Proximal hamstring tendinopathy (PHT) is a common condition that affects the tendons and muscles of the hamstring region. It is a painful condition that is often caused by change or increase in training load, strength deficits, or inadequate rest/recovery. PHT is most common in athletes who engage in running, jumping, or other sports that require significant use of the hamstrings.

Symptoms of PHT may include pain in the buttock or back of the thigh, particularly when sitting, stretching, or engaging in activities that require the use of the hamstrings. In some cases, the pain may radiate down the back of the thigh.

PHT is typically diagnosed through a physical exam, which may include a range of motion tests, strength tests, and palpation of the affected area. Imaging tests such as MRI may also be used to confirm the diagnosis and rule out other conditions.

 
Treatment for PHT typically involves decision making around the best way to manage training loads. It does not always require a period of rest and we can often keep you training at a reduced volume/intensity. Rehab will include some form of progressive loading program to increase the capacity of your hamstring to tolerate your training loads.

In conclusion, PHT is a painful condition that can be caused by training error, strength deficits, or inadequate rest/recovery. Treatment typically involves load management, physical therapy, and strength training. If you suspect that you may be suffering from PHT, it is important to seek medical attention to ensure an accurate diagnosis and appropriate treatment.