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Re: High Hamstring Tendinopathy Rehab Protocol [mtbdaddy]
mtbdaddy wrote:
What factors did you and the doctor weigh in to come to PRP conclusion? What is PRP recovery / rehab protocol? I've considered this as well, but @ $600/ea, not a cheap option. I'm currently seeing Dr. who specializes in ART. Hoping to see some relief soon.


I've been fighting this on the left AND an annoying right plantar fascia/peroneal tendonitis issue for a while. The PF has been an issue since summer (July-ish). The high hamstring is a bit more difficult to determine the start, as I've had sciatica in that same leg, with similar symptoms for years on and off. When this issue re-emerged, we thought it was sciatica at first, and so I trained through it, with a cortisone shot (which I would not have gotten if we thought it was a tendon issue).

I've also already tried ART, PT with dry needling, activity modification, and rest. When I saw the PRP doctor, I brought him all my MRIs (I've had 3 - right foot, left hamstring, lumbar area), and my full case history. He said I was a "very strong candidate for PRP" in both the foot and the hammy. Separately, in the past I've always responded well to the more provacatory treatments - Graston, cross-frictional massage, dry needling, etc. Which points towards this working for me.

In deciding to go ahead, I consulted two PT friends, two other people who have had PRP (both of whom said they'd do it again), and my own PT. And my coach. Everyone said to go for it if I could afford it. And I can. And I REALLY want to be able to start training for Boston in January.

Rehab afterwards is a bit TBD. I'm getting it on Friday, and planning to be on the couch through the weekend. Then swimming with pull buoy only for the first part of next week. Part of the reason it's TBD is that we're not quite sure where I'm getting the PRP. Since the hammy issue still has some sciatic aspects to it, we're doing the following:

Thursday - get blood drawn

Friday morning early - I run two miles, then get some painkiller injections in hamstring tendon area. Then run two more miles. Depending on how that second run feels, he''' make a recommendation about whether we do just hamstring tendon, or also back.

Friday afternoon - PRP

As for rehab, I've been doing eccentric exercises and running with some improvement, but very slow.
Last edited by: darkwave: Oct 29, 13 14:00

Edit Log:

  • Post edited by darkwave (Cloudburst Summit) on Oct 29, 13 14:00