Rehabilitation and Prevention of Proximal Hamstring Tendinopathy

Current Sports Medicine Reports
Nicholas R BeattyJames F Wyss

Abstract

Proximal hamstring tendinopathy (PHT) comprises a small but significant portion of hamstring injuries in athletes, especially runners. PHT is a chronic condition that is clinically diagnosed but can be supported with imaging. The main presenting complaint is pain in the lower gluteal or ischial region that may or may not radiate along the hamstrings in the posterior thigh. There is little scientific evidence on which to base the rehabilitation management of PHT. Treatment is almost always conservative, with a focus on activity modification, addressing contributing biomechanical deficiencies, effective tendon loading including eccentric training, and ultrasound-guided interventional procedures which may facilitate rehabilitation. Surgery is limited to recalcitrant cases or those involving concomitant high-grade musculotendinous pathology. The keys to PHT management include early and accurate diagnosis, optimal rehabilitation to allow for a safe return to preinjury activity level, and preventative strategies to reduce risk of reinjury.

References

Sep 1, 1988·The American Journal of Sports Medicine·J Puranen, S Orava
Jun 9, 1998·The American Journal of Sports Medicine·H AlfredsonR Lorentzon
Oct 17, 2003·Clinics in Sports Medicine·Louis C AlmekindersNicola Maffulli
Feb 24, 2004·The American Journal of Sports Medicine·Jeffrey LymanLouis C Almekinders
Dec 2, 2004·Sports Medicine·Constantinos N MaganarisNicola Maffulli
May 13, 2005·Radiographics : a Review Publication of the Radiological Society of North America, Inc·George Koulouris, David Connell
Nov 4, 2008·The Journal of Bone and Joint Surgery. American Volume·David G WoodJames Linklater
Feb 17, 2009·The American Journal of Sports Medicine·Lasse LempainenSakari Orava
Aug 28, 2009·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jeffrey A HousnerRoberta Misko
Feb 2, 2010·The Journal of Orthopaedic and Sports Physical Therapy·Bryan C HeiderscheitDarryl G Thelen
May 21, 2010·Seminars in Musculoskeletal Radiology·James M LinklaterDavid G Wood
Sep 22, 2010·The American Journal of Sports Medicine·Angelo CacchioFosco De Paulis
Sep 23, 2010·AJR. American Journal of Roentgenology·Maurice H ZissenChristopher F Beaulieu
Mar 29, 2011·Journal of Acupuncture and Meridian Studies·Myeong Soo LeeEdzard Ernst
Aug 10, 2011·The American Journal of Sports Medicine·Jesper PetersenPer Hölmich
Nov 25, 2011·British Journal of Sports Medicine·J L Cook, C Purdam
Jan 24, 2012·AJR. American Journal of Roentgenology·Arthur A De SmetMary J Lindstrom
Apr 11, 2012·Journal of Athletic Training·David QuammenJames Onate
Apr 24, 2012·British Journal of Sports Medicine·Kieran O'SullivanNeasa Deburca
Jan 2, 2013·Orthopedics·Robert J WetzelMichael A Terry
Jan 17, 2013·The Journal of Orthopaedic and Sports Physical Therapy·Michael P ReimanAdam P Goode
Feb 12, 2013·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Francesco BenazzoFrancesco Pelillo
Feb 13, 2013·PM & R : the Journal of Injury, Function, and Rehabilitation·Kenneth MautnerPaul Homer
May 25, 2013·The American Journal of Sports Medicine·Christopher S AhmadJames Bradley
Sep 6, 2013·The Journal of Bone and Joint Surgery. American Volume·Marc T GallowayJason T Shearn
Mar 25, 2014·Journal of Vascular and Interventional Radiology : JVIR·Benjamin DallaudièreJean Michel Serfaty
Jun 16, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Matthias J FeuchtPeter U Brucker
Jul 23, 2014·Journal of General Internal Medicine·Kaumakaokalani ShimatsuPaul Aronowitz
Jan 27, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Isabel Andia, Nicola Maffulli
Mar 17, 2015·PM & R : the Journal of Injury, Function, and Rehabilitation·Jonathan T FinnoffJay Smith
Apr 14, 2015·PM & R : the Journal of Injury, Function, and Rehabilitation·Kenneth MautnerJay E Bowen
May 20, 2015·Journal of Science and Medicine in Sport·Janne A PetersInge van den Akker-Scheek
May 23, 2015·The Journal of Orthopaedic and Sports Physical Therapy·Daniel Cushman, Monica E Rho
Jun 25, 2015·British Journal of Sports Medicine·Peter Brukner
Jul 25, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Kathleen L DavenportPeter J Moley
Sep 27, 2015·British Journal of Sports Medicine·Ebonie RioJill Cook
Oct 4, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jon A JacobsonAishwarya Parameswaran
Mar 1, 2014·Orthopaedic Journal of Sports Medicine·Luke T NicholsonSuzanne L Miller
Dec 31, 2015·Asian Journal of Sports Medicine·Xavier ValleJaume Jardi
Apr 17, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Thomas S H GoomCraig R Purdam

❮ Previous
Next ❯

Citations

Jun 17, 2019·Systematic Reviews·Yuri Rafael Dos Santos FrancoCristina Maria Nunes Cabral
Jul 7, 2021·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Blanca De-la-Cruz-TorresSergio Hernández-Sánchez

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
Francesco BenazzoFrancesco Pelillo
© 2022 Meta ULC. All rights reserved