Overcoming Proximal Hamstring Tendinopathy

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉Learn more about Brodie's PHT AI Assistant 📄🔍Sign up for the FREE PHT 5-Day Course HERE🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.infoRun Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice. Guest: Dr. Ian Seels | Specialist Musculoskeletal Physiotherapist🧠 Episode SummaryIn this thought-provoking episode, Brodie chats with Dr. Ian Seels, a private musculoskeletal physiotherapist with over 35 years of experience and a co-author of the paper The Relevance of Diet in Musculoskeletal Clinical Practice – A Narrative Review. Together, they explore the emerging science behind how diet influences inflammation, pain, and injury recovery—with a particular focus on what this means for recreational runners.If you're battling persistent niggles, chronic tendon pain, or just want to run pain-free into your later years, this episode offers a fresh perspective you might not have considered: what you eat could be the missing link in your recovery journey.🔍 What You’ll LearnWhy inflammation matters more than weight when it comes to injury and painHow a high-carb Western diet may be quietly sabotaging your recoveryThe 3 pillars of "active management" for injury: mechanical, mental, and metabolicThe basics of an anti-inflammatory diet (very low carb, high fat, moderate protein)The difference between nutritional ketosis vs. metabolic acidosisHow to train your body to burn fat instead of carbs for enduranceSimple ways to reduce oxidative stress and support your gut healthWhy omega-3 to omega-6 balance is critical for joint and tendon healthLabel-reading tips that might surprise even the most health-conscious runnersWhether CRP and ketone testing is worth doing to track inflammation🧪 Practical Takeaways for RunnersA 4–6 week anti-inflammatory diet “trial” could help reduce pain and improve energyReducing processed foods and increasing healthy fats can shift you into a less inflamed stateBerries, leafy greens, herbs, and spices are powerful sources of antioxidantsKetone testing can “gamify” your dietary changes and provide real-time feedbackOmega-3s from oily fish, grass-fed meats, and free-range eggs support healing🛠️ Resources Mentioned📄 Paper: The Relevance of Diet in Musculoskeletal Clinical Practice – A Narrative Review📺 YouTube: Diet, Health and the Wisdom of Crowds (2018)🌐 LowCarbDownUnder.com.au – A go-to hub for evidence-based low-carb/keto nutrition

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉Learn more about Brodie's PHT AI Assistant 📄🔍Sign up for the FREE PHT 5-Day Course HERE❓ Questions Answered in This Episode:How do I correctly perform Keith Barr’s isometric bridge for PHT?Can I build a rehab routine without deadlifts if I have knee issues?Can diseased tendons or partial tears ever fully heal?Should I keep doing strength sessions if I’ve flared up?What do I do when I can no longer progress my exercises?Could walking on a treadmill cause a flare-up?💡 Key Takeaways:Keith Barr's Isometric Strategy: Use an anterior pelvic tilt during a single-leg bridge to target the proximal hamstring tendon more directly.Training Around Knee Pain: Modify deadlift range, keep the shin vertical, and experiment with tolerable load zones to stay active during knee flare-ups.Partial Tears & Recovery: Tendons with partial tears can often recover without surgery—track your strength, function, and symptom trends instead of obsessing over scan results.Managing Flare-Ups: You don't need to wait for a full return to baseline—1–3 days of rest followed by finding a new adaptation zone is often ideal.Progression Plateaus: When nearing max capacity in exercises, micro-progressions (e.g. +1 rep or +2 lbs) and reduced frequency (e.g. 2x/week) may be best.Walking Flare-Up Clues: High frequency, speed, incline, or insufficient recovery might turn a low-load activity like walking into a trigger.🧠 Brodie’s Insight:“Consistency and experimentation are key. You're not just following a plan—you're learning how your tendon responds. The more data points you collect, the smarter your rehab becomes.”🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.infoRun Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice. 

