- What it is
- An overloaded tendon at the sit bone
- How we treat it
- Focused shockwave + corrective exercise
- Typical plan
- Usually 3 to 6 sessions
- Referral
- Not needed
What is hamstring tendinitis?
Your hamstring muscles run down the back of the thigh and attach to your sit bone through a thick tendon. When that tendon is overloaded, it becomes painful and slow to heal. Sitting presses on it and running stretches it, which is why both can hurt. The medical name is proximal hamstring tendinopathy.
Common symptoms
- A deep ache at the sit bone, low in the buttock
- Pain when sitting, especially on hard seats or while driving
- Pain running, especially uphill or at speed
- Pain bending forward or lifting the leg in front of you
What causes it
- A sudden jump in running, hills, or speed work
- Weak glutes and hamstrings
- Long hours sitting
- Deep stretching or lunges that load the tendon
How we treat it
We confirm the pain is from the tendon and not your back or a nerve. Then we build a plan around three steps:
- Focused shockwave therapy to restart healing in the tendon
- Soft tissue work on the hamstrings and glutes
- A gradual hamstring strengthening plan, plus changes to running and sitting while it heals
Where we see you
We have two offices, both inside Parkway Athletic Club and open to everyone, no gym membership needed. South Reno is on Double Diamond Parkway, close to Damonte Ranch and South Meadows. Sparks is on East Lincoln Way, near The Outlets at Legends.
Questions
Does shockwave therapy hurt?
Richard Wolf, the maker of our PiezoWave2T, describes the treatment as gentle and for the most part pain-free. Most people feel a firm tapping, and we adjust the intensity to your comfort. No needles or anesthesia.
How many sessions will I need?
Usually 3 to 6 sessions, each about 10 to 20 minutes. Dr. Covert will map out your plan at your first visit based on your exam.
When should I see a medical doctor instead?
If you felt a sudden pop at the back of your thigh followed by bruising and trouble walking, see a medical doctor first, since that can be a tendon tear. Numbness or tingling down the leg may be a nerve problem instead.
Is shockwave covered by insurance?
Shockwave therapy isn't covered by insurance. Call us for current pricing, and we'll go over the cost before you start.
Paying yourself? You have the right to a Good Faith Estimate
Do I need a referral?
No referral needed. You can book directly with Dr. Covert online or by phone.