Examination in the Doctor’s Office

A physical examination is typically performed with the patient in the prone (belly down) position. Examination with the knee slightly flexed will limit muscle spasms and make examination more comfortable in acute ruptures. There may be a lot of muscle spasm and bruising may also be seen. The entire back of the thigh may be very tender to the touch. In the acute injuries there is typically focal tenderness and swelling. However, with after a few days to one week, there is more likely to be diffuse swelling and tenderness in the whole thigh. Low-grade strains typically have limited swelling and tenderness, while in the more severe strain a defect may be felt in the area of tearing.