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉Learn more about Brodie's PHT AI Assistant 📄🔍Sign up for the FREE PHT 5-Day Course HEREIn Part 3 of this special series, Brodie tackles more insightful questions from listeners navigating their PHT recovery journey. With practical advice and personal stories, this episode is packed with actionable takeaways for anyone dealing with chronic hamstring pain.🧠 Topics Covered:Training other leg muscles during rehab: Are squats, leg presses, and calf raises safe? What about creating muscle imbalances?Flare-ups after rehab: Are they normal? When should you start worrying?Toughest client experiences: Brodie shares the most challenging cases he's worked with—and the common thread between them.Psychological struggles: How to shift your mindset when it feels like you’ll never get better.End-stage rehab guidance: For those almost fully recovered, how to know what exercises to keep, drop, or progress.Running warm-ups: What’s necessary when reintroducing running post-injury?Strength progression pacing: How to safely increase weights, reps, or volume—especially for seniors or those easily flared up.Does slower recovery = weaker tendon? Brodie breaks down the myths and shares what really influences recovery time.🧰 Key Takeaways:Keep training unaffected muscles to prevent deconditioning and stay mentally engaged.Flare-ups are learning opportunities—not failures.Progress rehab slowly and smartly—especially if you're prone to setbacks.Your mindset matters. Reframing rehab as your new “sport” can be a game-changer.Progress only one variable at a time—reps, weight, or frequency—not all at once.Recovery time from soreness is multifactorial: nutrition, sleep, age, and stress all play a role.📚 Brodie Mentions:Book: Rebound by Carrie Jackson Cheadle (A great read for injured athletes struggling with identity and motivation.)🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.infoRun Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice. 

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉Learn more about Brodie's PHT AI Assistant 📄🔍Sign up for the FREE PHT 5-Day Course HEREIn 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.🛠️ Helpful Resources Mentioned:🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.infoRun Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉Learn more about Brodie's PHT AI Assistant 📄🔍Sign up for the FREE PHT 5-Day Course HEREIn this listener-driven episode, Brodie answers 10 of your most pressing questions about proximal hamstring tendinopathy (PHT). From isometric training to pain rules, sitting tolerance, and tendon healing potential—this Q&A is packed with practical insights to help you take control of your recovery.🧠 What You’ll Learn in This Episode:📉 Is gentle running delaying healing? How to use "pain rules" to guide your load management.✅ Can PHT fully heal? Yes—and Brodie explains how research supports complete tendon recovery (with some important caveats about pain).🧱 Isometrics revisited: Brodie shares how his views have shifted after his chat with Dr. Keith Barr and what exercises he now recommends.🏋️‍♀️ How should isometrics be programmed? Duration, intensity, and how to pair with RDLs, curls, and step-ups.🚶‍♂️ When to do loading exercises vs walking: How to time your rehab and avoid diagnostic confusion.💪 Am I getting stronger if I still have pain? Why strength and pain are different metrics—and how to track both.🚗 Sitting pain: annoying or damaging? Whether long car rides are actually harming your tendon and how to modify.🤔 Is it still PHT? Brodie explains why he avoids making remote diagnoses and what to do when symptoms are vague or lower down the leg.📈 How do I progress my running? A guide to adding a third running day without flaring up symptoms.🎭 Living with PHT as a performer: Does pushing through mild pain lead to long-term damage? Plus, are foam rollers helpful or harmful?🔁 Stay Tuned:This is just part 1 of a multi-episode Q&A series—more listener questions and in-depth answers coming soon. If you’d like to submit a question for a future episode, sign up for the free email course and keep an eye on your inbox!🛠️ Helpful Resources Mentioned:🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.infoRun Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉Learn more about Brodie's PHT AI Assistant 📄🔍Sign up for the FREE PHT 5-Day Course HEREIn this episode, Brodie sits down with Moira, a dedicated endurance athlete and physical therapist, to discuss her long and challenging battle with chronic injury. What started as a suspected stress fracture turned into a frustrating cycle of pain, conflicting diagnoses, and psychological hurdles. Moira shares her journey of setbacks, self-reflection, and ultimately, breakthrough moments that led her back to running. Her story highlights the importance of understanding pain science, overcoming fear of movement, and following a structured, gradual return-to-running plan.What You’ll Learn in This Episode:The progression of Moira’s injury and the many misdiagnoses she received along the way.How medical imaging (MRI, x-rays) and different professional opinions added to her confusion.The psychological impact of chronic pain and injury on an athlete’s identity.The role of pain science in Moira’s recovery and how she shifted her mindset.The importance of finding a trusted health professional who aligns with your approach.How Moira gradually returned to running and her current training routine.Key Takeaways:Pain Science & Nervous System Sensitivity: Moira learned that her pain wasn’t solely