Overcoming Proximal Hamstring Tendinopathy Brodie Sharpe

In this episode, we dive into Lily's incredible journey of overcoming proximal hamstring tendinopathy (PHT). Lily shares her unique and challenging experience, from the onset of her symptoms to the various treatment approaches she explored and her eventual recovery. Her story is one of resilience, learning, and finding the right path to healing.
Key Takeaways:
Introduction to Lily:Lily, originally from the Netherlands and now residing in London, shares her active lifestyle, including tennis, hiking, and Pilates. Despite her vibrant routine, she faced an unexpected setback with her injury.Onset of Symptoms:Lily's PHT symptoms began unusually, with initial hip pain diagnosed as ischial femoral impingement. A medical injection intended to alleviate pain inadvertently exacerbated her condition, leading to intense pain and significant limitations in daily activities.Initial Treatment and Challenges:Initial treatments involved minimal exercises and gentle massages, which provided temporary relief but did not lead to significant improvement. Lily struggled with the limitations imposed by her condition, impacting both her professional and personal life.Breakthrough in Recovery:A pivotal moment in Lily's recovery was finding the podcast and realizing the importance of structured exercise and gradual load management. She began a more focused rehabilitation program, which included targeted exercises like bridges, deadlifts, and prone curls.Mental and Emotional Journey:The journey was not just physical but also mental. Lily had to overcome fear and anxiety related to pain and re-injury. She learned to focus on positive progress rather than dwelling on setbacks, which significantly contributed to her recovery.Successful Rehabilitation:Through consistent effort and a well-structured rehab plan, Lily saw rapid improvements. She was able to return to her active lifestyle, including sitting for extended periods, a significant challenge for her earlier.Ongoing Management:Lily continues to maintain her progress with routine exercises, ensuring that she keeps her hamstring strength up and her symptoms at bay. She also highlights the importance of balancing exercise and rest.Advice for Others:Lily emphasizes the importance of education and structured rehab, encouraging others not to lose hope during challenging times. She highlights the value of focusing on incremental improvements and maintaining a positive outlook.Final Thoughts: Lily’s story is a testament to the power of perseverance, proper guidance, and the right rehabilitation strategy. Her experience offers valuable insights for anyone dealing with PHT or similar injuries, providing hope and practical advice for recovery.
Resources Mentioned:
Podcast episodes on PHT recovery and rehabilitation strategies.Online support groups and communities for individuals dealing with PHT.Listen Now: Tune in to hear Lily's full story and gain insights into how you can navigate your own recovery journey. Don't miss this inspiring and informative episode!
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Join our community of PHT rehabbers with our PHT Monthly Membership
If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online 

Brodie reviews a paper titled: Effect of resistance exercise dose components for tendinopathy management: a systematic review with meta-analysis
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Join our community of PHT rehabbers with our PHT Monthly Membership
If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online 

Brodie answers the following membership questions:
Janine:
1.) Rest days: I've been religious about rest days for months but I've just been out for a short slow mile to start the day and it reminded me how good a daily run streak can feel with a short slow trot on the days you don't have anything else planned.
How important are full rest days?

2.) Xmas events are starting to interfere with my training schedule. If I am having to cut sessions my sense is I should prioritise a weights session over a run but just looking for some advice on balancing.
Melissa
3.) I have been told over the years several times by PTs doctors and read it online that tight hips and hip flexors will create a pelvic tilt that pulls on the hamstring and will aggravate PHT or may have even caused PHT. Is this accurate information?
4.) How do you know when to increase your weights in your strength training program? It has been several weeks/months since I have increased any of my weights, but they still feel challenging. After my last flare-up, my baseline never returned to a 0 pain, and hovers between a PL1 or 2 and sometimes sitting for really long periods can be a bit uncomfortable again.
Book a free 20-min physio chat here
Join our community of PHT rehabbers with our PHT Monthly Membership
If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online 

