Proximal Hamstring Tendinopathy

BeachLife Physio • 1 April 2022

Proximal Hamstring Tendinopathy (PHT)

What is PHT?

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Tendinopathy occurs when the load (amount of activity) of the tendon exceeds what the tendon can tolerate. This usually happens due to an increase in activity, i.e. increased running (speed, uphill, etc) or increased sitting. The pain can occur at the beginning of an activity, may or may not ease during the activity, and linger long after the activity ends. PHT is an overuse injury that originates where the hamstrings attach into ischial tuberosity (the bone which you sit on).


Common Characteristics of PHT

  • A deep localised pain in the buttocks area where the hamstring attaches
  • Pain with running, particularly up hill
  • Pain with deep squats and lunges
  • Pain with deadlifts, especially romanian or straight leg deadlifts
  • Pain with prolonged sitting

Treatment of PHT


  • Initially avoiding aggravating activities should help to settle symptoms.
  • Once pain has settled it is extremely important to see through a progressive resistance rehabilitation program.
  • Quite often once pain is settled people will go back to their activity to find the pain will return. This is because it's important to increase the amount of load the tendon can tolerate and gradually reintroduce aggravating activities.


Here at Beachlife Physiotherapy, we offer consults to assess and treat Proximal Hamstring Tendinopathy as well as running assessments to ensure you're doing everything correctly while you're out on the road or trail! Call (02) 9970 7982 to find out more!

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