Anatomy of the Hamstring Muscles

The hamstrings are a group of muscles and their tendons at the rear of the upper leg. They include the biceps femoris, semitendinosus, and semimembranosus. The hamstrings flex the knee joint and extend the thigh to the backside of the body. They are used in walking, running, and many other physical activities.

The hamstring muscles have their origin, where their tendons attach to bone, at the ischial tuberosity of the hip (often called the sitting bones) and the linea aspera of the femur. The hamstring tendons flank the space behind the knee. 

The most medial muscle, the semimembranosus, inserts on the medial condyle of the tibia bone. The semitendinosus inserts on the superior part of the medial tibia. The most lateral hamstring, the biceps femoris, inserts on the lateral side of the fibula and  also attaches to the superior part of the lateral tibia. They are innervated by the sciatic nerve.

You use the hamstrings for walking, running, and jumping. They flex the knee and extend the hip at the beginning of each step. In walking and running, they are antagonists to the quadriceps muscles in the action of deceleration of knee extension. Because the hamstrings have their origin at the sitting bones, they are stretched while sitting, and long periods of sitting may affect their function.

The hamstrings are exercised by walking, running, or using the stairs. Engaging in these activities will build the functional fitness of the hamstrings. This can be important cross-training for people whose primary exercise is bicycling, which targets the quadriceps. Overdevelopment of the quadriceps needs to be balanced with exercising the hamstrings.

Isolation and compound exercises for the hamstrings may be used for rehabilitation or bodybuilding. Exercises that involve knee flexion and hip extension are used to build the hamstring muscles.

• Hamstring Injury Prevention and Rehabilitation: Exercises to strengthen the hamstrings and rehab after a hamstring injury.
• Exercise Your Hamstrings: Learn the best lower-body exercises for building strength and shaping.

Hamstring flexibility is important for runners and may help prevent injury and delayed onset muscle soreness after exercise. Tight hamstrings may also be felt as limited motion when straightening the knee or a cramp at the back of the knee. Hamstring stretches are a common part of a stretching and flexibility routine.

• Four Hamstring Stretches: Four illustrated stretches with instructions.
• Stretching Exercises for a Hamstring Injury: Five stretches for recovery from hamstring pain and keep the hamstrings flexible.

The hamstrings take a beating during sports such as soccer, football, basketball and tennis where running is combined with rapid starts and stops. Hamstring sprains and tears are common. Worse hamstring injuries are evident when there is significant bruising behind the thigh. Repetitive strain injuries from running or walking might also be the cause of hamstring pain.

• Hamstring Injuries and How to Treat Them: Sports medicine information on types of hamstring injuries, causes, treatment, and prevention.
• Pulled and Torn Hamstrings: How to recognize and treat hamstring injuries.
• Physical Therapy for Hamstring Injuries: How a therapist will work on rehabilitating a hamstring injury.