Overcoming Proximal Hamstring Tendinopathy

In today's episode, Brodie answers the following questions: Julia: Hi Brodie I have a general query about the fact that this condition is so difficult to treat within the physio/orthopedic community with seemingly only a handful of specialists (like yourself) who understand how to rehab it successfully. Is this a new 21st-century condition that has been amplified by our sedentary lifestyles and long hours of sitting at work? It just seems strange that no one had this problem back in the 80s and 90s when jogging/running became so popular.  Harvey: Hi Brodie, Maybe you could expand on how a PHT sufferer assesses whether they have a relatively strong or weak tendon. For example, a slight increase in a strength exercise or perhaps too much sitting in a given time period will cause a flareup and will often take 4-5 days for the tendon to settle back down. Trina: Rehabilitation exercises are great; usually doing the job to strengthen and “repair” if following doctor’s orders. However, once the hamstring and/or tendon no longer cause pain, is it expected that someone would continue the exercises, and if so, would it be less frequently, fewer reps, lower intensity, or something else? In other words, what is the post recovery protocol? Jen Johnson: Hi Brodie, my question is, how common is it to have pain in the "muscle belly" of the hamstring? Is this truly connected to this PHT injury? I occasionally have pain at the high tendon attachment but it is rare. I have really stalled in my rehab and I am wondering if it could be something else. I should clarify, that in the beginning, it was more prominent in the attachment but not now. Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online

I talk with a lot of people with proximal hamstring tendinopathy, and I commonly hear them say "Brodie, I know you talk about the importance of tendon compression during rehab, but I still don't fully get it". Well, this episode aims to clear the confusion behind what tendon compression is and why is it important in your PHT rehab. Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online

Brodie reviews a paper titled: Proximal hamstring tendinopathy; expert physiotherapists' perspectives on diagnosis, management and prevention. This paper interviewed leading PHT experts and discuss the following categories:  Onset of pain, location of symptoms, clinical tests, palpation, scans, differential diagnosis, management, treatment and prevention. Check out the paper here: https://pubmed.ncbi.nlm.nih.gov/33378733/ Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online

While a gym membership is highly encouraged, sometimes it isn't readily available. Whether it is financially, accessibility or you are travelling in the short-term. For this reason, this episode covers rehabilitation tips if a gym membership is not an option. Brodie covers helpful exercises and progressions with 5 levels of equipment. Level 1: No equipment Level 2: Resistance bands Level 3: Swiss ball Level 4: Weighted backpacks Level 5: Adjustable dumbbells Tune in to gain insight into your proximal hamstring tendinopathy rehabilitation.  Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online

Today, Brodie discusses the key principles of injury management. In particular, will an injury get better on its own. Brodie starts with discussing the injury adaptation zone and why some injuries revert back to a pain-free state quickly, while others persist. These include:  Mismanagement in the early phases. Load exceeding capacity outside of running. Persisting with missing pieces to your rehab.  Encountering unhelpful misinformation about your injury Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online

Arthi developed proximal hamstring tendinopathy in September 2021 one month out from a marathon. With stretching, manual therapy and dry needling, the medical team gave Arthi the all-clear to participate in the marathon. She raced and qualified for the Boston marathon but symptoms persisted. Arthi stopped running and continued swimming, foam rolling, chiro adjustments, dry needling and sports massages to try and heal. The situation was becoming urgent as the Boston Marathon approached ever closer. Arthi turned her rehab around and comes onto the podcast to share her success, insights and her Boston marathon outcome!    Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online

"Reached next level of insanity: since about 2 weeks my healthy leg is in pain because of PHT. Because of my other hammie I can't run, jump, walk too much and sit only on cushions.  This PHT on the right side started after doing hamstring exercises!  Exercises, that should heal or prevent from PHT!  Single leg elevated hip thrust and single leg glute bridges with straight legs.  I never had any tendon problems before my injury 2 years ago on my left leg.  So how can these exercises cause PHT on a healthy leg??  And what should I do for rehab when PT exercises cause PHT?" Brodie illuminates the confusion of this scenario along with helpful tips in this situation. Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online

In today's episode, Brodie answers all the questions coming in from social media. Here is the list:  #1: When can I apply heat? And does ice and ibuprofen impede healing? #2: Can PRP help PHT? #3: My chronic PHT shows no tendon issues on MRI. Can my pain still be coming from the tendon? #4: How do I reintroduce compression activities? Eg. Cycling, Gardening, Hillwalking? #5: What core exercises can I incorporate that won't irritate PHT? #6: Should I be stretching, foam rolling my glutes? #7: How often should I be doing my heavier exercises? #8: What other books would you recommend for those recovering from PHT? Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online

From the Fit Cookie Nutrition Podcast: "In this episode, I had the pleasure of chatting with Brodie Sharpe, who is a physio therapist, podcaster, and founder of the Run Smarter Series. We discuss a common nagging runner injury in today's episode, proximal hamstring tendinopathy, and how Brodie recommends runners go about recovering from this injury". Check out the Fit Nutrition Cookie Podcast with host Holley Samuel Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online 

This episode covers the beliefs behind stretching and when it is safe and not safe with proximal hamstring tendinopathy. Stretching was once a common treatment option for this condition but as our understanding has changed, so has the management. But a lot of people with PHT need to return to stretching. Whether it is a pilates or yoga class or stretching without their chosen sport or physical activity. In addition, stretching the hamstring is a part of everyday life. Bending forward to put on shoes or picking something up off the floor is required but can sometimes cause discomfort. So, when is stretching okay for proximal hamstring tendinopathy?  Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online