Proximal hamstring tendinopathy is common in runners and athletes. This masterclass will provide you with a complete understanding of the anatomy, pathology and presentation of proximal hamstring pain and injuries. You will then be taken through how to assess, diagnose and treat these conditions, including pain management, education, exercises, rehabilitation progressions and movement retraining to allow the proximal hamstring tendon to recover.
Proximal hamstring tendon tears and avulsion injuries are common acute injuries, and you will explore ideal management of these injuries along with post-surgical rehabilitation.
Overview of anatomy & pathogenesis of PHT
Conservative Management of PHT
Proximal hamstring avulsions
Part 1 covers
Hamstring function and the role of the hamstrings during running and power activities
Applied hamstring anatomy
Location of common bursae around the hamstrings
How does tendon length relate to function?
Which hamstring muscles and tendons are more likely to be injured?
The relationship of the sciatic nerve to proximal hamstring tendinopathy
Part 2 covers
Synergy between hamstrings and adductor magnus and why this is important in your rehabilitation
Who develops proximal hamstring tendinopathy or tears?
Which muscles are most likely to be torn or develop PHT?
What relevance does imaging have to injury?
Common presentations of patients with PHT
What clinical tests can you use to assess PHT?
How can you assess PHT initially
Part 3 covers
Further information on how you can assess PHT initially and to identify patient progress through the rehab process
Which questionnaires can you use
What exercises can you use initially in your rehab program
Rehab exercise progressions
Part 4 covers
Advanced exercise progressions and plyometrics
Return to running program
Important gait retraining components in PHT
Effects of increasing cadence
How you can help your patients increase cadence
Common pitfalls when adjusting cadence
How you can educate your patients on the pathology and recovery
Expected timeframes for recovery
Part 5 covers
What options do you have when patients are not progressing?
Are PRP or corticosteroid injections a helpful addition to a treatment program
Is Shockwave therapy a safe or effective treatment for patients with chronic PHT?
Which patients are more or less suitable for ESWT?
Part 6 covers
Proximal hamstring tears and avulsions
What is the mechanism of injury
Clinical presentation of acute proximal hamstring tears or avulsions
MRI classification of tendon avulsions
Operative vs non-operative treatment of proximal hamstring avulsions
Post-op rehabilitation of proximal hamstring ruptures
What do we know, and what further research is needed around the posterior hip & gluteal area
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