Running Injury

Hamstring Strain Common Questions

This it’s a nice video from a clinical researcher in Aspetar. That group has been researching the return to play criteria for years as well as answering a lot of common clinical questions around hamstring tears and strains.

  • When can I return to sport?
  • Will it tear again?
  • When can I get an MRI

Clinical examination is more effective than MRI in predicting return to sport. Frankly, MRI is not helpful for return to play decision making. Most return to play is be between 5 and 45 days. Reinjury is a problem so a progressive and detailed comprehensive plan is needed to reduce this rate.

Here is our formula:

  1. We recommend a hamstring sleeve/compression
  2. We do not recommend standard stretching
  3. We do not recommend icing
  4. We recommend early frontal plane movements according to the PATS(progressive agility and trunk stabilization) protocol.
  5. We recommend early return to sprint/return to run(PRES protocol) which is graded based on symptoms and clinical tests.
  6. We use hands-on manual therapy including active release technique, specific friction massage techniques over the lesion/scar and chiropractic mobilization and manipulation to the pelvis and lumbar spine.
  7. We like the Askling Exercise done daily by the patient.
  8. We have been experimenting with blood flow restriction training.
  9. We use high intensity laser therapy.

The rehab protocol we utilize has lower reinjury rates and quicker return to sport.

Hip bursitis, greater trochanteric pain syndrome, gluteal tendinopathy

Lateral hip pain is an extremely common presentation in our office. We have excellent results with our treatment methodology and typically see patients who have seen other providers including chiropractors, physical therapists and even sports medicine physicians for injections. The methodology includes specific soft tissue mobilization procedures with high intensity laser therapy and specific activity modifications and hip strengthening exercises.

Knee Pain

We are here to help with your knee pain.

Here is a list of the most common conditions we see: Patellar Tendonitis or Tendinopathy; knee arthritis; runner’s knee or patellofemoral pain syndrome; knee ligament sprains; knee meniscus; IT band syndrome. We use a systematic approach to diagnose the condition which leads us down the most effective care pathway.

Runner’s Knee or Patellofemoral Pain Syndrome

Here is a quick video with recommendations for runner’s knee or patellofemoral pain syndrome. A few simple tips you can address at home. In the office, we add manual therapy including active release technique as well as laser therapy and address any other specific needs. If you are a runner, we will look at your gait as well and address any contributing factors.