{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Overcoming Proximal Hamstring Tendinopathy","title":"When to Operate & When to Rehab with Surgeon Lasse Lempainen","html":"","width":"100%","height":180,"duration":4376,"description":"Check out Lasse's website here: https://www.lasselempainen.fi/?lang=enIn 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 SurgeryWhy MRI findings alone are never enoughThe importance of correlating scans with clinical function and symptomsWhy some complete avulsions heal well conservatively — and others don’tHamstring Avulsion vs Proximal Hamstring Tendinopathy (PHT)Key differences between acute avulsions, chronic avulsions, and tendinopathyWhy not all “avulsions” are the same (1-tendon vs 3-tendon injuries)When retraction distance matters — and when it doesn’tCritical Timing WindowsWhy acute avulsions should ideally be operated on within 2–3 weeksWhat happens when diagnosis is delayedWhen chronic injuries become harder (or impossible) to fully restore surgically“Failed Rehab” — What That Really MeansWhy many runners are told they’ve “failed rehab” when they actually haven’tCommon mistakes in conservative treatment (under-loading, poor progression)When even excellent rehab is unlikely to succeed due to tendon biologyWhat Surgery...","thumbnail_url":"https://img.transistorcdn.com/U9QHyZiuMTAQbAt-L5NPn321w0Wzs7Udil1bb-3dkWM/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9zaG93/LzM5ODgxLzE2ODEw/MjE0MzEtYXJ0d29y/ay5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}