due to structural damage but also a result of a hypersensitive nervous system. Recognizing this was a major turning point in her recovery.Fear of Movement (Kinesiophobia): Despite being a physical therapist, Moira developed a deep fear of movement, which prolonged her symptoms. A gradual and confidence-building approach to movement helped her break this cycle.Small, Sustainable Steps: Her return to running started with 10-second run intervals. This slow approach was crucial in rebuilding confidence and reducing fear-driven pain responses.The Power of Self-Talk & Mental Reframing: Moira used mantras, journaling, and positive reinforcement to change her mental approach to pain and injury.Trust & Patience in the Process: Finding a professional she trusted and following a structured plan were critical in her return to pain-free running. 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.infoRun Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉Learn more about Brodie's PHT AI Assistant 📄🔍Sign up for the FREE PHT 5-Day Course HEREOptimal Nutrition for Tendon Recovery with Jordi Sullivan 📍 Episode Summary: In this episode, Brodie is joined by sports dietitian Jordi Sullivan, founder of The Fight Dietitian, to unpack one of the most overlooked aspects of injury rehab: nutrition. While the conversation begins with general performance nutrition, the focus soon shifts to actionable strategies for tendon recovery, particularly for those overcoming proximal hamstring tendinopathy (PHT).Jordi shares his evidence-based, no-nonsense advice on calories, macronutrients, micronutrients, and supplements, while offering simple frameworks to help injured athletes support healing and stay on track with their rehab goals.🧠 What You’ll Learn:Why calorie intake is essential—especially during injuryHow to calculate protein needs and why it's vital for tissue repairA breakdown of carbs and fats: their role in recovery and daily fuelingHow to spot signs of under-fuelling, both short- and long-termWhen (and if) supplements like collagen, vitamin D, and protein powders are worth usingHow to keep nutrition simple without sacrificing resultsWhat recreational runners can learn from elite athlete routines—without overdoing itThe “factory” analogy to understand how your body uses food to heal👤 Guest Bio: Jordi Sullivan is a qualified dietitian with a Master's in Dietetics and a background in exercise and nutrition science. He works with a wide range of athletes including combat sport professionals, endurance runners, and team sport athletes. Through The Fight Dietitian, Jordi and his team specialize in helping athletes optimize performance, recovery, and injury resilience using practical, science-backed nutrition.📌 Resources & Links:🌐 Visit The Fight Dietitian Website🌐 Website 'PDF Guides & Courses'📸 Follow Jordi: @the_fightdietitian📸 Follow Lauren (Endurance Specialist): @thexfitdietitian💬 Key Quotes:"If you’re under-fuelling long-term, your body starts shutting down systems it can’t afford to run. That includes your bones, immune system, and even your mood." – Jordi Sullivan"Supplements should supplement your diet—not replace a poor one. Start with food first." – Jordi Sullivan🎧 Tune In If:You're recovering from PHT or any injury and want to optimize your healingYou want clarity on protein, carbs, fats, and how much you really needYou’re curious about collagen, vitamin C, and other trendy recovery supplementsYou want to stop guessing and start fuelling your body the smart way🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.infoRun Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉Learn more about Brodie's PHT AI Assistant 📄🔍Sign up for the FREE PHT 5-Day Course HEREEpisode SummaryIn today’s episode, we welcome back Matt, who originally shared his success story in Episode 95. Two years ago, he successfully overcame proximal hamstring tendinopathy (PHT) in his left leg. However, in the past year, he faced a new challenge—PHT on his right leg. Unlike his previous experience, this case proved to be more stubborn and took nearly a year to resolve.Matt’s journey provides deep insights into the complexities of PHT rehab and highlights the importance of strength training, patience, and persistence. This episode is a must-listen for runners struggling with recurring injuries, as Matt shares his key takeaways from his rehab journey, the role of gym-based strength work, and the adjustments that finally led to full recovery.Key Takeaways from This Episode🔹 The Reality of PHT RecurrenceAfter successfully treating PHT on one side, Matt developed it on the other leg a year later.Despite applying the same rehab strategies, this case was more stubborn and required new approaches.🔹 What May Have Caused the Second PHT CaseStarted a new training cycle with a strong emphasis on strides and uphill sprints.Simultaneously introduced gym training, leading to a hamstring strain near the knee.Once the strain healed, mild PHT symptoms began to develop, possibly due to hamstring weakness.🔹 Rehab Attempts That Didn’t WorkPerformed targeted home-based hamstring strengthening exercises, focusing on painful movements.Experimented with different exercise frequencies, intensities, and recovery strategies.Symptoms remained at a mild but persistent 1-2/10 pain level for nearly a year.🔹 The Breakthrough MomentStarted going to the gym twice a week with a full-body strength program after running.Increased load with heavier weights and compound exercises (e.g., squats, deadlifts).Adopted a "one-set-per-exercise" approach to maximize exercise variety.Noticed improvements within 4 weeks, and symptoms completely resolved within 2 months.