# 15: High Hamstring Pain in Runners: Do You Need PRP or Is Rehab the Real Fix?

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Text version: https://stenobird.com/podcast/interdisciplinary-case-miles-7475175/15-high-hamstring-pain-in-runners-do-you-need-prp-or-is-rehab-the-real-fix.md
Podcast: [Interdisciplinary Case Miles](https://stenobird.com/podcast/interdisciplinary-case-miles-7475175)
Published: 2026-03-20T11:00:03+00:00
Episode link: https://www.spreaker.com/episode/15-high-hamstring-pain-in-runners-do-you-need-prp-or-is-rehab-the-real-fix--70630798
Audio file: https://api.spreaker.com/download/episode/70630798/15.mp3
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Duration seconds: 2038

## Resource

Do You Need PRP or Is Rehab the Real Fix? In Episode 15 of the Interdisciplinary Case Miles podcast, we discuss a case involving a 40-year-old age group runner whose long-standing hamstring tendinopathy became acutely aggravated after a slip on ice revealing the layered challenges of acute-on-chronic tendon pain in runners. This case highlights why proximal hamstring injuries require precise diagnosis and an individualized treatment plan. Dr. Sara Raiser(MD) explains how to differentiate high hamstring tendinopathy from lumbar spine or nerve-related pain, when imaging such as MRI or diagnostic ultrasound is indicated, and how to determine whether a partial tear is present. The conversation also covers when regenerative medicine options like platelet-rich plasma (PRP) injections or percutaneous tenotomy may be appropriate, and why they are rarely first-line treatment. Dr. Kate Mihevc Edwards(PT) takes us through the rehabilitation process, including early integration after PRP, the role of blood flow restriction (BFR) training, and why eccentric strengthening remains the gold standard for tendon rehabilitation. She emphasizes addressing the entire kinetic chain hip mobility, lumbar and thoracic spine mechanics, neural tension, gait changes, and stiffness patterns that often contribute to chronic hamstring overload. You’ll also hear practical insight into return-to-run timelines, common pain spikes around the six-week mark post-PRP, and how to safely reload a healing tendon. Sports dietitian Kelsey Pontius rounds out the discussion by explaining how nutrition directly influences tendon healing and regenerative outcomes. The team discusses energy availability, protein targets, iron status, collagen-supporting micronutrients like vitamin C, zinc, and copper, and how fuelin…

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