Athlete With A Proximal Hamstring Rupture or Avulsion?

A proximal hamstring rupture/avulsion is when one or more of the hamstring tendons pull off the bone high up at the sitting bone (ischial tuberosity), rather than tearing in the muscle belly like a typical “strain.” That changes how it behaves, how it’s seen on MRI, and how we think about surgery vs rehab and return‑to‑sport.

If you want the full, plain‑language version – what it is, how doctors read tendons and retraction, and where the real grey zones are – the Understanding Proximal Hamstring Avulsions Guide (UPHAG) walks through all of that in one place.

Answer in one evening:
Download the free UPHAG guide

No – I can’t and won’t give you a personal “yes/no” on surgery from a website.

Your own surgeon/physio, who can examine you in person and see all your imaging, always stays in charge of diagnosis and treatment. My role is different: I help you understand the evidence and trade‑offs so you’re not guessing when you sit in front of them.

That’s what the Hamstring Surgery Clarity Audit (HSCA) is for. HSCA doesn’t replace your local team or overrule them. It:

• Takes your MRI, symptoms, sport demands, timing, and fears

• Places your case on the clear surgery / clear rehab / true grey‑zone spectrum

• Gives you a written decision brief and specific questions to take back to your surgeon and physio

So instead of “I don’t know what to ask,” you walk into the room with a calm, structured surgery‑versus‑rehab discussion ready to have.

If you’re stuck between operate vs rehab:
Learn about HSCA

No. Nothing on this site – not UPHAG, not HSCA, not OYHR – is meant to replace your surgeon or physio.

Think of it this way:

• Your local team: diagnoses, examines, prescribes, operates, adjusts medication and protocols.

• My work: explains the injury and evidence in normal language, organises the decision, and gives you a system to follow so you’re not improvising week‑to‑week.

The paid services exist because:

• UPHAG and PHAP can show you the landscape,

• But someone still has to help you apply that to your exact case (HSCA), and

• Someone needs to help you turn “go do rehab” into a 24‑week, phase‑based plan after surgery (OYHR).

So the relationship is always:
with your team, not instead of them.
The better educated and structured you are, the easier it is for them to help you at a high level.

You’re a good fit for HSCA if:

• You’re a serious athlete (sport matters deeply to you)

• You have a suspected or confirmed proximal hamstring rupture/avulsion

• You’re getting mixed messages about surgery vs rehab, or feel rushed to “just decide”

• You want a calm, written decision brief and better questions for your next consult, not another vague opinion

You’re a good fit for OYHR if:

• The surgery decision is already made or surgery is done

• You’re medically cleared for that path, but feel “patched up and directionless”

• You’re tired of guessing load, relying on motivation, or stopping at “jogging and a few exercises”

• You want a 24‑week, hamstring‑specific recovery course with videos, sport‑specific progressions, mental tools, and check‑ins – run together with your physio and surgeon

Free guides and the community will take you a long way.
HSCA and OYHR exist for the two moments where most serious athletes regret not having more help:

• When you’re about to make a surgery‑versus‑rehab decision you’ll live with for years (HSCA)

• When you’re “cleared” but still a long way from the sport you actually play (OYHR)

If you don’t want to guess at either of those stages:
See if HSCA or OYHR fits your situation