Conversation: The conversation between human and AI assistant.
[|Human|] Our 9 yr old boy has some issues with his running. His main issue is very tight hamstrings, along with weak hips. He wears orthotics and has been to PT as well as working with a running coach to help his bio mechanics. Things have improved apart from the hamstrings which have refused to loosen. Our PT mentioned mild Tethered Cord as an option, do you think this could be a possibility. He is a big guy, already 5ft and plays soccer, BB and tennis. Thanks Phil.
[|AI|]  Hi, No. This doesn't seems like a case of tethered cord, as tethered cord has both motor and sensory signs and symptom and are usually progressive. This appears more like a case of cerebral palsy, tight hamstring with weak muscles is characteristic of hamstrings. Initial treatment is mainly through orthotics with adjuvant surgical procedures but to reach a diagnosis, a detailed physical examination is essential. As far as tight hamstrings is concerned, they can be lengthened by surgery. Take care. Hope I have answered your question. Let me know if I can assist you further.