Overcoming Proximal Hamstring Tendinopathy: Recent Episodes
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!
In today's episode, Brodie reviews a paper titled: Buttock Pain in Athletes:a Narrative Review
Learn the other conditions and structures that can cause symptoms similar to proximal hamstring tendinopathy.
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If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
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 covers a 2022 paper titled 'From Fear to Safety: A Roadmap to Recovery From Musculoskeletal Pain' and relates the biopsychosocial model to the recovery of proximal hamstring tendinopathy. Learn how to rehab PHT beyond strengthening exercises!
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If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
In today's episode Brodie review this article to identify the difference between PHT and sciatica:
https://www.uhcw.nhs.uk/self-care/sciatica/
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
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
Coming from the listeners of the podcast, Brodie answers the following questions:
- How do you recommend exercises and the number of reps for different age groups?
- I spent a year rehabbing PHT on my right hamstring, but now my left hamstring flared up! How common is this and what can I do?
- What is the best way to treat PHT if it has been going on for years and doctors mis-diagnosed it for something else?
- Do you ever recommend conventional deadlifts as a rehab exercise for PHT or are Romanian deadlifts always going to be the best variation?
- How do you know it's time to enter the maintenance phase of your rehab?
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Joey has suffered bilateral proximal hamstring tendinopathy for years. As a hyrox athlete, his sport features fast running, sled pushes, heavy lifting and several other stages which requires an enormous load of the body.
After trying shockwave, PRP, steroid injections and countless other therapies, Joey is on the podcast to share his journey and ultimately, what helped him overcome PHT.
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It sounds counter-intuitive. Why would getting better be dangerous?
Brodie explains the physical and psychological dangers of this phase of the recovery cycle along with useful tips to negotiate its treacherous waters.
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This episode covers Rob's struggles and eventually, success with proximal hamstring tendinopathy. Hear his injury insights, mistakes and helpful tips for anyone looking to overcome their own running injury.
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This episode is a deep dive into the hamstring curl exercise for your proximal hamstring tendinopathy rehabilitation. Learn the different equipment and positions for this exercise along with suitable progressions, modifications and variations.
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Trevor developed PHT 9 months ago after elevating his speedwork too quickly. After a misdiagnosis and ineffective treatment, Trevor eventually found himself on the path to success.
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In this episode, Brodie discusses the reasons why your Proximal Hamstring Tendinopathy can be flared up around the festive season.
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We cover two very common scenarios:
1.) I am scared to progress because I have pain even doing bodyweight exercises
2.) I am scared to progress because heavy exercises has flared me up in the past
Brodie helps reassure these 2 scenarios along with practice takeaways to enhance your recovery.
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Amy developed Proximal Hamstring Tendinopathy in late 2020 and has been battling with the ups and downs of recovery ever since. Recently, she has changed her rehabilitation routine and running approach and has seen tremendous gains. On the episode today, you'll hear Amy's success story and the elements of her recovery that weren't so helpful, along with the elements that eventually turned things around.
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This episode addresses the following PHT questions:
- My hamstring pain is right behind the knee. Should I go through the same exercise and recovery regimen as PHT?
- How do you determine the max weight you should use for a specific exercise (is there a calculation/formula)? Once you are in the maintenance phase, can you reduce the weight used and it still is effective?
- I love running long distances (marathons and 50Ks), but am willing to take a break while I focus on recovery for my PHT. Do you have any suggestions for other cardio that wouldn’t aggravate it?
- Should I be pain-free post-exercise to progress? Or is low-level but stable pain ok to progress cautiously?
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This episode addresses the following PHT questions:
- When you realize you have pushed past your “adaptation zone”, for example, on a longer, faster run than intended, what is the best post workout plan?
- Do you run on your off days or strength days otherwise how would you track what may cause a flare up?
- hHw does the sciatic nerve factor into this injury? The nerve is next to tendon? How can you determine if the injury is hamstring and or sciatica?
- What to look for in a good PT. I am struggling with this one!
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This episode addresses the following PHT questions:
- What makes PHT seemingly come back out of nowhere? Is the treatment different for this recurrence?
- With this being such a slow-healing injury, how do you measure week-to-week progress? Are there markers of progress besides a reduction in the day-to-day pain level?
- What makes a chronic sufferer? Body type or genetics?
- How can we prevent PHT?
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In this episode, Brodie recaps what he has learnt over the years about PHT. It was originally released on the Run Smarter Podcast and is now shared on the PHT podcast.
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Maddie is a recreational runner who has had bilateral plantar fasciitis for over 5 years. She has faced debilitating symptoms including intense pain, pins and needles and burning sensations which dramatically altered her social life. Cooking, shopping, walking the dogs and playing with her son were sometimes ceased because the pain was so bad. Despite periods of time not running, the pain continued.
Maddie shares her newfound improvement after actively researching pain science and implementing exercises such as mindfulness, deep breathing and mantras into her regular routine. She talks about the sudden change of symptoms, the relevance of heightened awareness to an injury and her new understanding of having a flareup.
