Overcoming Proximal Hamstring Tendinopathy

Brodie Sharpe

Proximal Hamstring Tendinopathy is a horrible condition affecting athletes and non-athletes alike. If you fall victim to the misguided information that is circulating the internet, symptoms can persist for months, sometimes years and start impacting your everyday life. This podcast is for those looking for clear, evidence-based guidance to overcome Proximal Hamstring Tendinopathy. Hosted by Brodie Sharpe, an experienced physiotherapist and content creator, this podcast aims to provide you with the clarity & control you desperately need. Each episode brings you one step closer to finally overcoming your proximal hamstring tendinopathy. With solo episodes by Brodie, success stories from past sufferers and professional interviews from physiotherapists, coaches, researchers and other health professionals so you get world class content. Tune in from episode #1 to reap the full benefits and let's get your rehabilitation back on track!

  1. NOV 18

    Hamstring Strength, Running Form & Injury Risk: The Science Every Runner Should Know

    🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🗓️ Book a free 20-minute Injury Chat with Brodie 📞📄Learn more about Brodie's PHT AI Assistant 🔍 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. Research Deep-Dive: Hamstring Strength & Running Biomechanics This episode reviews the study: “Hamstring Strength and Architectural Properties Are Associated with Running Biomechanics”, including findings from ultrasound imaging, EMG analysis, and 3D running mechanics.  Key Study Questions Do stronger hamstrings create better running mechanics?Do better mechanics help build stronger, longer hamstrings?How do strength, fascicle length, pelvic position, and muscle activation interact?🔎 Main Findings From the Study 1. Stronger Hamstrings = Better Running Mechanics Athletes with higher eccentric hamstring strength had: Higher stride frequency (cadence)Better control of decelerating the swinging legLower ground contact time (improved efficiency)Lower hamstring activation at sub-max speeds → reduced overload 2. Longer Hamstring Fascicles = Safer, More Efficient Loading Runners with longer fascicle lengths showed: Less anterior pelvic tiltLower hamstring activationBetter ability to tolerate late-swing loading (a high-irritation phase for PHT) 3. A Two-Way Relationship Exists Strength ↔ mechanics influence each other. Stronger hamstrings → better running techniqueBetter running technique → better hamstring loading → stronger, longer muscle structure over time This creates a positive adaptation loop. 4. Over-Reliance on the Biceps Femoris = Red Flag Runners with weak or short hamstrings tended to over-activate the biceps femoris long head — the most common site of PHT. Stronger runners shared load better with the medial hamstrings, reducing tendon stress.  🏃 Practical Rehab Takeaways 1. Build Eccentric Strength Eccentric strength is one of the strongest predictors of hamstring injury risk. Examples Brodie recommends: Hamstring slidersWeighted eccentric slidersSingle-leg slidersAssisted → full Nordic dropsDeadlifts (when tolerated) 2. Improve Fascicle Length Eccentric exercises at long muscle lengths help lengthen fascicles naturally — more so than stretching alone. 3. Strengthen the Medial Hamstrings To prevent overload of the biceps femoris: Use toes-in hamstring curlsToes-in slidersToes-in deadlift variations These help redistribute load more evenly across the tendon. 4. Slightly Increase Cadence (~5%) A small increase in stride frequency may reduce late-swing strain and improve running economy. 5. Integrate Running Into Rehab Before adding speed: Build to 30 minutes continuous, easy running → symptom-free Then introduce:Strides (15–20 sec at ~75% speed, 4 reps)Gradual progression based on symptoms the next day Final Thoughts Hamstring strength, muscle architecture, and running technique are deeply interconnected. Improving one helps improve the others — creating a pathway toward better performance and long-term PHT resilience.

    43 min
  2. AUG 26

    The Latest on Education of Proximal Hamstring Tendinopathy (2025 Research)

    🎉🎉 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. In this episode of the Overcoming PHT Podcast, I dive into a valuable supplemental resource created by researchers at La Trobe University as part of their clinical trials on proximal hamstring tendinopathy (PHT). This patient education file breaks down everything from diagnosis to discharge advice—and I highlight the key takeaways that can help you better understand and manage your recovery. What You’ll Learn in This Episode: CHECK OUT THE PAPER HERE Understanding PHT – what causes it, why tendinopathy is the accepted term, and the typical prognosis.Treatment options explained – the pros and cons of rest, injections, surgery, shockwave therapy, and why individualized physiotherapy remains the gold standard.The role of strength training – how heavy, slow resistance can improve muscle strength, tendon stiffness, and even brain-muscle connections.MRI myths – why structural changes don’t always match up with pain and function.Pain monitoring principles – why tendons respond differently, and how to use the 24-hour pain response as a guide.Compression and load management – understanding high vs low tendon loads, how sitting and stretching impact PHT, and why gradual reintroduction is key.Discharge advice – the importance of ongoing strength work, flare-up management, and avoiding extreme “all or nothing” approaches with sitting and stretching.Why This Matters Whether you’re new to PHT or have been struggling for years, this episode gives you a clear, research-backed framework for understanding your pain and making smarter rehab choices. It’s not just my perspective—it’s guidance from some of the leading tendon researchers in the world.

    24 min
4.9
out of 5
34 Ratings

About

Proximal Hamstring Tendinopathy is a horrible condition affecting athletes and non-athletes alike. If you fall victim to the misguided information that is circulating the internet, symptoms can persist for months, sometimes years and start impacting your everyday life. This podcast is for those looking for clear, evidence-based guidance to overcome Proximal Hamstring Tendinopathy. Hosted by Brodie Sharpe, an experienced physiotherapist and content creator, this podcast aims to provide you with the clarity & control you desperately need. Each episode brings you one step closer to finally overcoming your proximal hamstring tendinopathy. With solo episodes by Brodie, success stories from past sufferers and professional interviews from physiotherapists, coaches, researchers and other health professionals so you get world class content. Tune in from episode #1 to reap the full benefits and let's get your rehabilitation back on track!

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