Overcoming Proximal Hamstring Tendinopathy

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>> Click here for the FREE 5-Day Course <<
For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info

>> Click here for the FREE 5-Day Course <<

On today's episode, Brodie answers all the PHT questions submitted from the PHT facebook groups.

>> Click here for the FREE 5-Day Course <<
For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info

>> Click here for the FREE 5-Day Course <<

On today's episode, Brodie answers all the PHT questions submitted from the PHT facebook groups.

>> Click here for the FREE 5-Day Course <<
For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info

>> Click here for the FREE 5-Day Course <<

In this episode, we dive deep into groundbreaking research that could revolutionize how we understand and treat chronic tendon pain. Our host explores a new paper that suggests chronic tendon pain might be driven by neuropathy—dysfunctional nerves—rather than just degenerative or inflammatory disorders. This shift in understanding opens up exciting possibilities for more effective treatments and pain relief strategies.

Key Talking Points:

1. New Insights into Chronic Tendon Pain:
   • The episode begins by exploring the idea that chronic tendon pain might be primarily neuropathic. The latest research suggests that the pain could stem from nerve damage or dysfunction rather than solely from tendon degeneration or inflammation.
   • This novel understanding could change how we approach treatment, potentially leading to more targeted and effective methods.
2. The Role of Neuropathy in Tendon Pain:
   • We discuss how the study highlights nerve sprouting and neuronal ingrowth as possible causes of pain in chronic tendinopathy.
   • Learn about substance P, a neuropeptide that may play a significant role in maintaining chronic pain through neurogenic inflammation.
3. Lifestyle and Environmental Factors:
   • Discover how chronic stress, poor diet, and environmental exposures can elevate levels of substance P, leading to persistent inflammation and pain.
   • The importance of lifestyle modifications, such as stress management, anti-inflammatory diets, and healthy sleep habits, is emphasized as potential strategies to reduce chronic tendon pain.
4. Emerging Treatment Options:
   • We explore potential treatments discussed in the paper, including radio frequency ablation, shockwave therapy, and percutaneous ultrasound-guided tenotomy (PUT). While these treatments are promising, the host cautions listeners about the need for further research and understanding before seeking these options.
5. Holistic Approach to Managing Tendinopathy:
   • The episode concludes with actionable insights on how to manage chronic tendon pain through a combination of load management, lifestyle changes, and possibly exploring emerging treatments.
   • Encouragement to focus on a holistic approach, integrating physical, psychological, and environmental factors, to achieve better pain management and healing outcomes.

Why You Should Listen: This episode is a must-listen for anyone dealing with chronic tendon pain, as it uncovers new research that could significantly impact your treatment approach. Whether you're a runner, athlete, or someone struggling with tendinopathy, this discussion will provide valuable insights and practical advice to help you better manage your condition.

Takeaways:

• Understanding the role of nerves in chronic tendon pain could lead to more effective treatments.
• Lifestyle changes, such as reducing stress and adopting an anti-inflammatory diet, can play a crucial role in managing pain.
• Stay informed about emerging treatments, but proceed with caution and consult with healthcare professionals before trying new therapies.

Tune in to explore these exciting developments in chronic tendon pain research and learn how you can apply these insights to your own recovery journey!

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Welcome to today's episode, where we delve into the management of proximal hamstring tendinopathy (PHT), exploring both surgical and non-surgical treatment options. 

Episode Highlights:

1. New Research Spotlight:
   • Dive into a newly released research paper on the management of proximal hamstring injuries, including a detailed analysis of both non-operative and operative treatment strategies.
   • Understand the anatomy, biomechanics, and risk factors associated with PHT, with a focus on the decision-making process for choosing between surgical and non-surgical approaches.
2. Key Findings and Expert Insights:
   • Explore the differences in outcomes between non-operative treatments, such as targeted physical therapy and PRP injections, and surgical interventions, including endoscopic and open repair techniques.
   • Learn about the typical patient profiles and injury characteristics that guide the choice of treatment, including the impact of injury severity, tendon involvement, and patient activity levels.
3. Practical Recommendations:
   • Get expert recommendations for post-operative rehabilitation, including phased recovery plans and criteria for returning to sport.
   • Hear about the importance of personalized treatment plans, considering factors like medical comorbidities, functional demands, and the potential for non-operative treatments even in cases of significant injury.
4. Case Studies and Real-World Applications:
   • Listen to case discussions and examples of how different treatment strategies are applied in clinical practice, including insights from Brodie's own experience and previous episodes with experts in the field.