Listen to this episode to gain insight into the bio-psycho-social side of pain and the practical tips you can make to enhance your recovery.
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Maddie is a recreational runner who has had bilateral plantar fasciitis for over 5 years. She has faced debilitating symptoms including intense pain, pins and needles and burning sensations which dramatically altered her social life. Cooking, shopping, walking the dogs and playing with her son were sometimes ceased because the pain was so bad. Despite periods of time not running, the pain continued.
Maddie shares her newfound improvement after actively researching pain science and implementing exercises such as mindfulness, deep breathing and mantras into her regular routine. She talks about the sudden change of symptoms, the relevance of heightened awareness to an injury and her new understanding of having a flareup.
Listen to this episode to gain insight into the bio-psycho-social side of pain and the practical tips you can make to enhance your recovery.
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
Rob developed a hamstring strain mid-race in January 2018 which eventually progressed into pain when sitting and driving. Initial shockwave therapy irritated symptoms for over a week and Rob struggled to get symptoms under control.
With limited fitness equipment at home, Rob made use of what he could and with careful progressions, would see his first glimpse of hope.
Rob shares his initial successes alongside his apprehensive/nervous start in a gym and walk-run program.
Listen to hear the profound insights with practical takeaways in this PHT success story.
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In today's episode, Brodie answers the following questions:
Rob: "I'm currently on a 2-week holiday. I do have access to the gym here but the equipment isn't as good as at my gym at home. Is easing back on the exercise likely to set me back at all?
Brent: "Are the rehab stages considered 'strength' training and, if so, is it too much strength, taking away from my runs or bike days?"
Jennifer: "I saw a PT who said my hamstring was constantly under tension because of a pelvic tilt. Do you know if anterior pelvic tilts can be a cause of PHT or if there's any benefit to correcting the tilt?"
Rebecca Appleby: "When the PHT is responding well to a solid rehab plan, at what point can strides be reincorporated into a return to run routine, or does the PHT need to be remedied first?"
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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.
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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.
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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/
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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.
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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
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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!
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"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.
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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?
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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
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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?
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Charlie has been managing proximal hamstring tendinopathy after completing a marathon block in 2020. Pain originally started down the hamstring but eventually worked its way into the sitting bone.
Initial treatment attempts included shockwave, strength training and steroid injections however PHT persisted.
Through dedication and willingness to understand this condition, Charlie finally turned a corner and shares all of his insights on today's podcast.
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Brodie sheds some light on the difference between a strong and a weak tendon during a flare-up phase. These two scenarios should be interpreted and managed very differently so it is important to learn.
Tune in to learn the differences in behaviours between strong and weak tendons during a PHT flare-up and what to do about each.
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Brodie answers your proximal hamstring tendinopathy questions:
1.) Does it mean it is improving if you are progressing with the weights but sitting pain still remains painful?
2.) While strengthening seems to be the primary mode to rehab. What, if any, is evidence on modalities like stretching, foam rolling, massage gun for temporary relief from pain so we can do the strengthening protocols?
3.) What are the best warm-ups and warm-down stretches when you are easing yourself back into running after a PHT Dx?
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Brodie answers your proximal hamstring tendinopathy questions:
1.) I am managing to get back to running and close to my previous pace, do you ever recover from this injury and do you have any more good news stories?
2.) How effective is shock-wave therapy & PRP to treat PHT?
3.) I've had PRP 3 times, PT, Tenjet, growth factors and wondering are there any Drs that do surgery to remove the micro-tears?
I can find Drs that do surgery for complete tears but not these micro-tears that I have?
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In today's Q&A Brodie answers the three following questions from podcast listeners:
"I'm a marathon runner and I've been suffering from PHT for 3 years. Progressive loading exercises didn't work and eventually, I gave up. Nothing seemed to work. I've now started running again building up very slowly (started with 3x1 minute running and a minute walk between). I can now run 3.5 miles pain-free. In your opinion is this something that could continue to work for me and has anyone ever recovered from PHT in this way?"
“Is there any technique to build LL muscle with this tendinopathy? PHT about 3 years. Finally, a year ago I found a PT which made me workout through pain (at no more than 4-5) with controlled movements, which has helped me be able to squat, deadlift, and some other movements at 75%-85% of my 1RM, which has improved my body quite a lot. I still find limits in what I can do or how much stress I can put into my workout. So please some advice on this subject would be greatly appreciated!”
“Would love to hear more about rehabbing PHT while training for a race. I'm scheduled to run Boston in April and have been rehabbing since December 3rd. I haven't yet introduced speed back in but slowly building up mileage. Trying to decide if I should back out of the race or if I should run it and just take it easy. Just don't want to jeopardize my progress”.
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Damian McMahon is a physiotherapist from Ireland and also the creator of the Outlier nordic T-bar. This device is designed to make eccentric nordic exercises accessible within your house and without complicated set-ups.
Brodie tried out the t-bar personally and decided to chat with Damian about the idea behind his device.
