Chronic proximal hamstring tendinopathy
CONSULT TREATMENT PROTOCOL

ANATOMICAL AREAS



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GLOSSARY OF DISEASES

Name Tissue Type of pathologies
Acute and chronic muscle aches and pain Muscle Pain management
Acute and chronic cervical and lumbar pain Muscle Idiopathic cervical and low back pain
Acute and chronic soft tissue wounds Skin Wounds
Adhesive capsulitis Joint Capsulitis
Calcifying tendinitis of the shoulder Tendons Tendinopathy
Cellulite Skin Cellulite
Chronic distal biceps tendinopathy Tendons Tendinopathy
Chronic proximal hamstring tendinopathy Tendons Tendinopathy
Diseases secondary to trigger points and myofascial Pain Muscle Myofascial pain syndrome
Golfer’s elbow Tendons Tendinopathy
Greater trochanteric pain syndrome Tendons Tendinopathy
Insertional Achilles tendinopathy Tendons Tendinopathy
Knee osteoarthritis Joint Osteoarthritis
Medial tibial stress syndrome Tendons Tendinopathy
Mid-body Achilles tendinopathy Tendons Tendinopathy
Osgood-Schlatter disease Bone Disturbance of musculoskeletal development
Patella tip syndrome Tendons Tendinopathy
Plantar fasciopathy Tendons Tendinopathy
Primary and secondary lymphedema Skin Lymphedema
Primary long bicipital tenosynovitis Tendons Tendinitis
Proliferative connective tissue disorders Connective tissue Fibrosis
Spasticity Central nervous system Cerebral palsy and stroke
Stress fractures Bone Fracture
Subacromial pain syndrome Tendons Tendinopathy
Superficial nonunions Bone Fracture
Tennis elbow Tendons Tendinopathy
Trigger points Muscle Myofascial pain syndrome
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MORE INFORMATION

Chronic proximal hamstring tendinopathy (cPHT) is clinically characterized by pain in the area of the ischial tuberosity. The pain may radiate distally to the popliteal fossa and usually occurs while sitting or performing sports activities. The pain typically appears and gradually increases without an initial, acute event that is remembered by the patient.

Histopathologic and imaging studies indicate that the pathologic changes observed in cPHT are similar to those found in other tendinopathies.

Accordingly, the initial treatment is conservative and usually includes rest, physiotherapy, stretching and strengthening exercises of the hamstring muscles, as well as nonsteroidal anti-inflammatory drugs (NSAIDs). However, there is no consensus regarding the best treatment for cPHT.

CLINICAL EVIDENCE

Cacchio et al., Am J Sports Med 2011;39:146-153.

Shockwave therapy for the treatment of chronic proximal hamstring tendinopathy in professional athletes.

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TREATMENT PROTOCOL

STANDARD TREATMENT
Number of treatment sessions 3 to 5
Interval between two sessions 1 week
Air pressure Evo Blue® 2 to 4 bar
Air pressure Power+ 1.5 to 3 bar
Impulses 2,500 on the painful spot
Frequency 8Hz to 12Hz
Applicator 15 mm
Skin pressure Moderate to heavy

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