Physio Edge podcast with David Pope4 Maj 2016

046. Proximal hamstring tendinopathy with Tom Goom

Proximal hamstring tendinopathy (PHT) occurs in athletes, runners, weightlifters, and other athletes, as well as more sedentary patients, causing pain at the hamstring origin and limiting your patients ability to sit, run and continue to be active.

There are a number of structures that can contribute to pain in this area, and in this podcast, Tom Goom and David Pope discuss how to clearly identify PHT and differentiate it from lumbar spine referred pain, hip pain, sciatic nerve pain and other conditions.

Tom recently released an article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management with Peter Malliaras, Mike Reiman and Craig Purdam. We explore this article, and the research around PHT, and cover in detail:

Subjective clues to guide you towards diagnosis
Aggravating factors and 24 hour pain patterns
Differential diagnosis
Lumbar spine pain
How the lumbar spine could contribute to development of PHT
Hip pain
SIJ pain
Sciatic nerve pain
Development of PHT
Central sensitisation
Diagnostic tests for PHT
Hamstring tests
Other assessment tests
Functional tests
The value of palpation
Tests for involvement of the rest of the kinetic chain
Running assessment/gait analysis
Testing load tolerance
Biopsychosocial aspects of tendon recovery
Other advice for patients
Whether stretching is helpful
When your patient can return to running
Cross training
Does manual therapy have a role in the treatment of PHT?
Starting treatment (Stage 1)
When and how to progress rehabilitation (Stage 2)
Further rehabilitation progressions (Stage 3)
Advanced exercise progressions for high load sports
Exercises you can incorporate during the various stages
How long recovery will take

Free running injury assessment & treatment video series available now

Links

Tags: running, hamstring, tendinopathy, tom goom, podcast, proximal, peter malliaras, craig purdam, mike reiman, treatment, assessment

Det här avsnittet är hämtat från ett öppet RSS-flöde och publiceras inte av Podme. Det kan innehålla reklam.

Avsnitt(176)

177. Patellofemoral pain 1 - Why it has such a high recurrence rate, and what most rehab plans miss with Tom Goom

Patellofemoral pain (PFP) is one of the most common running injuries, and the high recurrence rate can make it a frustrating injury for patients to experience and clinicians to treat. In this episode,...

29 Juni 37min

176. Neck-driven shoulder pain - 5 common misunderstandings. Physio Edge Shoulder Success podcast with Jo Gibson

When is your patient's shoulder pain from their neck? Are you missing a cervical spine component in your shoulder patients? After a day in clinic reviewing patients with years of unresolved shoulder p...

4 Mars 11min

175. Tendinopathy treatment: Your guide to isometrics, isotonics & plyometrics with Dr Ebonie Rio

Should you prescribe isometric or isotonic exercises for your patient's lower limb tendinopathy? When is it safe to add plyometric loading, and how do you progress running or jumping without flaring y...

18 Feb 53min

174. ACJ - The hidden culprit behind stubborn shoulder pain? Physio Edge Shoulder Success podcast with Jo Gibson

Have any of your shoulder patients improved and then plateaued, unable to regain their full range of movement, or get rid of their painful arc? Sometimes it's not the cuff, capsule, nerves or neck—it'...

4 Sep 202517min

173. Hip flexor pain in runners: Diagnosis, myths, and rehab. Physio Edge Track record: Running repairs podcast with Tom Goom

Anterior hip pain is often blamed on the hip flexors, but in runners, that's rarely the diagnosis. So how can you identify the real cause and guide patients to a safe, effective recovery? In this epis...

6 Aug 202519min

172. Shoulder pain assessment & clinical reasoning. Physio Edge Shoulder Success podcast with Jo Gibson

Your patient presents with shoulder pain, and straight away you need to identify: Is it rotator cuff related shoulder pain, frozen shoulder, instability, or something else entirely? Is it rotator cuf...

16 Juli 202524min

171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras

Your patient is running, playing sport, or jumping or lunging forward - an activity with fast eccentric or concentric activity in dorsiflexion,and suddenly they feel like they've been kicked in the ba...

8 Juli 20251h 27min

170. Brazilian Jiu Jitsu (BJJ) injuries with Dr Lachlan Giles

Brazilian Jiu-Jitsu (BJJ) is a popular grappling-based martial art that uses joint locks and chokes to subdue or submit opponents. It's an intense, physically demanding sport with complex movements an...

8 Apr 20251h 11min