Overcoming Proximal Hamstring Tendinopathy

Paper Review: Do Male & Female Tendons Heal Differently?


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🧠 Episode Summary

In this episode, Brodie dives into a newly published paper titled ā€œFemale Tendons are from Venus and Male Tendons are from Mars: But Does it Matter for Tendon Health?ā€ by Gerard McMahon and Jill Cook. The paper explores how male and female tendons differ in structure, adaptation, healing, and injury risk—and what it means for those dealing with tendinopathy.

šŸ” What You’ll Learn

  • Key structural differences between male and female tendons (size, stiffness, collagen synthesis)
  • Why female tendons may stretch more but adapt less to training
  • How men and women respond differently to tendon rehab protocols
  • Surprising findings about pain, healing, and tendon blood flow
  • Whether injury prevention or rehab should differ based on sex

šŸ“Œ Key Takeaways

  • Female tendons are more compliant, have lower stiffness, and show slower collagen production—even at rest.
  • Male tendons respond more favorably to traditional rehab (like eccentric loading), often reporting greater pain reduction and functional improvements.
  • Despite men experiencing more frequent tendon injuries in some data, women may be closer to their strain ā€œdanger zoneā€ during exercise, possibly increasing injury risk.
  • Women may need longer rehab timelines, heavier resistance training (beyond just eccentrics), and closer attention to recovery, nutrition, and hormonal cycles.
  • Men should be cautious about overloading tendons due to higher force-generating capacity and should still progress gradually.

šŸ’” For Runners With Tendinopathy

  • Don’t compare your progress to someone of the opposite sex—recovery is sex-specific.
  • Trust the process: healing may be happening at a microscopic level even if pain relief is slow.
  • Tailor your rehab by considering not just gender, but also age, training history, injury severity, and more.
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Overcoming Proximal Hamstring TendinopathyBy Brodie Sharpe

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