Hi Curt,

I have had some success with DN for insertional hamstring tendinosis. I really like needling with rotation in this area. I will use 5-10 needles inserted into most symptomatic area of the tendon insertion. When you hit a symptomatic area add rotations. I will add rotation. I will usually rotated till tight let it sit for a few minutes and then repeat that sequence 3 rounds or 5-10 minutes. I would also treat lower lumbar in the sciatic n. distribution and distal homeostatic for systemic response. E-stim is always nice as well. Cuation with sciatic n. running down the middle of hamstrings.

From the NRT course I also really like cupping with movement. I will do static cups for 3- 5 minutes and then follow with hamstring curls. or do cups or vibration massage gun with straight leg raise or nerve glide techniques.

Nick Sanders.

Thank you, appreciate the suggestion and insight.

I currently have a similar client but pain has been for much longer. Seeing good results with much of what you mentioned above but I am curious about using the massage gun with straight leg raise - are you using massage gun while they are raising leg or using it then have the patient perform a few Straight leg raises and then repeat?