Expert Opinion: Diagnosis and Treatment of Proximal Hamstring Tendinopathy

Overview

Journal Muscles Ligaments Tendons J

Date 2015 Apr 17

PMID 25878983

Citations 15

Authors

Lasse Lempainen

Kristian Johansson

Ingo J Banke

Juha Ranne

Keijo Makela

Janne Sarimo

Pekka Niemi

Sakari Orava

Affiliations

Soon will be listed here.

Abstract

Background: proximal hamstring tendinopathy (PHT) is a disabilitating disease often causing underperformance in the athletically demanding patients. The main symptom of PHT is lower gluteal pain especially during running or while prolonged sitting. Mainly affecting athletically active individuals, PHT is a considerable challenge for treating health care professionals.

Purpose: this paper aims to concisely present the literature on PHT to guide health care professionals treating these patients and doing research on the subject.

Methods: we reviewed the literature on PHT through literature search of scientific journal databases.

Conclusions: as a tendinopathic pathology, it is a rather recently discovered exertion injury. As with other chronic tendon overuse injuries, current treatment strategies are unspecific with uncertain outcomes due to the unknown etiology of the tendon degeneration. Diagnostic features as well as both operative and non-operative treatments are evaluated from a clinical perspective, providing up to date information for clinicians and sports medicine therapists dealing with hamstring problems.

Level Of Evidence: V.

Citing Articles

Magnetic Resonance Imaging With a Novel Hip Flexion Scanning Position for Diagnosing Proximal Hamstring Tendinopathy.

Jokela A, Niemi P, Koski I, Kosola J, Valle X, Pruna R Orthop J Sports Med. 2024; 12(9):23259671241265130.

PMID: 39328883 PMC: 11425786. DOI: 10.1177/23259671241265130.

Current and future advances in practice: tendinopathies of the hip.

Grimaldi A, Mellor R, Nasser A, Vicenzino B, Hunter D Rheumatol Adv Pract. 2024; 8(2):rkae022.

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A pilot randomised trial comparing individualised physiotherapy versus shockwave therapy for proximal hamstring tendinopathy: a protocol.

Rich A, Cook J, Hahne A, Ford J J Exp Orthop. 2023; 10(1):55.

PMID: 37227516 PMC: 10212870. DOI: 10.1186/s40634-023-00615-x.

Effectiveness of High Power Laser Therapy on Pain and Isokinetic Peak Torque in Athletes with Proximal Hamstring Tendinopathy: A Randomized Trial.

Verma S, Esht V, Chahal A, Kapoor G, Sharma S, Alghadir A Biomed Res Int. 2022; 2022:4133883.

PMID: 35647184 PMC: 9142273. DOI: 10.1155/2022/4133883.

A systematic review of surgical intervention in the treatment of hamstring tendon ruptures: current evidence on the impact on patient outcomes.

Jokela A, Stenroos A, Kosola J, Valle X, Lempainen L Ann Med. 2022; 54(1):978-988.

PMID: 35416097 PMC: 9009934. DOI: 10.1080/07853890.2022.2059560.

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