Jock Doc

A real pain in the butt could signal hamstring injury

Q. I was running to catch my dog and I got a sudden, sharp pain in the back of my thigh and butt. This happened two weeks ago. At first I had trouble walking and sitting. I rested it and took Advil. It is slightly better, but I am still limping. What is my next step?

A. There are three hamstring muscles that originate from your pelvis and attach near your knee. These help you extend your hip and flex your knee.

If a hamstring is injured in the belly of the muscle, this is treated with rest and physical therapy to decrease swelling, regain motion of the hip and knee, and then strengthen the muscle. If the hamstring is torn from the pelvis, this can result in significant weakness as well as pain while sitting.

Occasionally, these injuries may require surgery to regain near normal function. I recommend you see an orthopedic surgeon as quickly as possible to have your injury evaluated. An MRI scan may also be helpful in determining the extent of your injury.

Dr. Harlan Selesnick is team physician of the Miami Heat and director of Miami Sports Medicine Fellowship, Doctors Hospital. Send your questions to