Athlete with a
proximal hamstring rupture or avulsion?
Here you get clear answers and realistic recovery options
Dr. med. Luise ‘Loopi' Weinrich
Free patient education for serious hamstring avulsions
Two essential guides + one supportive community to help you stop guessing and start deciding.
Understanding Proximal Hamstring Avulsion Guide
Understand your injury and clinical decision factors
Proximal Hamstring Avulsion Pathway Guide
Map your entire journey from injury to comeback
Athlete Transition Lab Community
Join athletes navigating the same injury
Medical-grade decision support and phase-based recovery systems
Expert support for surgery decisions, post-op planning, and phase-based recovery
€250
50% credited toward OYHR if you join within 30 days
€150
75% credited toward OYHR if you join within 30 days
€1.800
Includes 4 coaching calls, 24-week training system, mental resilience tools
FAQs
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A proximal hamstring rupture/avulsion is when one or more of the hamstring tendons pull off the bone high up at the sitting bone (ischial tuberosity), rather than tearing in the muscle belly like a typical “strain.” That changes how it behaves, how it’s seen on MRI, and how we think about surgery vs rehab and return‑to‑sport.
If you want the full, plain‑language version – what it is, how doctors read tendons and retraction, and where the real grey zones are – the Understanding Proximal Hamstring Avulsions Guide (UPHAG) walks through all of that in one place.
Answer in one evening:
Download the free UPHAG guide -
No – I can’t and won’t give you a personal “yes/no” on surgery from a website.
Your own surgeon/physio, who can examine you in person and see all your imaging, always stays in charge of diagnosis and treatment. My role is different: I help you understand the evidence and trade‑offs so you’re not guessing when you sit in front of them.
That’s what the Hamstring Surgery Clarity Audit (HSCA) is for. HSCA doesn’t replace your local team or overrule them. It:
Takes your MRI, symptoms, sport demands, timing, and fears
Places your case on the clear surgery / clear rehab / true grey‑zone spectrum
Gives you a written decision brief and specific questions to take back to your surgeon and physio
So instead of “I don’t know what to ask,” you walk into the room with a calm, structured surgery‑versus‑rehab discussion ready to have.
If you’re stuck between operate vs rehab:
Learn about HSCA -
No. Nothing on this site – not UPHAG, not HSCA, not OYHR – is meant to replace your surgeon or physio.
Think of it this way:
Your local team: diagnoses, examines, prescribes, operates, adjusts medication and protocols.
My work: explains the injury and evidence in normal language, organises the decision, and gives you a system to follow so you’re not improvising week‑to‑week.
The paid services exist because:
UPHAG and PHAP can show you the landscape,
But someone still has to help you apply that to your exact case (HSCA), and
Someone needs to help you turn “go do rehab” into a 24‑week, phase‑based plan after surgery (OYHR).
So the relationship is always:
with your team, not instead of them.
The better educated and structured you are, the easier it is for them to help you at a high level. -
You’re a good fit for HSCA if:
You’re a serious athlete (sport matters deeply to you)
You have a suspected or confirmed proximal hamstring rupture/avulsion
You’re getting mixed messages about surgery vs rehab, or feel rushed to “just decide”
You want a calm, written decision brief and better questions for your next consult, not another vague opinion
You’re a good fit for OYHR if:
The surgery decision is already made or surgery is done
You’re medically cleared for that path, but feel “patched up and directionless”
You’re tired of guessing load, relying on motivation, or stopping at “jogging and a few exercises”
You want a 24‑week, hamstring‑specific recovery course with videos, sport‑specific progressions, mental tools, and check‑ins – run together with your physio and surgeon
Free guides and the community will take you a long way.
HSCA and OYHR exist for the two moments where most serious athletes regret not having more help:When you’re about to make a surgery‑versus‑rehab decision you’ll live with for years (HSCA)
When you’re “cleared” but still a long way from the sport you actually play (OYHR)
If you don’t want to guess at either of those stages:
See if HSCA or OYHR fits your situation
About the Founder and Doctor
Dr. Luise “Loopi” Weinrich is the founder of Athlete Transition Lab and an orthopaedic & trauma surgeon focused on sports. Over the past 7+ years she has spent hours in operating rooms treating complex sports injuries, alongside sports and orthopaedic research. Before ATL, she spent 20 years as an elite breaker (German Red Bull BC One Champion, German Olympic Breaking Team), giving her the rare combination of being both the doctor and the athlete.
Her work now centres on one niche: serious athletes with proximal hamstring ruptures/avulsions. Through free guides (UPHAG, PHAP), a dedicated community, the Hamstring Surgery Clarity Audit (HSCA), and the 24‑week Own Your Hamstring Recovery (OYHR) system, she turns fragmented care into clear decision‑support and phase‑based rehab that athletes can run together with their local teams.
Her principles are simple:
Evidence first, stories second - start with base rates and real outcomes, then place each athlete’s story on that curve.
Decisions before drills - a clear surgery‑versus‑rehab decision and mapped pathway come before sets and reps.
Systems, not pure willpower - rehab is designed like a season plan: phases, progression rules, and check‑ins.
With your team, not instead of them - local surgeons and physios stay in charge; her work adds structure, language, and decision‑support on top.
Her mission with Athlete Transition Lab is to make high‑quality, hamstring‑specific education and recovery systems accessible to serious athletes and their clinicians, so no one has to bet their sport career on guesswork.
Client Testimonials
Proof from athletes like you
“Loopi helped me use conservative rehab properly, and then helped me recognize early that it wasn’t enough. When I finally chose surgery, I knew exactly why and what the plan afterwards would look like.” - A.A., climber
A.A., 36 years old, is a recreational, serious climber who first tried conservative approach after his injury. Together with Doc Loopi he reviewed his MRI, set up a structured non‑operative plan, and then monitored progress. When it became obvious that conservative care wasn’t getting him where he needed to be, they revisited the options and Adrian decided on surgery with a clear head. “Before talking to Loopi I was stuck, because no doctor took my pain serious. After our session I finally understood what was going on, what my realistic options were, and which path actually made sense for me.” S.S., Breaker
S.S., 28 years old, is a Pro Bgirl from the German Olympic Team, who was facing a serious injury and a lot of uncertainty about what to do next. In her consultation with Doc Loopi, they broke down her scans and symptoms, discussed the pros and cons of surgery vs conservative care for her specific situation, and defined concrete next steps. She left with far less anxiety, a decision she could stand behind. She chose the conservative path and is currently recovering, we wish her all the best! “Loopi helped me cut through all the mixed messages, understand my MRI in plain language, and leave with a plan I actually trusted. I felt like someone she really saw both the surgery and the athlete in me.” S.H., dancer
S.H., 41 years old, has been a dancer for over 25 years who faced a serious injury and a lot of conflicting advice. In his call with Doc Loopi, they went through his MRI and history together, clarified what the findings really meant, and mapped out his next steps. Instead of guessing between opinions, he left with a clear decision, realistic expectations, and a structured roadmap back to performance. He's been back dancing and improving the past months...