What does a positive Bowstring Sign indicate when pushing on the hamstring tendons?

• A. Pain from a hamstring strain
• B. Pain indicating sciatica
• C. Pain from lumbar strain
• D. Pain indicating joint instability

Answer: (A)

A positive Bowstring Sign typically indicates pain from a hamstring strain. This test assesses for tension in the hamstring muscles, which can result in pain when the tendons are palpated near the back of the knee while the and the hip is flexed. When pressure on the hamstring tendons reproduces or elicits pain, it suggests that the muscle-tendon unit is compromised, which can happen during a strain.

In the context of physical assessment, recognizing a positive Bowstring Sign helps clinicians differentiate a hamstring injury from other possible causes of discomfort in the posterior thigh region. Addressing this sign leads to appropriate diagnosis and management strategies for hamstring strains.