We also cover useful information to help PHT sufferers strengthen their hamstrings along with Damian's 3 tips to reduce the risk of another hamstring injury.
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Nathan Carlson is a US-based Physical Therapist and co-host of the Runners Zone podcast. Brodie and Nathan talk about the importance of developing independence during a runner's rehabilitation and how a therapist needs to nature the independent process.
This is important for every PHT sufferer to know. Some therapists may misdirect rehabilitation toward a short-term, dependant strategy, resulting in high consultation frequency & poor evidence-based approaches.
Nathan talks about hands-on, passive treatments and when they are validated versus exercise-based rehabilitation. He also discusses the importance of empowering the runner through this process.
Finally, Brodie and Nathan discuss red flags to look out for to see if you're on the wrong rehabilitation path.
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Inspired by a chapter in the upcoming run smarter book. Brodie chats about the spread of misinformation and misconceptions.
Searching on the internet, it is common to come across FADs, gimmicks, false claims ad outdated advice. In addition, asking for advice on social media results in a wide variety of responses. Some that contradict one another. But why?
Brodie covers 6 reasons why he believes this exists.
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Have you ever asked yourself, "when will I be able to return to running?" or "when can I cycle pain-free?"
In today's episode, Brodie reframes this problem and highlights the importance of incorporating exercise into your rehabilitation.
This is a crucial mind shift that allows you to rehab your proximal hamstring tendinopathy in the more efficient way possible.
Tune in to hear detailed examples of how you can incorporate running, cycling and sitting alongside your strength and conditioning rehabilitation.
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If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Or book a free 20-min physio chat here
In today's episode, Brodie replies to a listener question:
“I have had PHT bilaterally for close to a year and have also had bilateral chronic plantar fasciitis for many years. On one of the podcasts you mentioned when there are bilateral tendon issues, that may raise some red flags that there may be another contributing factor going on".
"Any suggestions of other medical areas beyond muscular that I should consider looking into would be greatly appreciated. Thank you again for your educational and enlightening sessions on PHT”.
Brodie dives into this question and makes reference to a paper titled: Pathogenesis of tendinopathies: inflammation or degeneration?
This episode is broken down into 5 categories:
- Genetics
- Mal-alignment
- Training loads/compensation
- Intrinsic ailments
- Aging
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Brodie discusses a 2020 cade study paper by Kayla Krueger, Nicholas Washmuth & Tyler Williams titled:
"THE MANAGEMENT OF PROXIMAL HAMSTRING TENDINOPATHY IN A COMPETITIVE POWERLIFTER WITH HEAVY SLOW RESISTANCE TRAINING"
We dive into the case of this 31-year-old male competitive powerlifter that had failed prior treatments including static and dynamic hamstring stretching, hamstring soft tissue mobilization, dry-needling, general hamstring strengthening exercises, tenotomy and PRP injections.
Listen to hear the details of the strength protocol that produced significant benefits within 4 weeks and continued to see results 12 months after his 12-week program.
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If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
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In today's episode, Brodie breaks down the comments written by his past PHT client. Here is their submission when asked what their biggest insights and revelations were during Proximal hamstring tendinopathy rehab:
"There’s a lot of ‘horror stories’ out there which can easily lead to panic and catastrophising, causing increased attention to the pain".
"Keeping routines and contact with friends has been hugely important. It would be easy to hide away and sulk, but that wouldn’t help in the long run. I’ve continued to be very involved with my club, helping at races and making sure I’m there to support in any way I can".
"With the pandemic, I’m just so happy to be part of the running network again! Most of my friendships are through running therefore I’ve continued to nurture and value these".
"Finally, of course, the physical rehab has to be carefully managed and progressed, and you have to listen to your body, which can be quite difficult for us runners".
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If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Or book a free 20-min physio chat here
In today's episode, Brodie breaks down the comments written by his past PHT client. Here is their submission when asked what their biggest insights and revelations were during Proximal hamstring tendinopathy rehab:
"My main learning points from my 2.5 years would be:
Don’t think that PHT will go away by completely resting. Pain will decrease (with rest) but once you attempt to return to activity, then you’ll have more than PHT to worry about. Seek input from someone who has experience in treating this condition. Keep notes on what activity you do and reactions to this, both rehab and what other daily activities might impact. Do not accept corticosteroid injection if suggested. Do seek MRI or ultrasound to help with diagnosis if unclear. Talk about the condition and its impact on you with those close to you - it’s a nasty injury that impacts many aspects of life. Be kind to yourself! Make sure to get enough sleep. Eat well, including regular protein in your diet. Realise that in order to make progress you need to really commit to your rehab. There will be progress, but also dips/flare-ups which can mess with your head. Get a sit/stand desk for work, but don’t become fearful of sitting - you can’t stand at all times.
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
Or book a free 20-min physio chat here
After developing PHT in 2016, Michelle encountered 13 doctors and 3 years of pain before reaching an accurate diagnosis.
