Overcoming Proximal Hamstring Tendinopathy

PHT Q&A: Why Youโ€™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) โ€” 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.

๐ŸŽง What You'll Learn:

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

๐Ÿง  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 tweakโ€”not trashโ€”your rehab plan.
  • Training load โ‰  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 โ‰  progress: It might be a sign of irritation or nerve sensitivity.

๐Ÿ› ๏ธ Helpful Resources Mentioned:

๐ŸŽ‰๐ŸŽ‰ Sign up for the FREE PHT 5-Day Course HERE ๐ŸŽ‰๐ŸŽ‰
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 Brodieโ€™s database of research papers and podcast episodes for tailored advice.

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Overcoming Proximal Hamstring TendinopathyBy Brodie Sharpe

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