>> Click here for the FREE 5-Day Course <<
For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info

>> Click here for the FREE 5-Day Course <<

Episode Description: In this powerful episode, we share Emily's inspiring journey from chronic pain to recovery through the discovery and treatment of Tension Myoneural Syndrome (TMS). Emily opens up about her struggle with pain over the past few years, the emotional and psychological battles she faced, and the transformative strategies that helped her reclaim her life.

Key Discussion Points:

• 00:00 - Introduction: Meet Emily and learn about her battle with chronic pain and her breakthrough with TMS.
• 00:54 - Understanding TMS: What is Tension Myoneural Syndrome? Emily and the host explain the connection between emotions, personality, and pain manifestation.
• 01:22 - Journey Through Pain: Emily recounts her four-year struggle with various misdiagnoses, including seronegative peripheral spondyloarthritis and Raynaud’s, and her eventual diagnosis with TMS.
• 04:07 - The Onset of Injuries: From cubital tunnel syndrome to sciatica, Emily describes the series of injuries that compounded her pain.
• 07:44 - Psychological and Emotional Factors: The impact of emotional repression and personality traits on chronic pain.
• 08:13 - Finding Relief: How reading "Think Away Your Pain" by Dr. David Schechter and other resources helped Emily start her recovery journey.
• 11:27 - What is TMS?: A deeper dive into the science behind TMS and how the brain creates and amplifies pain.
• 17:13 - Emily’s Recovery Tools: Journaling, meditation, positive self-talk, and visualization—practical strategies Emily used to overcome TMS.
• 22:41 - Breaking the Cycle: Overcoming the fear of pain and rebuilding a normal life.
• 30:05 - The Role of Positive Thinking: How shifting from negative to positive thinking played a crucial role in Emily's recovery.
• 33:35 - Early Signs of Improvement: The initial glimpses of relief and how they motivated Emily to continue her journey.
• 36:54 - Overcoming Setbacks: Advice for those struggling with belief and persistence in their recovery.
• 45:39 - Current Life: Emily shares her current state, pain-free and living a fulfilling life.
• 47:35 - Resources and Recommendations: Books, YouTube videos, quizzes, and other resources to help listeners explore and address TMS.

Resources Mentioned:

• Book: "Think Away Your Pain" by Dr. David Schechter
• YouTube Meditation: "Powerful Chronic Pain Healing Meditation for TMS Mind Body, Dr. John Sarno"
• Quiz: isthistms.com – To help determine if you have TMS.

Emily's email: [email protected]
Follow Emily on Instagram: @painexplained_tms

>> Click here for the FREE 5-Day Course <<
For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info

>> Click here for the FREE 5-Day Course <<

Join us as we dive deep into the intricacies of proximal hamstring tendon (PHT) avulsions, a condition that affects athletes and non-athletes alike. Our esteemed guests, Dr. Alex Hardy and Dr. Nicolas Lefevre, break down the anatomy, causes, and cutting-edge management strategies for this challenging injury.

Special Guests:
Dr. Alex Hardy – Renowned surgeon specializing in PHT avulsions, passionate about advancing surgical techniques and patient outcomes.
Dr. Nicolas Lefevre – A seasoned sports surgeon with over 20 years of experience, known for his expertise in complex proximal hamstring injuries.

Key Discussion Points:
What is an Avulsion?

Discover how tendon detachment from the sit bone occurs, the sports and everyday scenarios that can lead to this painful injury, and why understanding it is crucial for proper management.
Diagnosis and the Importance of MRI:

Learn why MRI is the gold standard for diagnosing PHT avulsions and why ultrasound may lead to misdiagnosis. Understand the key indicators on scans that differentiate between minor injuries and those requiring urgent care.
Surgical vs. Conservative Treatment:

When is surgery necessary? Explore the criteria that guide the decision for surgical intervention, including timing, severity, and the patient’s lifestyle.
Delve into conservative management strategies, including physical therapy and PRP injections, and when these might be the right choice.
Rehabilitation Post-Surgery:

Get insights into the rehabilitation process, from initial rest to progressive exercises, ensuring a full recovery and return to activity.
Understand the importance of a gradual return to sport and how to prevent re-injury.
Risk Factors for Re-Rupture:

Uncover the major risks associated with delayed surgery and how they impact long-term outcomes. Learn what patients can do to minimize these risks and ensure a successful recovery.

Additional Insights:
PRP Injections for Tendinopathy: Explore the potential benefits and limitations of PRP injections in treating chronic hamstring tendinopathy.
The Myth of Scar Tissue: Clarify common misconceptions about scar tissue’s impact on the sciatic nerve and learn what really happens during healing.
Real Stories and Case Studies: Hear compelling real-life cases that illustrate the challenges and triumphs of managing PHT avulsions.

