Tendonitis & Cortisone Injections

I guess that I had better preface this by saying that I am not a PT or similar health professional and am only relating my own experiences.

You may like me have had a high hamstring tear/strain.

I was not helped by rest, ice, stretching, anti inflammatories,ultra sound or electrical stimulation although any combination may work in your case.

As I said deep cross friction massage did work on a hamstring injury which had become chronic over a number of years. So yes it can feel as if it is an insoluble problem but yet a cure may still be obtained.

If you have had the injury for 9 months I doubt whether rolling on a ball will cause further damage. Cross friction massage has become fairly mainstream for treating hamstring injuries and excessive caution is probably misguided. My own PT treats international athletes and the approach has proved successful.

I was in so much pain when my therapist massaged me I couldn’t say for sure what he did but as it is meant to be “cross friction” I guess that gives a clue as to the direction of the pressure although there was a lot of direct pressure as well.

When I did it for myself I used a TPT ( trigger point therapy ball) rather than a tennis ball. Similar size but holds it’s shape better so gives more direct pressure. I do not know enough to say that there is a substantial difference to warrant the expense but simply bring this to your attention.

In any event I sat and rolled around on the ball trying to locate tender spots and when found easing my weight down on a specific point as much as I could. In the beginning I would often need to support myself to take the weight off as it was so tender and painful but over time I could put more weight on and then fully sit. I think the TPT protocol is to locate and then apply static pressure for a minute or so on any tender point. Generally I found that 5 minutes or so massage was enough but I did it every day. I did not use ice.

You should be able to trust yourself to locate where you need to apply pressure and for how long.I had a lot of pain around the
bone where the hamstring attaches and this may be a tender area for you as well. You can roll up and down, across and around the point and then apply static pressure

I cannot stress too much that this type of massage is or should be very painful and bring tears to your eyes. If you find it relaxing you are not getting the right thing.

One final thing. My therapist had me run progressive sprints after 2 massage sessions to complete the rehabilitaion and I think that this is something that Charlie Francis prescribes for hamstring injuries.I did not follow this protocol when I self treated.

I hope this avenue is fruitful for you. I know how frustrating persistent injuries can be. See an athletic trainer experienced in giving cross friction massage if at all possible but if not see whether you can get any relief as above.

Thanks so much for your help!

When I roll I can’t get pain pain. When I first started PT I started rolling on my IT bands and that brought tears to my eyes. But after 2 weeks or so it doesn’t hurt at all - never does. So that is good.

With the hamstring it is very sore in places (like on the adductor side) but never like tears to eyes pain - so you think it isn’t useful if it isn’t that painful?

I will try to implement it anyway for a while - see what happens.

May I also ask what exercises you did for lower body? Did you rest it completely? I guess not if you did sprints…but did you do any weight work and what did you do?

Thanks so much! It is SO nice to see possible hope…

I was not aware that cross friction massage is limited to tendons but I will bow to my Welsh friends superior knowledge about such matters.

If it is not extremely painful then may be it is progressing. I seem to recall Tim Noakes in “The Lore of Running” making reference to excruciating pain and that is certainly what I experienced.

In any event hopefully you are on the right track so continue rolling those tender spots
possibly looking at something firmer than a tennis ball.

My rule of thumb regarding injuries and training is that you can do anything you want so long as it does not aggravate the problem.
Instead of simply stopping altogether cut back as necessary. So if, for example, I were running I would cut speed and distance until the injury was not irritated. This could of course mean that I end up slow jogging or walking or not even doing that.

Lifting weights I can lighten the load change the exercise or if necessary eliminate exercise for that body part completely. I guess it is just a form of auto regulation
monitoring how your body is responding and
modifying your workout accordingly rather than having a rigid predetermined plan.

Good luck. If it is a muscle problem I am confident that it can and will be fixed.

Hi. Thanks again for all the advice on this thread! It has really helped.

I saw the specialist again yesterday and it went really well. I was encouraged - I asked to see the printout of the MRI report and it said there were no tears and only slight increased signal in the hamstring/bone of the hip. So that is good. The doctor said he didn’t think I was in danger of tearing. That really really made me happy.

I have also been doing the ball rolling every day and my foam roller arrived today so I can use that too - it’s really hard to get the adductors with it though - any ideas on how?

BUT it’s been feeling really good the last 3 days - maybe the rolling is really what it needs.

I was also firm on no cortisone injection, so he offered that I could try acupuncture - does anyone have experience with that? I’m a lot more open to that!

Now as regards to strengthening - I believe this must be the ultimate cure. BUT I don’t want to hurt it. Should I stick to high reps in this area, or do you think I can go heavy? The doc said he would not go above a level 4-5 pain on 1-10 scale. That is much higher than even I’ve been going. I’ve stopped at 2-3.

What do you think?

Also, my knee has been acting up and I’m getting an MRI on it - it is possible I would have to have some cartilage smoothed surgically. Does anyone know what the recovery process for this is?

Thanks!

Cortisone did not work for me. I ended up needing surgery on my elbow, although I had other problems aside from the tendonitis.