Potential reasons behind bilateral tendinopathy symptoms
In today’s episode, Brodie replies to a listener question: “I have had PHT bilaterally for close to a year and have also had bilateral chronic plantar fasciitis for many years. On one of the podcasts you mentioned when there are bilateral tendon issues, that may raise some red flags that there may be another contributing factor going on”. “Any suggestions of other medical areas beyond muscular that I should consider looking into would be greatly appreciated. Thank you again for your educational and enlightening sessions on PHT”. Brodie dives into this question and makes reference to a paper titled: Pathogenesis of tendinopathies: inflammation or degeneration? This episode is broken down into 5 categories: Genetics Mal-alignment Training loads/compensation Intrinsic ailments Aging Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online Or book a free 20-min physio chat here
Title: Understanding Bilateral Proximal Hamstring Tendinopathy: Causes and Solutions
Introduction: Proximal hamstring tendinopathy (PHT) can be a debilitating condition, especially for athletes. In this podcast episode, we explore the potential reasons behind bilateral tendinopathy symptoms. We’ll delve into various factors, from genetics to aging, and discuss how they may contribute to bilateral PHT. Understanding these factors can help you better manage and overcome this condition.
Heading 1: The Host’s Introduction Proximal Hamstring Tendinopathy: A Painful Journey
In this episode, we join Brodie Sharp, an online physiotherapist and a chronic PHT battler. Brodie introduces the podcast, its mission, and the importance of evidence-based treatments for overcoming PHT. Whether you’re an athlete or not, this podcast aims to educate and empower you to tackle this challenging condition.
Heading 2: Listener’s Inquiry Sparks Investigation Harvey Cooper’s Question: Exploring Bilateral Tendinopathy
The episode begins with Harvey Cooper’s question about bilateral tendinopathy. He sought advice on other medical areas beyond muscles that might contribute to his condition. Brodie acknowledges the complexity of the topic and decides to dedicate an entire episode to it.
Heading 3: Potential Causes of Bilateral Tendinopathy Unpacking the Pathogenesis: Insights from Research
Brodie references a valuable paper titled “Pathogenesis of Tendinopathies: Inflammation or Degeneration” by Michelle Arbate and Karin. The paper explores the reasons behind tendinopathies, shedding light on potential causes for bilateral symptoms.
Subheading 1: Genetics and Tendinopathy Are Genes Playing a Role in Bilateral PHT?
The paper suggests that genetics could be a contributing factor to tendinopathy. Specific gene variations, such as col 5a1 and Tennyson C (TNC), have been associated with chronic tendinopathy. These genetic components may lead to abnormal collagen formation, increasing the likelihood of tendinopathy development.
Subheading 2: Alignment and Its Impact The Role of Lower Extremity Alignment
Malalignment of the lower extremities can potentially contribute to tendinopathy. Factors like forefoot pronation, subtailer joint mobility, and changes in ankle movement can affect the loading of tendons. Although this primarily relates to Achilles tendinopathy, alignment issues could also influence PHT.
Subheading 3: Training Errors and External Factors The Influence of Training and Extrinsic Factors
Overuse, training errors, and fatigue are crucial extrinsic factors linked to tendinopathy. In PHT, abrupt changes in training, excessive distances, and intensity can trigger symptoms. It’s essential to manage training loads carefully to prevent or mitigate bilateral tendinopathy.
Subheading 4: Intrinsic Ailments and Systemic Diseases Metabolic and Systemic Factors
Metabolic diseases like obesity, diabetes, and hypertension can play a role in tendinopathy development. These conditions affect blood flow, capillaries, and collagen formation, potentially increasing the risk of tendinopathy. Understanding the association between tendinopathy and these ailments is crucial.
Subheading 5: Aging and Its Effects on Tendons The Impact of Aging on Tendon Mechanics
As we age, the mechanics and properties of tendons change. Reduced arterial blood flow, local hypoxia, free radical production, and impaired metabolism can negatively affect tendons. Aging alone can lead to tendinopathy, so it’s essential to consider this factor, especially for older individuals with bilateral symptoms.
Heading 4: Key Takeaways Navigating Bilateral Proximal Hamstring Tendinopathy
Brodie offers three key takeaways for those dealing with bilateral PHT:
- Seek Medical Assessment: If you have chronic tendinopathy in multiple locations, consult a healthcare professional for a comprehensive assessment to rule out underlying medical conditions.
- Understand Mechanical Factors: Recognize that mechanical factors, such as training errors and compensations, can contribute to bilateral symptoms. Don’t jump to conclusions about genetic or systemic causes without thorough assessment.
- Thrive Despite Challenges: Many factors that influence tendinopathy are manageable. With proper care, patience, and attention to training, you can continue to pursue your athletic goals even with underlying conditions.
Conclusion: Understanding the potential causes of bilateral proximal hamstring tendinopathy is crucial for effective management. Genetics, alignment, training errors, intrinsic ailments, and aging can all play a role in this condition. By recognizing these factors and seeking appropriate guidance, you can take control of your rehabilitation journey and work towards a pain-free future.
