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In at the moment’s video we go over, Proximal Hamstring Tendinopathy: Differential Prognosis Information for PTs:
Struggling to confidently differentiate proximal hamstring tendinopathy from the dozen different causes of posterior hip ache? This video is your scientific cheat sheet.
As a bodily therapist, you know the way straightforward it’s to misdiagnose posterior hip ache — and the way pricey that mistake is in your affected person’s restoration. On this video, we’ll stroll you thru a scientific, evidence-informed method to diagnosing proximal hamstring tendinopathy so you possibly can cease second-guessing your scientific reasoning.
What You will Study:
Key subjective presentation clues (sitting ache, uphill working, warm-up impact)
The way to precisely palpate the ischial tuberosity
Resisted hamstring testing: inclined vs. supine variations
Particular checks: Puranen-Orava Check, Bent Knee Stretch Check & Modified Bent Knee Stretch Check
Full differential analysis walkthrough to rule out what’s not a hamstring tendon challenge
Differentials Coated (So You Do not Miss Them):
- Full hamstring tear/avulsion fracture
- Lumbar backbone & SI joint pathology
- Hip OA, FAI & labral pathology
- Ischiofemoral impingement
- Piriformis syndrome / sciatic nerve irritation
- Pelvic/femoral bone stress damage
TIMELINE
- 0:00 – Intro – Why Correct Prognosis Issues
- 0:14 – Who Will get Proximal Hamstring Tendinopathy?
- 0:42 – Subjective Presentation & Signs
- 1:40 – Palpation of the Ischial Tuberosity
- 2:12 – Resisted Knee Flexion – Inclined Testing
- 2:35 – Resisted Knee Flexion – Supine Testing
- 3:05 – The Puranen-Orava Check
- 4:07 – Bent Knee Stretch Check
- 4:23 – Modified Bent Knee Stretch Check
- 4:34 – Differential Prognosis Overview
- 4:39 – Hamstring Tear & Avulsion Fracture
- 5:36 – Lumbar Backbone & SI Joint Pathology
- 6:24 – Hip OA, FAI & Labral Pathology
- 7:02 – Ischiofemoral Impingement (IFI)
- 7:48 – Piriformis Syndrome & Sciatic Nerve
- 8:55 – Bone Stress Harm
- 9:21 – Abstract
Need to earn some CEUs for bodily therapists, bodily remedy assistants & ATCs for watching this content material? Click on HERE to enroll in FPF “Insiders Academy” for only a greenback. You may earn CEUs for watching this content material. Plus, you will acquire entry to over 14 MASTER programs, 50+ cheat sheets, 100+ webinars, e-books and full guides. You will additionally get personal entry to the “Insiders Academy” neighborhood the place you possibly can have all your questions answered by me.
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Thanks!
Dan Pope DPT, OCS, CSCS
References:
- Grimaldi A, Mellor R, Nasser A, Vicenzino B, Hunter DJ. Present and future advances in follow: tendinopathies of the hip. Rheumatol Adv Pract. 2024 Apr 10;8(2):rkae022. doi: 10.1093/rap/rkae022. PMID: 38601140; PMCID: PMC11003818.
- Cacchio A, Borra F, Severini G, Foglia A, Musarra F, Taddio N, De Paulis F. Reliability and validity of three ache provocation checks used for the analysis of power proximal hamstring tendinopathy. Br J Sports activities Med. 2012 Sep;46(12):883-7. doi: 10.1136/bjsports-2011-090325. Epub 2012 Jan 4. PMID: 22219215.
- Gómez-Hoyos J, Martin RL, Schröder R, Palmer IJ, Martin HD. Accuracy of two Medical Checks for Ischiofemoral Impingement in Sufferers With Posterior Hip Ache and Endoscopically Confirmed Prognosis. Arthroscopy. 2016 Jul;32(7):1279-84. doi: 10.1016/j.arthro.2016.01.024. Epub 2016 Mar 25. PMID: 27020393.