A few days ago, a new case-injury arose. A long-time patient and a dear friend injured himself during a soccer match by trying to play a heel pass. Immediately it was seen that the injury is severe. MRI confirmed expectations, intramuscular hamstring biceps tendon tore. It is a very complicated and long healing injury and usually misdiagnosed as a simple muscle rupture.
Our approach rests on trying to stop tissue cells apoptosis and to control inflammation process. Local injection therapy, prolotherapy, physical rehabilitation therapy and high intake of vitamins, minerals and amino acids is planned. Thankfully as there are no big hematomas forming therefor therapy will be simpler (no aspiration of hematoma needed). Planned control is 2 weeks after injury.
MRI of hamstring intramuscular biceps tendon injury
One full week local ultrasound guided injection therapies were administered in daily sessions. Patient was advised to take lot of amino acids (as they are more easily absorbed and used than proteins) and vitamins. After almost two weeks we decided to make a control MRI. My main concern was the rate of regeneration of the ruptured tendon. Ultrasound showed excellent progress but I needed to be sure by doing a control MRI. A mistake in assesment or progressing with rehabilitation to quickly could mean a new reinjury and much more complicated situation.
MRI of hamstring intramuscular biceps tendon injury two weeks into the rehabilitation
MRI confirmed a great progress and intramuscular tendon healing! Comparing the two MRIs muscle healed as well and there was no fluid around the muscle.
Comparation of MRIs, left one few days after the injury, right one after first cycle of therapies, two weeks later.