Website: https://www.chirurgiedusport.com/en/specialty/hip/?_specialite=hamstrings
Email: [email protected]

Research Papers: 
Magnetic resonance imaging should be the first-line imaging modality for investigating suspected proximal hamstring avulsion injuries
Validation of the Parisian Hamstring Avulsion Score (PHAS) in the Evaluation and Follow-up of Patients Operated for Proximal Hamstring Avulsion
Predictors of Early Return to Sport After Surgical Repair of Proximal Hamstring Complex Injuries in Professional Athletes: A Prospective Study

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For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info

>> Click here for the FREE 5-Day Course <<

In this episode, we dive into Lily's incredible journey of overcoming proximal hamstring tendinopathy (PHT). Lily shares her unique and challenging experience, from the onset of her symptoms to the various treatment approaches she explored and her eventual recovery. Her story is one of resilience, learning, and finding the right path to healing.

Key Takeaways:

• Introduction to Lily:
  • Lily, originally from the Netherlands and now residing in London, shares her active lifestyle, including tennis, hiking, and Pilates. Despite her vibrant routine, she faced an unexpected setback with her injury.
• Onset of Symptoms:
  • Lily's PHT symptoms began unusually, with initial hip pain diagnosed as ischial femoral impingement. A medical injection intended to alleviate pain inadvertently exacerbated her condition, leading to intense pain and significant limitations in daily activities.
• Initial Treatment and Challenges:
  • Initial treatments involved minimal exercises and gentle massages, which provided temporary relief but did not lead to significant improvement. Lily struggled with the limitations imposed by her condition, impacting both her professional and personal life.
• Breakthrough in Recovery:
  • A pivotal moment in Lily's recovery was finding the podcast and realizing the importance of structured exercise and gradual load management. She began a more focused rehabilitation program, which included targeted exercises like bridges, deadlifts, and prone curls.
• Mental and Emotional Journey:
  • The journey was not just physical but also mental. Lily had to overcome fear and anxiety related to pain and re-injury. She learned to focus on positive progress rather than dwelling on setbacks, which significantly contributed to her recovery.
• Successful Rehabilitation:
  • Through consistent effort and a well-structured rehab plan, Lily saw rapid improvements. She was able to return to her active lifestyle, including sitting for extended periods, a significant challenge for her earlier.
• Ongoing Management:
  • Lily continues to maintain her progress with routine exercises, ensuring that she keeps her hamstring strength up and her symptoms at bay. She also highlights the importance of balancing exercise and rest.
• Advice for Others:
  • Lily emphasizes the importance of education and structured rehab, encouraging others not to lose hope during challenging times. She highlights the value of focusing on incremental improvements and maintaining a positive outlook.

Final Thoughts: Lily’s story is a testament to the power of perseverance, proper guidance, and the right rehabilitation strategy. Her experience offers valuable insights for anyone dealing with PHT or similar injuries, providing hope and practical advice for recovery.

Resources Mentioned:

• Podcast episodes on PHT recovery and rehabilitation strategies.
• Online support groups and communities for individuals dealing with PHT.

Listen Now: Tune in to hear Lily's full story and gain insights into how you can navigate your own recovery journey. Don't miss this inspiring and informative episode!

>> Click here for the FREE 5-Day Course <<
For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info

>> Click here for the FREE 5-Day Course <<

Brodie reviews a paper titled: Effect of resistance exercise dose components for tendinopathy management: a systematic review with meta-analysis

Book a free 20-min physio chat here

Join our community of PHT rehabbers with our PHT Monthly Membership

If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online 

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Brodie answers the following membership questions:

Janine:

1.) Rest days: I've been religious about rest days for months but I've just been out for a short slow mile to start the day and it reminded me how good a daily run streak can feel with a short slow trot on the days you don't have anything else planned.

How important are full rest days?

2.) Xmas events are starting to interfere with my training schedule. If I am having to cut sessions my sense is I should prioritise a weights session over a run but just looking for some advice on balancing.

Melissa

3.) I have been told over the years several times by PTs doctors and read it online that tight hips and hip flexors will create a pelvic tilt that pulls on the hamstring and will aggravate PHT or may have even caused PHT. Is this accurate information?

4.) How do you know when to increase your weights in your strength training program? It has been several weeks/months since I have increased any of my weights, but they still feel challenging. After my last flare-up, my baseline never returned to a 0 pain, and hovers between a PL1 or 2 and sometimes sitting for really long periods can be a bit uncomfortable again.

Book a free 20-min physio chat here

Join our community of PHT rehabbers with our PHT Monthly Membership

If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online