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April 3, 2026International Journal of Sports Physical TherapyOpen Access

Radial Pressure Wave and Focused Shockwave Therapy for Proximal Hamstring Tendinopathy: The Role of Patient Positioning, a Narrative Review and Clinical Commentary

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Authors

JAJennifer R. ArthursJacksonville CollegeCHC HaMayo Clinic in ArizonaJPJulie L PohladMayo Clinic Hospital

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Overview

Narrative review reports on shockwave therapy positioning in patients with proximal hamstring tendinopathy, suggesting new approaches.

Key Points

  • This review aims to evaluate existing literature on patient positioning during shockwave therapy for proximal hamstring tendinopathy.
  • Conducted a search of MEDLINE/PubMed and EMBASE for studies from January 2005 to January 2026.
  • Included studies assessing radial pressure wave (RPW) or focused shockwave (FSW) treatment for proximal hamstring tendinopathy.
  • Identified six manuscripts, including two RCTs, two retrospective reviews, and two case reports involving 217 patients.
  • Noteworthy improvement in patient-reported outcomes with RPW and/or FSW treatments was found.
  • One RCT described patient positioning in a supine position, while another report detailed a prone position.
  • Narrow consensus on treatment protocols and patient positioning was identified, emphasizing variability in approaches.

Cite This Study

Arthurs et al. (2026) studied this question.

synapsesocial.com/papers/69cf5c925a333a821460a2c2https://doi.org/10.26603/001c.158527
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1High Hamstring Tendinopathy in RunnersMeeting the Challenges of Diagnosis, Treatment, and Rehabilitation2005 · 71 citations
  2. 2Ultrasound‐Guided Fenestration of Tendons About the Hip and Pelvis2015 · 50 citations
  3. 3Platelet-Rich Plasma for Treatment of Chronic Proximal Hamstring Tendinopathy2020 · 13 citations
  4. 4Physiotherapy Compared With Shockwave Therapy for the Treatment of Proximal Hamstring Tendinopathy: A Randomized Controlled Trial2025 · 6 citations
  5. 5Use of extracorporeal shockwave therapies for athletes and physically active individuals: a systematic review2024 · 37 citations