The Physical Performance Show

321: Expert Edition: Anthony Nasser (PhD Candidate, APA Titled Sports & Exercise Physiotherapist): Proximal Hamstring Tendinopathy

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Apr 19, 2022
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ADVICE

Diagnosis of PHT

  • Diagnose proximal hamstring tendinopathy (PHT) by asking about localized pain near the ischial tuberosity, insidious onset, and aggravating factors like sitting.
  • Look for a history of increased training load, especially activities involving high hamstring load in hip flexion.
ADVICE

Clinical Tests for PHT

  • Use a battery of clinical tests with progressive load to diagnose PHT, starting with low-load tests like single-leg bridges in minimal hip flexion.
  • Increase hamstring and compressive load by increasing hip flexion to reproduce buttock pain.
INSIGHT

Palpation in PHT

  • Palpation's role in PHT diagnosis is debated among experts, with some finding it unimportant and others crucial.
  • Some experts emphasize palpating the lateral ischial tuberosity where the semimembranosus attaches.
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