14/03/2026
Proximal Hamstring Tendinopathy: What You Need to Know!
If you've ever felt a deep ache or pain at the top of your hamstring (right under your buttock) that flares up when running, sitting, or stretching, you might be dealing with Proximal Hamstring Tendinopathy (PHT).
Mechanism of Injury:
PHT occurs due to repetitive overload of the hamstring tendon where it attaches to the ischial tuberosity (sit bone). This can be from:
- Sudden spikes in running volume (especially sprinting or hill running)
- Repetitive hip flexion (think deep lunges or stretching)
- Prolonged sitting, which compresses the tendon
- Poor biomechanics leading to excessive tendon strain
Signs & Symptoms:
- Deep ache or pain in the lower gluteal region
- Worse with prolonged sitting, sprinting, or stretching
- Tenderness at the ischial tuberosity
- Stiffness or discomfort when first moving after rest
- Pain that worsens with increased training load
Who’s at Risk?
- Runners (especially distance and sprinters)
- Athletes who do explosive movements (football, hockey, CrossFit)
- Those who overstretch the hamstrings (yoga, dance, gymnastics)
- People who sit for long periods (desk workers, long-haul drivers)
Take home message:
PHT is treatable with the right rehab plan! Avoid aggressive stretching, gradually strengthen the hamstrings, and modify your training load to keep that tendon happy.
If you're struggling with hamstring pain, book an appointment at - https://5thelementsportsinjuryclinic.janeapp.co.uk/
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