🔹 Possible Reasons This Approach WorkedHeavier Strength Work – Increased tendon load beyond what was possible with home workouts.Exercise Variety – Instead of focusing only on painful movements, he incorporated full-body training.Running Before Strength Training – This may have helped fatigue healthy tendon fibers, forcing the injured portion to adapt and strengthen (as explained by tendon researcher Keith Baar).🔹 Takeaways for Runners with PHTStrength training is non-negotiable if you want to avoid PHT.Ignoring symptoms early on can lead to longer recovery times. Address small flare-ups before they become chronic.The “Easy Interval Method” allowed Matt to include speed work without triggering symptoms.Runners should expect some setbacks. PHT recovery is not always linear, and adjusting training when needed is key.Final Message from MattIf you're dealing with mild but persistent PHT, don’t lose hope! The right training adjustments can help you return to pain-free running. Matt’s key lesson: Running alone makes you weaker—strength training is essential to stay resilient.🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.infoRun Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉Learn more about Brodie's PHT AI Assistant 📄🔍Sign up for the FREE PHT 5-Day Course HEREPHT Success Story: Brook Benten’s Journey to RecoveryIn this powerful and inspiring episode, we welcome Brook Benten, a personal trainer, exercise physiologist, and author, who shares her deeply personal journey of overcoming Proximal Hamstring Tendinopathy (PHT). Brooke opens up about her struggles, setbacks, and the pivotal mindset shifts that led her to recovery.What You’ll Learn in This Episode:✅ Brook’s background in the fitness industry and how her passion for movement shaped her career✅ How overtraining, perfectionism, and high self-expectations contributed to her PHT injury✅ The emotional and psychological battles that amplified her pain and delayed healing✅ The turning point—embracing wellness, strength training, and self-compassion ✅ Key strategies that helped Brook finally break free from chronic pain ✅ The connection between mental health, trauma, and persistent pain ✅ How she successfully returned to running, including her emotional comeback raceKey Takeaways for PHT Recovery:💡 Strength training is crucial – Incorporating heavy resistance exercises (like deadlifts and hamstring curls) played a massive role in Brook’s recovery 💡 Mental health matters – Addressing emotional stress, perfectionism, and suppressed emotions was key to reducing pain sensitivity 💡 Healing is holistic – Nutrition, sleep, stress management, and social connections all play a role in tendon recovery 💡 Small wins matter – Celebrating progress (instead of dwelling on limitations) builds a positive mindset that supports recovery 💡 You are not alone – Many runners struggle with PHT, but with the right approach, full recovery is possibleConnect with Brook Benten:📸 Instagram: @BrookBenten 🏃‍♀️ Strava: Brook Benten-HimenaBooks: “Sweat with Brook Benten"Or “10 Minutes to Slim and Sober.”  Availabile here: https://brookbenten.com/shop/ 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.infoRun Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉Learn more about Brodie's PHT AI Assistant 📄🔍Sign up for the FREE PHT 5-Day Course HEREIn this episode of the Run Smarter Podcast, I sit down with Dr. Keith Barr from the University of California, Davis, to uncover groundbreaking research on tendon health, rehabilitation, and performance. Dr. Barr shares his expertise on tendon tissue engineering, the role of mechanical loading in healing tendinopathies, and how to reverse chronic scar tissue formation. Whether you're a runner struggling with tendon pain or a coach looking to optimize performance, this episode is packed with game-changing insights.What You'll Learn in This Episode🔹 Why tendons develop scar tissue – and how stress shielding plays a role in tendinopathy🔹 How to reverse chronic tendon damage – with the right type of loading strategy🔹 The difference between tendon stiffness and perceived stiffness – and how it impacts performance and injury risk🔹 Why isometric exercises are a game-changer – and how to use them effectively in rehab and injury prevention🔹 The role of hormones in tendon injuries – including how menopause and testosterone affect tendon health🔹 How to train smarter to avoid tendon injuries – including the optimal way to structure your running volumeKey Takeaways & Actionable Strategies✅ Target the scar tissue with load – Use isometric holds after a workout to gradually reintroduce load to the weak areas✅ Don’t rush into plyometrics – Start with long-duration isometric exercises before progressing to slow, heavy strength training✅ Train twice a day for better tendon adaptation – Splitting your runs into two sessions improves tendon recovery and adaptation✅ Respect the first few sessions of new training – The first track session, spikes workout, or hill session introduces high jerk forces, increasing injury risk✅ Consider hormonal factors – Women going through menopause may need to adjust their training due to changes in tendon stiffness and collagen synthesisDr. Keith Barr’s Research & Resources🔹 Follow Keith Barr on BlueSky: Muscle Science🔹 Read his research paper: Using Load to Improve Tendon Ligament Tissue Engineering and Develop Novel Treatments for Tendinopathy🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.infoRun Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice.