Overcoming Proximal Hamstring Tendinopathy

PHT Q&A: Why You’re Still in Pain Despite Doing Everything Right


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In this milestone Q&A episode, Brodie tackles your most pressing questions about proximal hamstring tendinopathy (PHT) — covering flare-ups, long-term pain, sleeping issues, training setbacks, and even how tight hip flexors fit into the picture.

Whether you're just starting your rehab journey or stuck in a plateau, these answers will help you adjust your plan and regain control.

🎧 What You'll Learn:

Cycling & PHT — When cycling to work becomes part of the problem
Long-Term Recovery Doubts — “Will I ever be pain free again?”
Tight Hip Flexors — Do they relate to PHT or are they just noise?
Flare-Up Triggers — Why some weeks you feel great… and others fall apart
Running Strategy — When to stop, reduce, or push through
Speed Work — The right time to reintroduce faster running
Sleep Disruption — Why some flare-ups hit hardest at night
Nervous System Involvement — How chronic PHT becomes more than just tendon pain
Hot or Burning Sensations — What it means when your tendon feels “hot”
Post-Rehab Maintenance — What to do after symptoms go away

🧠 Key Takeaways:

  • Pain rules matter: Mild discomfort (<4/10), return to baseline by the next day, and a positive weekly trend are your north star.
  • Setbacks are part of progress: Use them to tweak—not trash—your rehab plan.
  • Training load ≠ just running: Cycling, gardening, and even long sitting can tip the load-recovery balance.
  • The nervous system matters: Chronic pain is often more than just a mechanical issue.
  • Hotness ≠ progress: It might be a sign of irritation or nerve sensitivity.
...more
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Overcoming Proximal Hamstring TendinopathyBy Brodie Sharpe

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