Through lifestyle changes, strength exercises and finding the right therapist, she managed to eventually see progress.
Michelle has returned to 25 miles per week of pain-free running and is ready to share her success story.
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
Or book a free 20-min physio chat here
In today's episode, Brodie unpacks the reflections and revelations from a past client. Here is their response when Brodie asked what really helped their recovery:
"Well definitely the exercises you said to do! And made sure I stuck to doing them. I stopped doing the glute bridges etc and focussed on increasing weight-bearing ones. I had read about it and self-diagnosed at first and thought I knew what exercises to do but didn’t know how many to do or how to progress through the exercises. I didn’t realise that I could have kept running. And if I could start again, exactly how. I avoided long sitting and if I sat, I used a cushion. I found other ways to exercise like swimming which I found I could do without making it a flare-up. Definitely need to find a physio that knows how to diagnose PHT and how to treat it. I definitely needed someone to relate the treatment to my particular condition and what I was able to do or not do. It’s not a quick fix so don’t give up! I still have some runs where I feel it but the next day it’s fine again".
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If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Or book a free 20-min physio chat here
In today's episode, Brodie reads out responses from current and past clients. These are insights they have had when managing their own Proximal Hamstring Tendinopathy:
Client A: "I guess my key takeaway is not a fun one and it’s one that I’ve tried to avoid but for me, it was unavoidable - patience. I need to be patient with my recovery and not start doing too much, too soon. I've had other times when my PHT has alleviated only to flare up badly again because I did too much”.
Client B: “I believe the key is to stick to the program. As much as I would have loved to jump ahead I stuck to the program and have had no recurring problems”.
Brodie talks about why it is so hard to be patient and trust the process. He then dives into practical tips to help, along with some examples of a sensible management plan.
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
Or book a free 20-min physio chat here
On today's episode I answer Mark's submitted question:
"I would like to understand how an injured/damaged/weak tendon can go on to cause such widespread symptoms? In addition to tendon pain, I get chronic muscle tightness in my hamstring, thigh, calf, hip, groin and buttock. Also, get nerve pain throughout the whole leg. These symptoms get particularly worse through a flare-up. It can be hard to remain focused on the rehab with such widespread symptoms and feel it would help keep the focus of having an understanding of why it does this?"
Firstly, I discuss the components of 'chronic muscle tightness' and certain explanations for these symptoms.
Next, we dive into nerve pain and chronic pain to help understand why these symptoms may occur.
Lastly, I give my final tips all to do with widespread symptoms.
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
Or book a free 20-min physio chat here
On today's epsiode Brodie answers your questions on social media:
- Are there overlaps between gluteal pain, adductor pain and PHT? If so, how do we isolate it and the treatment plan?
- How can I sit more comfortably during a flare-up?
- What is the likelihood of runners developing PHT if they have weak hips and/or hip impingement?
- Given a lot of the treatments seem to be the same for differential diagnosises (build strength, mobility and resilience) is there value in getting a more thorough diagnosis? Would it help with specificity of training and rehab?
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
Or book a free 20-min physio chat here
On today's success story, Brodie talks with Richard who sustained a PHT injury back in 2009 while training for the world masters 100 metre event.
What would follow is a 5 year long journey of mismanagement and eventually, implementing long-term, effective strategies to overcome his PHT injury.
Richard shares the components to his rehab that eventually lead to a successful recovery including:
- Monitoring pain levels properly
- The importance of recovery days
- Correct training loads and intensities
- Weight training
- Patience
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
Or book a free 20-min physio chat here
Alex Murray is a podiatrist and an education partner with Cause Health who have an E-book titled: Rethinking causality, complexity & evidence for the unique patient.
Today, we dive into the complicated topic around why treatment may work for some, but not others, even when they have the same diagnosis.
After listening to this episode, you'll gain new insight into the unique rehabilitation path to know if you are on the right recovery path.
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
Or book a free 20-min physio chat here
Today Brodie does he first Q&A and answers the following questions:
- How can I progress after 7 yrs of PHT with slow loading yet still can't avoid an intense flare up?
- What would be the best pain relief during a flare-up?
- How strong is strong enough to resume things like cycling?
- When does the proximal hamstring tendinopathy pain actually go? Does it ever
- When will I know that "things are back to normal?" For example, when can I know that I can go out for a run at what ever distance and speed that I want?
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
Or book a free 20-min physio chat here
Dr. Izzy Smith is a specialist in hormone health and today we focus on all things hormones, stress & recovery. Firstly, Izzy talks about the concept of ‘over-training vs under-recovering’. We then move onto the role of certain hormones that hinder and enhance our ability to recover.
We all know the body will struggle to recover if subject to large amounts of physical stress, but Dr. Izzy Smith highlights the role of emotional & psychological stress as equally important states. We simple cannot recover to the same ability if subject to these psychological stressors.
We finish off today’s episode with some listener Q&As around magnesium supplements, Vitamin D supplements and anti-inflammatory medications for recovery.