In this episode, Idelkys shares her journey through proximal hamstring tendinopathy, a challenge that began during the COVID-19 lockdown. From her initial symptoms in early 2021, she discusses the evolution of her condition, the various treatments she underwent, and her eventual progress with a combination of shockwave therapy, steroid injections, and guided strength training.
Key Points Discussed:
The Onset of Symptoms: Idelkys first noticed symptoms while intensifying her workout routines during the lockdown, starting with a sharp pain during a single-leg deadlift.
Seeking Professional Help: After worsening symptoms, Idelkys visited a physiotherapist and later a doctor who prescribed MRIs and diagnosed her with proximal hamstring tendinopathy.
Treatment Journey: Idelkys' treatment included shockwave therapy and steroid injections, with limited success initially. She faced challenges with pain management and mobility, significantly impacting her daily life.
Strength Training and Rehabilitation: Transitioning to strength training proved crucial. She began incorporating specific exercises like deadlifts, crab walks, and Bulgarian splits, which helped improve her condition significantly.
Mental Health and Persistence: Idelkys speaks on the psychological challenges of dealing with chronic pain and the importance of mental resilience and patience throughout the recovery process.
Current Routine and Progress: She now maintains a balanced routine of strength training and running, which has allowed her to manage symptoms and engage in activities like half-marathons with minimal discomfort.
Her experience underscores the necessity of appropriate and timely medical interventions and the significant role of strength training in recovering from tendon-related injuries. Her journey is a testament to the power of resilience and the critical role of self-education in managing health challenges.
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 answers these PHT questions:
Sandrine: Two weeks leading to race day I typically stop all lower body strength exercises. That is when I sometimes feel a little ache in the proximal hamstring. Now I do some deadlifts which helped up to a week leading to race day. I know body weight exercises like squats will not help but I want to hear your thoughts about body weight squats leading to race day?
Lara: Any issues with strength training quads and glutes while rehabbing pht?
Jeff: Does sitting prevent healing from PHT?  If I have a desk job with PHT, should I invest in a standing desk?
Michelle: For those of us who are recovering from proximal hamstring tendon tears how do we prevent future tears or inflammation?
Jason: Do you think some people have a genetic disposition to tendonopathies, I’m currently going through PHT and have had various other tendonopathies throughout my life.
Siân: I would love to hear your thoughts on whether some of us are more at risk of tendon issues than others. I read that women are at higher risk when we get to peri/menopause too. Thoughts? What can I do to prevent any more?
Patrick:Anything about ischial bursitis/swelling of the sit bone🙏🙏. The constant inflammation is driving me crazy.
Louise:I have partial tears but a surgeon said it was my spine, not hamstring. 3 Sports docs don't agree. I just go around the circuit of physio, sports docs etc. I'm about ready to go out of province or country for help. Any suggestions?
Fabienne: How come my MRI showed severe tendinitis in hamstring and glute tendons but I never had pain? (Until full avulsion)
Maria: Approximately how long does it take to get full strength in your tendon following tenodesis surgery? 
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, we delve deep into the world of tendinopathy research with Miles Murphy, a renowned physiotherapist, neuroscience, and lower limb injury researcher. Together with Ebony Rio, they've published influential work that could change how tendinopathies are managed.
Key Highlights:
Understanding Tendinopathy: Miles Murphy provides a thorough overview of the history, physiology, and pathology of tendinopathies, emphasizing the complexity and nuances of tendon injuries.
Innovative Research: The discussion includes insights into recent groundbreaking papers that challenge and expand our understanding of tendinopathy management.
Treatment Modalities Explored: Various treatments such as PRP, corticosteroid injections, and shockwave therapy are critically evaluated, with a focus on their effectiveness and practical application in clinical settings.
Load Management: The core of tendinopathy management, according to Murphy, revolves around appropriate load management, highlighting the importance of understanding and adjusting the mechanical load on tendons for optimal recovery.
Future Directions: The episode concludes with a forward-looking discussion on the potential future directions in tendinopathy research and management, including the development of new outcome measures and a better understanding of pain mechanisms associated with tendon issues.
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