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

Links

• Download the free handout summary of this podcast
• Tom's website - Running Physio
• Tom on Twitter
• Running Repairs courses with Tom
• Article in JOSPT on Proximal Hamstring Tendinopathy: clinical aspects of assessment and management
• JOSPT
• Peter Malliaras
• Mike Reiman
• Craig Purdam
• VISA-H
• Become a Clinical Edge member to access Tom's webinar and other great online education

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