidebending 75% of WNL All nonpainful
Hamstring flexibility (90-90 testing)	L: 40 deg R: unable to get into testing position due to pain	L: 46 deg R: 42 deg (measured at visit 6)
Hip Strength	Ext Rotation: R:3/5 L:3/5Int Rotation:R: 3+/5 L: 3+/5Abduction: R: 3/5 L: 3+/5	Ext Rotation: R:5/5 L:5/5Int Rotation:R: 5/5 L: 4+/5Abduction: R: 4/5 L: 4-/5
Hamstring Strength(* painful)	R: 3+/5 *L: 4-/5(measured at visit 4)	R: 5/5L: 4/5
Daily activity performance	Difficulty with tasks that require bending over such as loading the dishwasher and self care/getting dressed	Pain free with all daily activities and previously listed limitations

Summary: Patient was discharged from physical therapy due to no longer experiencing pain in the right hamstring and feeling confident with his home exercise program. He reports being pain-free with all daily activities. Functional report demonstrates significant improvement (28/80 to 77/80) with tolerance to daily activities including heavy and light house chores, lifting, bending, squatting, bed mobility, and dressing.