You can find Izzy’s Podcast Behind the uniform here
Also click the link for Izzy’s instagram
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
Or book a free 20-min physio chat here
On today's episode Brodie reviews a 2020 paper titled Proximal hamstring tendinopathy; expert physiotherapists’ perspectives on diagnosis, management and prevention. The authors are Anthony Nasser, Tania Pizzari, Alison Grimaldi, Bill Vicenzino, Ebonie Rio & Adam Semciw.
This paper interviews experts in the field of PHT and comments on subjective interviews, diagnosis, differential diagnosis, education, exercise, end-stage rehab and prevention.
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
Or 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
Or book a free 20-min physio chat here
Today, Brodie tells the tale of Dr. Alfredson, a Swedish surgeon back in the 1990's who mistakenly discovered the benefits of eccentric loading exercises for tendon rehabilitation.
He would later develop the Alfredson eccentric protocol which is widely accepted and performance up to the present day. After sharing this story, Brodie reflects on the rehabilitation of Proximal Hamstring Tendinopathy and 3 key takes aways from Alfredson's experience that can help you.
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
Or book a free 20-min physio chat here
Today Brodie reviews a research paper by Cacchio, A et al. Titled: Reliability and validity of three pain provocation tests used for the diagnosis of chronic proximal hamstring tendinopathy.
Here are the videos to the:
Modified bent knee stretch test
Puranen-Orava Test
Bent knee stretch
Other links:
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If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Or book a free 20-min physio chat here
Brodie uncovers the 5 traps people fall into during rehabilitation. This is a great episode if you are trying to rehab your tendon and not seeing results. It's a good opportunity to self-reflect and modify any area of your recovery that is lacking.
After listening to today's episode you'll walk away with insights around strength & conditioning and interpretting proximal hamstring tendinopathy symptoms.
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
Or book a free 20-min physio chat here
Amy is a treadmill runner who developed PHT in 2018, which then turned into 2 years of confusion & frustration.
We discuss her inital symptoms, how it progressed until she was unable to run and her search to find answers.
What then took several months to find a solution, Amy shares what treatment process was the most effective which allowed her to return to running.
Amy is now training for a half marathon and shares her routine to keep this injury at bay.
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
Or book a free 20-min physio chat here
Dr. Heather Hausenblas PhD, is a physical activity & healthy aging expert, researcher, and author. Today we discuss the fascinating topic of exercise addiction. Here are the topics:
The difference between exercise addiction and exercise committed. Typical behaviour and characteristics for someone who is addicted to exercise. The consequences associated with this addiction. The involvement of social media & health devices on the running population. Strategies & measures to help exercise addiction.
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
Or book a free 20-min physio chat here
On this epsiode Brodie discusses the crucial component to any management plan. What to do when faced with a PHT flare-up!
We discuss the importance of a flare-up plan, what factors might contribte to a flare-up and what factors influence a mild vs major flare-up.
Brodie illustrates general guidelines for you to follow if experiencing a mild flare-up or a major flare-up.
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
Or book a free 20-min physio chat here
On today's episode, Brodie highlights the importance of glute muscle strengthening during proximal hamstring tendinopathy rehabilitation.
We talk about a research paper titled: Gluteus Maximus inhibition in proximal hamstring tendinopathy (2017) along with the research findings.
Brodie then shares his best gluteal muscle strengthing exercises for you to include in your rehab.
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
Or book a free 20-min physio chat here
We continue our journey! If you haven't listened to part 1 of my chat with Dr. Rachel Zoffness please do so. Today, we dive into practical steps and strategies people can do when they are suffering from pain.
Rachel first talks about the concept of 'Cognitive behavioural therapy' and what you think, affects how we feel emotionally, affects how we feel physically, which affects how you behave.
Next, Rachel discusses some pain-control strategies and relaxation strategies such as mindfulness, body scanning and breathing exercises and explains why this helps reduce pain.
We finish off with the 6 lifestyle tips for better health and reduced pain all from her book the 'pain management workbook'.
(Apple users: Click 'Episode Website' for links to..)
Check out Rachel's personal website here
You can also buy the Pain Management Workbook here
Please also follow Rachel on Twitter & Instagram
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
Or book a free 20-min physio chat here
Today we have pain psychologist Dr. Rachel Zoffness on the show to teach us about pain & injury. Rachel teaches pain education to medical residents, serves on the pain education faculty at Dartmouth and is the co-president of the American Association of Pain Psychology.
She is also the author of The Pain Management Workbook, an integrative, evidence-based treatment protocol for adults living with chronic pain.
In part 1 of this 2-parter, we dive into the science of pain both acute & chronic. We break down real-world examples of how a biopsychosocial brain interprets pain and what turns up & dampens pain signals.
(Apple users: Click 'Episode Website' for links to..)
Check out Rachel's personal website here
You can also buy the Pain Management Workbook here
Please also follow Rachel on Twitter & Instagram
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
Or book a free 20-min physio chat here
Carrie Cheadle is a sports psychologist & co-author of the book 'Rebound: Train your brain to bounce back stronger from sports injuries'.
