Overcoming Proximal Hamstring Tendinopathy

Hamstring Strength, Running Form & Injury Risk: The Science Every Runner Should Know


Listen Later

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉
Learn more about Brodie's PHT AI Assistant 📄🔍
Sign up for the FREE PHT 5-Day Course HERE


🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉
🗓️ Book a free 20-minute Injury Chat with Brodie 📞

For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info
Run Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice.

Research Deep-Dive: Hamstring Strength & Running Biomechanics

This episode reviews the study: “Hamstring Strength and Architectural Properties Are Associated with Running Biomechanics”, including findings from ultrasound imaging, EMG analysis, and 3D running mechanics. 

Key Study Questions

  • Do stronger hamstrings create better running mechanics?
  • Do better mechanics help build stronger, longer hamstrings?
  • How do strength, fascicle length, pelvic position, and muscle activation interact?

🔎 Main Findings From the Study

1. Stronger Hamstrings = Better Running Mechanics

Athletes with higher eccentric hamstring strength had:

  • Higher stride frequency (cadence)
  • Better control of decelerating the swinging leg
  • Lower ground contact time (improved efficiency)
  • Lower hamstring activation at sub-max speeds → reduced overload 

2. Longer Hamstring Fascicles = Safer, More Efficient Loading

Runners with longer fascicle lengths showed:

  • Less anterior pelvic tilt
  • Lower hamstring activation
  • Better ability to tolerate late-swing loading (a high-irritation phase for PHT) 

3. A Two-Way Relationship Exists

Strength ↔ mechanics influence each other.

  • Stronger hamstrings → better running technique
  • Better running technique → better hamstring loading → stronger, longer muscle structure over time
     This creates a positive adaptation loop. 

4. Over-Reliance on the Biceps Femoris = Red Flag

Runners with weak or short hamstrings tended to over-activate the biceps femoris long head — the most common site of PHT.
Stronger runners shared load better with the medial hamstrings, reducing tendon stress. 

🏃 Practical Rehab Takeaways

1. Build Eccentric Strength

Eccentric strength is one of the strongest predictors of hamstring injury risk.
 Examples Brodie recommends:

  • Hamstring sliders
  • Weighted eccentric sliders
  • Single-leg sliders
  • Assisted → full Nordic drops
  • Deadlifts (when tolerated) 

2. Improve Fascicle Length

Eccentric exercises at long muscle lengths help lengthen fascicles naturally — more so than stretching alone.

3. Strengthen the Medial Hamstrings

To prevent overload of the biceps femoris:

  • Use toes-in hamstring curls
  • Toes-in sliders
  • Toes-in deadlift variations
     These help redistribute load more evenly across the tendon. 

4. Slightly Increase Cadence (~5%)

A small increase in stride frequency may reduce late-swing strain and improve running economy.

5. Integrate Running Into Rehab

Before adding speed:

  • Build to 30 minutes continuous, easy running → symptom-free
    Then introduce:
  • Strides (15–20 sec at ~75% speed, 4 reps)
  • Gradual progression based on symptoms the next day 

Final Thoughts

Hamstring strength, muscle architecture, and running technique are deeply interconnected. Improving one helps improve the others — creating a pathway toward better performance and long-term PHT resilience.

...more
View all episodesView all episodes
Download on the App Store

Overcoming Proximal Hamstring TendinopathyBy Brodie Sharpe

  • 4.9
  • 4.9
  • 4.9
  • 4.9
  • 4.9

4.9

34 ratings


More shows like Overcoming Proximal Hamstring Tendinopathy

View all
Physio Edge podcast with David Pope by David Pope

Physio Edge podcast with David Pope

123 Listeners

FoundMyFitness by Rhonda Patrick, Ph.D.

FoundMyFitness

5,360 Listeners

Run to the Top Podcast | The Ultimate Guide to Running by RunnersConnect : Running Coaching Community

Run to the Top Podcast | The Ultimate Guide to Running

861 Listeners

On Coaching with Magness & Marcus by Steve Magness

On Coaching with Magness & Marcus

382 Listeners

I'll Have Another with Lindsey Hein Podcast by SandyBoy Productions

I'll Have Another with Lindsey Hein Podcast

2,051 Listeners

The Strength Running Podcast by Jason Fitzgerald

The Strength Running Podcast

1,342 Listeners

The Rambling Runner Podcast by Matt Chittim

The Rambling Runner Podcast

500 Listeners

Run4PRs by Run4PRs

Run4PRs

203 Listeners

For The Long Run: Exploring the Why Behind Running by Jonathan Levitt

For The Long Run: Exploring the Why Behind Running

428 Listeners

The Run Smarter Podcast by Brodie Sharpe

The Run Smarter Podcast

142 Listeners

The Running Explained Podcast by Running Explained

The Running Explained Podcast

453 Listeners

Fuel for the Sole by Fuel for the Sole

Fuel for the Sole

289 Listeners

The Planted Runner by Evergreen Podcasts

The Planted Runner

377 Listeners

Tread Lightly Running Podcast by Amanda Brooks and Laura Norris

Tread Lightly Running Podcast

346 Listeners

Relay by Relay

Relay

125 Listeners