Overcoming Proximal Hamstring Tendinopathy

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In today’s episode, we dive into Kate’s inspiring journey of overcoming Proximal Hamstring Tendinopathy (PHT). Kate shares her experience, including the onset of her symptoms, the challenges she faced with traditional rehab methods, and the turning point that transformed her recovery. Her story reveals how addressing emotional and psychosocial factors played a critical role in her healing process. If you're navigating your own PHT recovery, this episode is filled with actionable insights and encouragement.

What You’ll Learn in This Episode:

• Kate’s Journey: How her PHT symptoms started and the initial struggles she faced with diagnosis and traditional rehab approaches.
• Rehab Challenges: Why conventional exercises didn’t work and how fear and deconditioning played a role in her pain progression.
• The Turning Point: How a family holiday, central nervous system relaxation, and a change in mindset began her path to recovery.
• Mind-Body Connection: The role of emotional and psychosocial factors in pain management and recovery.
• Actionable Strategies: Journaling, relaxation techniques, and changing beliefs about pain for effective recovery.
• Kate’s Results: From barely managing daily activities to driving long distances, enjoying social events, and returning to exercise.

Key Highlights:

• Understanding PHT Symptoms and Misdiagnoses: Kate recounts how initial scans and treatments failed to pinpoint her condition.
• Fear and Avoidance Cycle: How limiting activities out of fear of flare-ups contributed to her deconditioning.
• Mind-Body Realizations: Discovering that emotions were not just amplifying her pain but were potentially causing it.
• Practical Interventions That Worked:
  • Journaling to identify and address stressors.
  • Conscious relaxation techniques to calm the central nervous system.
  • Reframing fear-driven thoughts and building confidence in her body.
• Results in Real Time: Kate experienced significant improvements within days of addressing the emotional root of her pain.

Quotes from the Episode:

• "It was such a lightbulb moment when I realized my emotions weren’t just impacting my pain—they were causing it."
• "The biggest change came when I stopped thinking, ‘What did I physically do to cause this?’ and started asking, ‘How am I feeling right now?’"
• "You don’t have to rush. The gym will still be there next week when you’re ready."

Resources Mentioned:

• Think Away Your Pain by Dr. David Schechter
• Healing Back Pain by Dr. John Sarno
• Techniques for calming the central nervous system, such as deep breathing and journaling.

Final Takeaways:

• Recovery isn’t always about more exercises or stronger scans. Addressing fear, stress, and emotional connections can lead to profound and rapid improvements.
• If your rehab feels stagnant, consider exploring the mind-body connection and reassess how emotions might influence your pain.
• Small, meaningful steps—like journaling or joining a supportive community—can help rebuild your confidence and restore your quality of life.

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

>> 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 <<

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

Episode Summary: In this episode, we explore the fascinating role of Vitamin C in tendon recovery, collagen synthesis, and tendinopathy prevention. Brodie dives into the latest research to examine how Vitamin C-enriched supplements, when combined with exercises, can potentially enhance tendon healing and performance. 

He discusses two key studies: 
1.) Vitamin C–enriched gelatin supplementation before intermittent activity augments collagen synthesis 
2.) Effect of Vitamin C on Tendinopathy Recovery: A Scoping Review 

The conversation highlights the potential benefits and limitations of Vitamin C in injury recovery, offering practical insights for runners and those dealing with tendon injuries.

Key Takeaways:

1. Vitamin C and Tendon Health: Vitamin C plays a crucial role in collagen synthesis, which is essential for tendon repair and recovery. Collagen makes up 60-75% of tendons, making its synthesis critical for both injury recovery and performance enhancement.
2. Research Insights:
   • A 2017 study found that supplementing with Vitamin C-enriched gelatin before intermittent exercise doubled collagen synthesis in participants, suggesting a potential benefit for injury prevention and tissue repair.
   • A scoping review on Vitamin C’s role in tendinopathy recovery shows promising but inconsistent results, particularly when Vitamin C is combined with other nutrients like mucopolysaccharides and type 1 collagen.
3. Practical Application:
   • While there isn’t a definitive recommendation on the optimal dosage or timing of Vitamin C for tendon recovery, the studies suggest considering Vitamin C-enriched supplements, especially for athletes under intense training or those dealing with tendinopathies.
   • Other factors like proper nutrition, rest, and reducing alcohol intake are also critical for maximizing tendon recovery.

Why Listen? Whether you're recovering from an injury or looking to optimize your tendon health for peak performance, this episode offers valuable insights. With research-backed information and practical advice, Brodie simplifies the complex science behind tendon recovery and how you can potentially leverage Vitamin C for faster recovery and stronger tendons.

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

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

Episode Summary:

In today’s episode, we dive into new research that explores an innovative MRI technique for diagnosing Proximal Hamstring Tendinopathy (PHT) with greater accuracy. We'll break down a study titled 'Magnetic Resonance Imaging With a Novel Hip Flexion Scanning Position for Diagnosing Proximal Hamstring Tendinopathy' including the study's findings and discuss how this new hip flexion scanning position may help identify PHT pathology that traditional MRI positions could miss.

Key Takeaways:

• The Traditional MRI Position: Lying on your back with legs outstretched has been the standard scanning position. However, this method may miss some crucial signs of PHT, especially in tendinopathy cases where physical changes in the tendon aren't obvious.
• Novel MRI Position: A new method involves scanning patients on their side with hips flexed at approximately 90 degrees, mimicking the sitting position that often aggravates PHT symptoms. This position may reveal more severe injuries, such as tendon ruptures, that could be missed in the traditional position.
• Study Results: The study found that using the hip flexion position increased the detection of severe tendon issues, including tendon ruptures, in 33% of cases, which were initially diagnosed as normal or less severe using the traditional method.
• Implications for Runners and Patients: If you're dealing with PHT symptoms and undergoing an MRI, it may be worth discussing the option of scanning in this hip-flexed position with your healthcare provider.

What You’ll Learn:

• Why PHT can be challenging to diagnose accurately with standard MRI techniques.
• The importance of considering alternative MRI positions for more accurate results.
• Understanding that an MRI is just one piece of the puzzle when diagnosing and treating tendinopathy.
• Why pain severity doesn't always correlate with MRI findings and how this can affect your treatment plan.

By tuning into this episode, you'll gain valuable insights into the evolving science behind PHT diagnosis and learn how to be a more informed participant in your own recovery process.

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

>> 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

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For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info