Recognise the importance of behaviour, attitudes and mindset for recovery. Also self-reflect on your personality and use your strengths and weaknesses as a great ally, rather than a hindrance.
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
Or book a free 20-min physio chat here
We often misinterpret weakness when it fact, it could be just an increase in structure sensitivity.
When progressing a rehabilitation program and executing your rehab exercises, it's not uncommon for a hiccup and mild flare-up to occur. This is often followed with pain & irritation when attempting activity that was once well managed.
This can be interpreted as weakness and without recognising the difference, we often go through high amount of frustration, anger & confusion.
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
Or book a free 20-min physio chat here
Proximal Hamstring Tendinopathy recovery is tough! It is a frustrating process that seems never-ending at times. This episode will help soften the blow and set you on the right path towards your destination. Every person who has faced challenges returning from an injury needs to listen to this episode. We discuss how to plan for your journey to pain-free fitness and to expect the unexpected.
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
Or book a free 20-min physio chat here
James has been a runner for 8 years. He had completed several marathons and loved running as an outlet for stress relief. However, PHT brought his passion to a halt!
James found the overcoming PHT podcast and other PHT resources and started his own rehabilitation but reached a progression plateau. That is when he started working with Brodie through online physio and accelerated his results.
On today's episode James tell his rehab story and what breakthroughs he had throughout his recovery.
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
Or book a free 20-min physio chat here
Dr Amy Bender is a sleep scientist on a mission to promote sleep for well-being & better performance. She is the perfect guest to have on the podcast to discuss it's importance for your performance & recovery.
We discuss:
- Link between sleep and injury
- What you need to know about the different sleep stages
- Signs & symptoms of poor sleep habits
- Importance of both sleep quality and quantity
- Common sleeping disorders
- Can I sleep too much?
- Practical tips for sleep hygiene
- Right sleep position and pillow
Here are the links for:
Amy's twitter account https://twitter.com/Sleep4Sport
Amy's insta account https://www.instagram.com/sleep4sport/
Here is a link for the sleep questionnaire: https://static-content.springer.com/esm/art%3A10.1186%2Fs40798-018-0140-5/MediaObjects/40798_2018_140_MOESM1_ESM.pdf
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
Or book a free 20-min physio chat here
This episode is another big step in knowledge towards pain perception and proximal hamstring tendinopathy recovery. In order to train hard, you need to sleep hard. In order to reduce risk of overuse injuries, you need to optimize recovery. We discuss the connection of poor sleep with injury, sleep with reduced performance and the interwoven relationship of cortisol, stress and pain levels.
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
Or book a free 20-min physio chat here
During these success story segments, Brodie interviews a runner who has managed to overcome PHT after much hardship and frustration.
When injured, it is easy to find social media posts & stories from other injured runners which are discouraging and worrying. Tales of chronic pain, debilitating symptoms and failed treatment techniques often manifest anxiety and thoughts of the worst outcome.
However, this is only a small fraction of runners and a skewed bias around the injured population. So, this segment aims to bring hope and optimism, while sharing treatment success.
On today's episode, Brodie talks with Todd Charnetski, a passionate runner who developed bilateral proximal hamstring tendinopathy back in 2007 after pushing hard during his half marathon preparation.
Todd had tried years of different treatments. Icing, massage, stretching, compression, strengthening, medication, PRP, cortisone, tenex and several other remedies. It wasn't until 2018 when a shift in his management started showing drastic improvement.
Todd is currently 100% better on one side and 95% better on the other and is excited to share his story.
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
Or book a free 20-min physio chat here
Maryke Louw is a sports injury Physiotherapist and delivers excellent content around injury diagnosis and management. She is a practicing clinician and online physiotherapist with a big passion treating runners our topics include:
- The role of compression around tendinopathy management
- Does the type of running effect me?
- Should I be stretching?
- What exercises should I start with & how can I progress?
- How long does a hamstring tendinopathy take to heal?
- Debunking beliefs around this condition.
Please follow Maryke's work on these platforms:
https://www.sports-injury-physio.com/meet-sports-physiotherapist-maryke
https://www.facebook.com/SportsInjuryPhysio/
https://www.youtube.com/channel/UCuGyKVhuCa_iattvhM4DlQQ
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
Or book a free 20-min physio chat here
Brodie talks about his personal experiences with Proximal Hamstring Tendinopathy during his transition from marathon running into sprint triathlons and shares the lessons he has learnt along the way, so you will gain insight into injury management & prevention.
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
Or book a free 20-min physio chat here
This episode Brodie talks about the chronic tendinopathy he has had behind his knee for several years. Even with increasing mileage, preparing for races and performing at a level he was happy with, he always had this annoying tendon pain.
So, during lockdown he went on a 4 month mission to overcome his pain and documented his journey. Once you hear this you will take away sessions that apply to any chronic injury rehabilitation.
