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    The Physio Detective Array
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    Re: Recurring hamstring strains, adductor tendonitis and hernias

    Hi

    It is bad form only if you don't contribute. Perhaps you could post some useful stuff on the forum rather than just links? Otherwise it is just a sales page. I know you mean well. I had a look at the websites - someone set up the info for you but not the sales and marketing...PM if you want feedback on the sales page. Also, from the table of contents, there are more than just the muscles listed that affect the hamstrings...

    If anyone PM's you and wants more info on the stuff, it is different and spruik all you want...otherwise we try to post information for free, not looking for business. Honestly, the information i personally have posted would total in the thousands of dollars. I only do it because i feel the need "to give back" to the profession that has helped me so much over the years to become who i am. Also, there are people out there who haven't had the same opportunities to learn the things i have so i don't mind sharing what i have learnt. If i know a lot (and that is debatable), it is only because i have stood on the shoulders of giants...

    But back to the original problem...

    1. My impression is that the hamstrings, groin and pubic symph are suffering from pelvic, lumbar or thoracic dysfunction (likely to be pelvic or lumbar). The overactivity can cause increased tension and so lead to overstraining.

    To give you an idea, i had a patient with a similar history except it was for over 10years. She had chronic 'tears' all over the place (adductors, calves, hams, quads, gluts etc) at different times, had "traditional" physio of soft tissue, electrotherapy and exercises to stretch and strengthen the legs etc. When she finally had her assessment with me, there were heaps of things "wrong" but the main problem was pelvic dysfunction which was not picked up on before. Therefore, 2 manual therapy sessions and 3 exercise sessions for proper core stability exercises led to her improvement. She now runs regularly without issues (she had to build up to it).

    2. Core stability is so badly taught out there in the world that sometimes i wish it wasn't out there! Can you describe how you are doing your core stability exercises please?

    Please don;t forget that training the "big" muscles like hamstrings etc is only the second half of rehab. The first half is actualy ensuring you have the joints involved able to move properly, control of the joints involved with the local stability muscles THEN be able to put the large forces through the joint.

    Most people who start with hamstring strengthening are just gambling that their stability is ok... if life was as easy as hamstring rehab, i wouldn't need to keep studying!

    Just find a good physio who has trained with real time ultrasound (RTUS) or reputable physios. I am developing a system, and hope to have the research to back it up, where physios can do some simple things and be as accurate as RTUS. Good physios can do it already but there needs to be research to back up the reliability and validity of the findings.

    You should start to feel better within 3 treatments. Otherwise if the problem keeps coming back, they aren't fixing the main issue.

    Good luck!

    Last edited by alophysio; 22-07-2008 at 04:01 AM. Reason: Cooled down some and wrote nicer things...


 
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