Episode
When to Operate & When to Rehab with Surgeon Lasse Lempainen
- Published
- Dec 30, 2025
- Duration seconds
- 4376
- Processing state
not_requested- Canonical source
- https://share.transistor.fm/s/b72dd31b
Actions
POST https://stenobird.com/v1/public/podcasts/overcoming-proximal-hamstring-tendinopathy-3563667/episodes/when-to-operate-when-to-rehab-with-surgeon-lasse-lempainen/transcription-requests
Idempotently request low-priority transcript generation for this episode.GET https://stenobird.com/podcast/overcoming-proximal-hamstring-tendinopathy-3563667/when-to-operate-when-to-rehab-with-surgeon-lasse-lempainen.md
Read the agent-friendly Markdown representation of this episode resource.
Summary
👉 Complete the 30 Sec Survey & Find Your Best PHT Recovery Plan 🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉 For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ Check out Lasse's website here: https://www.lasselempainen.fi/?lang=en In this episode, Brodie sits down with world-leading orthopedic surgeon Dr. Lasse Lempainen , a specialist in complex hamstring injuries, to answer one of the most confusing and anxiety-provoking questions runners face: “How do I know if I actually need surgery — or if rehab is still the right path?” Drawing on decades of surgical experience and extensive research into hamstring avulsions and proximal hamstring tendinopathy (PHT), Dr. Lempainen walks through how he actually makes decisions in real clinical practice — not just what MRI scans show, but how symptoms, function, timelines, and rehab quality all fit together. Together, Brodie and Lasse unpack the gray area that most runners live in: partial tears, chronic pain, mixed scan results, failed rehab attempts, and fear-based decision-making. The result is a balanced, evidence-informed discussion that helps runners understand where surgery fits — and where it doesn’t. What You’ll Learn in This Episode: How Surgeons Decide Who Actually Needs Surgery Why MRI findings alone are never enough The importance of correlating scans with clinical function and symptoms Why some complete avulsions heal well conservatively — and others don’t Hamstring Avulsion vs Proximal Hamstring Tendinopathy (PHT) Key differences between acute avulsions , chronic avulsions , and tendinopathy Why not all “avulsions” are the same (1-tendon vs 3-tendon injuries) When retraction distance matters — and when it doesn’t Critical Timing Windows Why acute avulsions should ideally be operate…