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
Or book a free 20-min physio chat here
Today, Brodie discusses running considerations during your PHT rehab. These could be running technique considerations, running speed considerations or running terrain considerations to give you the best possible outcome and return to running successfully.
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
Or book a free 20-min physio chat here
Today Brodie is talking with Aidan Rich, a Sports & Exercise physiotherapist working out of Lifecare & Advance Healthcare. Aidan is currently attending his masters with ambitions to study his PhD in his special interest of PHT.
Aidan dives into the different diagnoses that could also cause similar symptoms to PHT including:
- Sciatic nerve irritation
- Ischiofemoral impingement
- Pelvic stress fractures
- Partial or complete tendon rupture
- Pain referral from the lower back
We also delve into the importance and accuracy of scans and how false positives can be very misleading.
Aidan is currently recruiting PHT subjects who are in the Melbourne area to participate in a research study. If you have had PHT for longer than 3 months and had a gradual onset of symptoms initially please e-mail Aidan if you'd like to show your interest:
aidanrich@gmail.com
Also follow Aidan on FB 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
Or book a free 20-min physio chat here
Dr. Peter Fuller is a Musculoskeletal Specialist & Sports Doctor. He works alongside Dr. David Young who is one of the biggest surgeons performing PHT surgery in Australia.
Brodie & Peter discuss what surgical options are available and what surgery entails. Peter then dives into who might be more suitable verses a conservative approach.
Everything from scar tissue build-up, avulsion fractures, success rates, ongoing post-op pain & sciatic nerve involvement will be discussed.
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
Or book a free 20-min physio chat here
Today Brodie reads through a 2016 paper published by Tom Goom, Peter Malliaras, Michael Reiman & Craig Purdam. The paper title is: Proximal Hamstring Tendinopathy: Clinical Aspects of Assessment and Management.
Brodie discusses the assessment and diagnostic process with PHT and then dives into load management and the 4 stages of PHT rehab.
Here is a link to the paper
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
Or book a free 20-min physio chat here
Kara Haas has faced 15 years of Proximal Hamstring Tendinopathy. Once running at a very high level and competing at the Olympic trials, Kara's PHT started to get out of control.
We dive into Kara's story and her attempts to resolve her pain including PRP, tendon procedures, strengthening and finally surgery. Hear how Kara managed to defy the odds and return to pain free running!
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
Or book a free 20-min physio chat here
Brodie interviews Benoy Matthew, an Advanced Practice Physio, Sonographer & Shockwave Specialist. Benoy has a Specialist Interest in Hip & & Running Injuries.
We talk about the Do's and Don'ts of shockwave therapy including:
- What is shockwave therapy?
- Who will respond well to shockwave therapy?
- How many sessions do I need?
- What are the biggest shockwave mistakes?
- What other treatments should be mixed in?
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
Or book a free 20-min physio chat here
On today's episode we dive into tips on cross-training and how to use it to our advantage when recovering from Proximal Hamstring Tendinopathy.
We split this episode into 5 different segments and answer your questions. Here is what we will analyse:
- Swimming
- Cycling/Spin
- Elliptical
- Rowing Machine
- Resistance Training
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
Or book a free 20-min physio chat here
No matter what your running injury, pain will initiate in the brain. And this pain science episode is all about making sense of how pain is interpreted & processed. Possessing this knowledge can be a great ally for your rehabilitation journey, being oblivious could be detrimental! Therefore in pain science 2 we explore chronic pain for runners.
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
Or book a free 20-min physio chat here
No matter what your running injury, pain will initiate in the brain. And this pain science episode is all about making sense of how pain is interpreted & processed. Possessing this knowledge can be a great ally for your rehabilitation journey, being oblivious could be detrimental! Therefore in pain science 1 we explore the basics in pain for runners.
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
Or book a free 20-min physio chat here
During these success story segments, Brodie interviews a runner who has managed to overcome Proximal Hamstring Tendinopathy after much frustration & hardship.
When injured, it is easy to find social media tales of chronic pain, debilitating symptoms and failed treatment techniques which often generates anxiety and thoughts of the worst outcome.
However, we need to recognize this is only a small fraction of people and a skewed bias around the injured population. So, this segment aims to bring hope and optimism, while sharing treatment success.
Today we have Michelle who is currently managing PHT and through patience, hard work & dedication is managing to turn things around.
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
Or book a free 20-min physio chat here
On today's episode we cover all things sitting with PHT and answer the following questions:
- What are the best strategies for pain relief when sitting?
- Does sitting cause further damage to the tendon?
- How can we handle sitting on long car trips or long work hours?
- How much is too much?
- What is the best sitting position, Height or chair & back support?
- Is it okay to sit on ice a lot?
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
Or book a free 20-min physio chat here
This episode covers Brodie's conversation with Dr. Peter Malliaras who is a physiotherapist & associate professor specialising in tendinopathy.
Peter dives into the research behind tendinopathy pathology and management, including strength rehabilitation, PRP and shockwave. We also discuss the use of scans when suffering from proximal hamstring tendinopathy and when scans are indicated.
