Hamstring Tear

Patient presents with complaints consistent with hamstring tear, possibly sustained during [activity causing injury].  Onset of symptoms occurred [timeframe] ago.  Patient reports [sharp, pulling, tearing] pain in the posterior thigh, localized to [proximal, mid, distal] hamstring musculature.  Pain is exacerbated by [activities that worsen pain, e.g., knee flexion, hip extension, stretching, weight-bearing].  Patient may also report symptoms such as [popping sensation, bruising, swelling, tenderness to palpation, muscle spasm, weakness, difficulty walking].  Physical examination reveals [positive findings, e.g., palpable defect, ecchymosis, limited range of motion, pain with resisted knee flexion or hip extension, positive Straight Leg Raise test, tenderness to palpation].  Differential diagnosis includes hamstring strain, muscle contusion, sciatica, avulsion fracture.  Severity of hamstring tear is suspected to be [grade 1, grade 2, grade 3] based on clinical presentation.  Imaging studies, such as ultrasound or MRI, may be ordered to confirm diagnosis and assess the extent of the tear.  Initial treatment plan includes RICE protocol (rest, ice, compression, elevation), pain management with NSAIDs or other analgesics as indicated, and physical therapy referral.  Patient education provided on activity modification, stretching, and strengthening exercises.  Follow-up scheduled in [timeframe] to reassess symptoms and adjust treatment plan as needed.  Prognosis for recovery depends on the severity of the tear and adherence to treatment recommendations.  ICD-10 code: [appropriate ICD-10 code, e.g., S76.1xxA, S76.1xxD, S76.1xxS].