Proximal Hamstring Tendinopathy; Current Concepts and Emerging Technology-Session Presentation

Video Transcription

Video Summary

In this session, the speakers discussed proximal hamstring tendinopathy and its management. They emphasized the importance of accurate diagnosis and a progressive loading program for rehabilitation. The first speaker discussed the anatomy of the hamstring and highlighted the location of tenderness when palpating the ischial tuberosity. They also discussed the role of the sciatic nerve and how injury to the proximal hamstring tendon can result in sciatic neuralgia. The second speaker focused on the principles of progressive loading for tendon recovery, emphasizing the need for tensile rather than compressive loads. They discussed the use of heavy slow resistance training and isometric exercises for pain modulation. The third speaker discussed alternative interventions for refractory cases, starting with corticosteroid injections. They highlighted the risks associated with steroid injections and the limited evidence for their long-term efficacy. They then discussed the use of platelet-rich plasma (PRP) injections and the mixed results from studies. They also mentioned the potential for combining PRP with shockwave therapy and the need for further research in this area. Overall, the speakers emphasized the need for individualized treatment approaches and the importance of using evidence-based interventions for proximal hamstring tendinopathy.

Keywords

proximal hamstring tendinopathy

management

accurate diagnosis

progressive loading program

rehabilitation

sciatic neuralgia

tensile loads

corticosteroid injections

platelet-rich plasma (PRP) injections