One of the major take-aways Brodie shares is that strengthening choices should depend on current pain & functions levels and not based on duration of pathology.
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
Or book a free 20-min physio chat here
We tick off our last universal principle to overcome your proximal hamstring tendinopathy. Brodie introduces the Pain, Rest, Weakness Downward Spiral which is a common trap for tendon pain.
It is human nature to retreat from activity if it causes a flare-up, but in reality, if you are constantly removing aggravating factors without replacing it with a proactive exercise, the tendon becomes weaker and less able to handle rehab exercises.
Brodie dives into detail and how you can use this concept to your advantage.
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If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Or book a free 20-min physio chat here
This universal principle focuses on the difference between external tissue loading & internal tissue capacity. In particular, your adaptation zone & max capacity line is not static. In fact, certain environmental influences and mood states can fluctuate this line and influences how much load your proximal hamstring tendon can take!
Brodie talks through the chapter of his e-book and then chimes in at the end to mention the importance of your fight or flight mode and your rest & recover mode.
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
Or book a free 20-min physio chat here
We dive into another chapter of the E-book and introduce you to another universal principle to overcome your proximal hamstring tendinopathy.
The chapter of the e-book is titled: 'Sleep on it: Interpreting your pain over 24 hours'. Your tendinopathy recovery will be drastically disabled if you cannot accurately interpret symptoms. What makes matters tricky, is sometimes pain can be a good thing. Brodie uncovers this dilemma on today's episode.
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
Or book a free 20-min physio chat here
Today Brodie shares a snippet from his E-book & the Run Smarter Podcast. Chapter 1 of the E-book is titled 'Adaptation Education: Give it time and the Body will Adapt!'
This is a universal principle for Proximal Hamstring Tendinopathy rehabilitation, not only for understanding how your pain began but how you can use this concept of adaptation into rehab exercises.
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
Or book a free 20-min physio chat here
On today's episode, Brodie dives into the stages of PHT rehab. We first touch on the responsibility of pain during rehab exercises, and how we can interpret productive pain from unhelpful pain.
Next, we discuss the 3 stages of rehab. Stage #1 includes how to settle down pain from a reactive flare-up, including the appropriate use of isometrics, daily load modifications and medications.
Stage #2 covers different levels of strengthening exercises. Brodie explains how the tendon can start 'out of compression' and slowly build on compressive loads throughout the rehab process. Certain exercises include hamstring curls, Swissball bridging, swissball rollouts, deadlifts, lunges & squats.
Stage 3 incorporate speed, power & addressing the whole kinetic chain with exercises like KB swings, rocket jumps, plyo lunges, wall balls & single leg deadlifts.
Lastly, Brodie touches on the psychosocial factors of your rehabilitation and how treatment and be influenced by beliefs, thoughts and emotions.
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
Or book a free 20-min physio chat here
Today's episode has Brodie commenting on a past episode from The Run Smarter Podcast episode titled 'Talking Tendons'. We hear a snippet from that podcast and learn about tendon rehabilitation and preventing a tendinopathy.
We break rehab into stages:
- Stage 1: Identify daily compression and reduce if required.
- Stage 2: Start tendon loading & monitor response. Including isometrics, eccentrics, concentric/eccentric, power, speed.
- Stage 3: Return to sport & monitor symptoms
- Stage 4: Start addressing entire kinetic chain while returning to activity.
Brodie then chimes in with his 5 key injury prevention tips & comments on the Proximal Hamstring Tendinopathy insights.
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
Or book a free 20-min physio chat here
After learning the basics in episode #1, Brodie dives a level deeper into Proximal Hamstring Tendinopathy specific information.
We start by exploring the key anatomy features and the common hamstring tendon sites for pathology. We then dive into specific sports, tasks, movements and positions that elevate tensile and compressive strain on the hamstring tendon.
Brodie helps explain the walking/running action and the function of the hamstring during it's swing phase, contributing to high eccentric loads.
We then talk about proximal hamstring tendinopathy symptoms including deep, localized pain in the region of the ischial tuberosity that often worsens during or after running, lunging, squatting, and sitting.
We finish off with describing provocation tests & potential differential diagnoses such as lumbar, hip, sacroiliac joint, somatic referral, radiculopathy or sciatic nerve involvement.
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
Or book a free 20-min physio chat here
Episode one covers tendinopathy 101. Everyone who isn't a health professional should listen to this episode before delving into other specific topics.
Brodie starts by breaking down tendon pathology definitions such is proximal hamstring tendinopathy, tendinosis & tendinitis.
We then explore the pathology continuum, originally proposed by Jill Cook & colleagues while explaining the progression of tendon pain and the end result if not managed correctly.
Next, Brodie covers the common locations of tendon pain & why we get a tendinopathy which will include spike in tensile and compressive loads.
Finally we tick off all the main risk factors associated with developing a tendinopathy.
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
Or book a free 20-min physio chat here
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!
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
Or book a free 20-min physio chat here