This thread should be given to all patients that are athletes desperate to returning to full activity. Its such a long term problem it seems it will never go away. It does. It takes discipline i've never had to use before in terms of staying on PT by reputable clinics and not over doing it. All cases are different. Some are worse than others. Mine was very bad. I have talked to a few PTs themselves whom are athletes and have the condition. I THINK (and don't know) this is caused by running. I also suspect long hours in the saddle and/or sitting at work help to create the pain by smashing the sciatic nerve onto the hamstring tendon causing nerve damage. Im not a PT but I have found a huge respect for these types of professionals for their abilities. Sports MDs, and very reputable PTs have shot PRP injections down all along and im glad they did. Its expensive and may or may not work. Steroids? no way. Surgery? Bad idea. This is all me. I cant give anyone advice im not a pro. Theres little point telling you the workouts prescribed to me because were all so different.1 universal PT is the eccentric loading. That stuff works and not just on tendinopathy. I am much like you tri people but I don't do triathalons. I do inline marathons, treadmill running, ice speed skating and swimming as cross training for cycling. I did that before I got this and now its nothing but a shadow, I still do it. Its been well over 2 years since my symptoms first showed up and Im pretty much doing whatever the hell I want. The longest hardest workouts will still stir things up a little but they fade away with all the skills I have learned to deal with this. And yes, omega core work is very helpful. My only advice is the same advice I give any athlete in training- DONT GET DISCOURAGED! My name is Pete D. im from Madison WI. The PTs I used are Heather Stokes (visceral manipulation) Stacey Brickson (PT),David Nissenbaum (dry needling and eccentrics) and GHC PTs. If your in this locality with this hell injury look one of these up. Im going to promote this thread to them if I haven't already. Also, herbal therapies from a reputable healer. Turmeric, solomins seal and st johns wort. Tinsures mainly. Not all brands are created equally keep in mind.