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Hamstring Strain: Recovery Time, Rehab and Return to Sport

Nhlamulo Khosa, BSc Physiotherapy (UCT)
HPCSA registered physiotherapist, N S Physiotherapy, Eco Park, Centurion
Published 18 October 2026
Quick answer

Mild hamstring strains usually heal in 2 to 4 weeks, moderate strains in 4 to 8 weeks. Progressive strengthening, especially lengthening exercises, and a gradual sprint return are the keys to avoiding re-injury, which is very common.

Hamstring strains often happen during sprinting or kicking, with a sudden pain at the back of the thigh. The biggest risk is coming back too early.

First few days

Protect the leg, keep walking if comfortable, and avoid aggressive stretching. Gentle pain-free activation can start early.

Rehab stages

We progress from isometric holds to bridges, Nordic-style and other lengthening exercises, then running drills and sprint build-ups. Hip and trunk control are trained too.

Returning to sport

Return when you have full strength compared with the other side and can sprint at full speed without pain — not just when it stops hurting walking.

Frequently asked questions

Should I stretch a pulled hamstring?+

Not aggressively in the first week. Strength work is more important than stretching for healing.

Why do hamstrings re-injure so often?+

Usually because of returning before strength and sprint capacity are fully restored.

Medical disclaimer: this article is general education and does not replace a personal assessment. If your pain is severe, worsening, or accompanied by numbness, weakness or loss of bladder or bowel control, seek care promptly.

Book with N S Physiotherapy

In clinic in Eco Park, Centurion, or home visits across Centurion and Midrand.

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