🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this episode, Brodie breaks down a brand-new 2026 systematic review investigating whether collagen supplementation truly improves tendon health, recovery, and performance. With conflicting advice from experts and unclear evidence in the past, this paper helps clarify what actually works—and more importantly, how to apply it to your training.

Paper: Collagen Supplementation on Tendon-Related Structural and Performance Outcomes: A Systematic Review 

Key Takeaways

•  Collagen can improve tendon structure and stiffness—but only when combined with proper strength training 
• Dosage matters: 15–30g appears more effective than lower doses 
• Timing matters: ~60 minutes before training aligns with peak amino acid availability 
• Vitamin C enhances the process, helping collagen synthesis and cross-linking 
•  Collagen does NOT improve muscle strength beyond what training alone achieves

Bottom line: collagen seems tendon-specific, not a general performance enhancer

Training Requirements

•  Must include structured resistance training
•  Target 70–90% of 1RM (heavy loading)
•  Tendons need a strong mechanical stimulus to adapt

Collagen without loading = minimal benefit

Final Thoughts

This paper helps move us from confusion to clarity.

Collagen isn’t a magic fix—but when used strategically alongside heavy strength training, it may:

•  Improve tendon structure 
•  Increase stiffness 
•  Enhance long-term resilience 

In other words, it’s a potential amplifier—not a replacement—for good rehab and training principles.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Tendon pain is often treated as a purely physical problem. Strengthen the tendon, adjust the load, and eventually things should improve.

But what happens when the pain persists for months… or even years?

In this episode, Brodie speaks with physiotherapist and PhD researcher Jack Mest about a recent systematic review and meta-analysis exploring the psychological profile of people with persistent tendinopathy. The research compared people with chronic tendon pain to healthy controls and uncovered something surprising: fear of movement wasn’t the main psychological factor.

Instead, the research found that pain catastrophizing — a negative outlook toward pain and recovery — appeared more common in people with persistent tendinopathy.

This episode explores how psychological factors may influence tendon pain, why lower limb injuries may carry a greater psychological burden, and why clinicians need to treat the person behind the injury — not just the tendon itself.

If you’re a runner struggling with Achilles pain, plantar fasciopathy, proximal hamstring tendinopathy, or another persistent tendon injury, this conversation will help you understand why recovery can feel so frustrating — and what might help.

In This Episode

Brodie and Jack discuss:

• Why tendinopathy often becomes a chronic condition
• What the biopsychosocial model means for tendon rehab
• The difference between kinesiophobia (fear of movement) and pain catastrophizing
• Why catastrophizing appears more common in persistent tendon pain
• Why lower limb tendinopathies may have greater psychological impact than upper limb injuries
• The role of beliefs, expectations, and past experiences in shaping pain
• Why clinicians should ask about patients’ thoughts and fears about their injury
• Whether psychological traits are pre-existing or develop after chronic pain begins
• Practical advice for runners dealing with long-term tendon pain

About the Guest

Jack Mest is a physiotherapist and PhD researcher whose work focuses on understanding why tendinopathy becomes chronic and how psychological factors influence tendon pain.

His research aims to improve the way clinicians approach tendon rehabilitation by integrating biological, psychological, and social factors into treatment.

Follow Jack's research and updates:
 X (Twitter): @Mest_Jack
Facebook: Jack Mest Physio
Paper summary: https://www.jospt.org/do/10.2519/jospt.blog.2026017/full/ 

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

 In this episode, I sit down with Kirsten—Melbourne local, personal trainer, and someone who knows her way around the gym—yet still found herself stuck in a long and frustrating battle with proximal hamstring tendinopathy (PHT). 

Like many runners and active individuals, Kirsten spent months going in circles. Despite doing all the “right” things—rest, isometrics, backing off training—her symptoms kept returning. Sitting became unbearable, training was inconsistent, and the mental toll started to build. 

But everything changed when she shifted her approach. 

This conversation dives into the exact turning point in her rehab—what worked, what didn’t, and the key mindset shifts that helped her go from constant pain… to full confidence in her training again. 

Instagram mentions: 

https://www.instagram.com/reels/DWHlIU8jffK/

https://www.instagram.com/itsdrglutes?igsh=aXZodW5wYzE5a2h0

https://www.instagram.com/nunzicoaching?igsh=bGFqdzZ1b2llZXZn

Podcast mention:

Tim Ferriss Show episode with Dr. Keith Baar (episode #797). The episode covers:

• Tendon loading and repair
• The "Anti-RICE Protocol" (i.e., don't rest — use load as an anti-inflammatory)
• Isometrics vs. eccentrics for tendon rehab
• Simple exercises that can repair tendons (tennis elbow, etc.)

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Contact Dr. Alex Hardy and his team at Dr.hardy@chirurgiedusport.com

In this episode, Brodie is joined by hamstring surgeon Dr. Alex Hardy to break down exactly what to do before and after hamstring surgery. They cover the key differences between acute and chronic injuries, and what that means for your behaviour leading into surgery. For acute avulsions, the priority is speed—getting an MRI quickly and avoiding unnecessary delays—while keeping activity minimal. In contrast, chronic cases and tendinopathies benefit from staying active, maintaining strength and cardio, and avoiding unnecessary deconditioning. 

A key takeaway: there’s very little you can do pre-surgery to “make things worse,” but there’s a lot you can do to set yourself up for a smoother recovery.

The conversation then shifts to post-operative rehab, where patience is critical. Dr. Hardy explains why the first 6 weeks are highly protective (often involving a brace and minimal hamstring loading), followed by a gradual return to movement, strength, and eventually running around the 3–4 month mark. They discuss exercise progressions (starting with closed-chain work, then progressing to open-chain and eccentric loading), common pitfalls like premature overload or slips during early recovery, and when to be concerned about symptoms like persistent pain or sciatic irritation. 

If you’re considering surgery or currently navigating recovery, this episode gives you a clear, realistic roadmap—what matters most, what to avoid, and how to maximise your outcome

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

 In this Q&A episode, Brodie continues answering listener questions about proximal hamstring tendinopathy (PHT), covering topics ranging from long-term maintenance to returning to running after rehab. He explains why the same exercises used in rehabilitation—especially deadlifts—often remain the best way to keep symptoms at bay by maintaining tendon capacity. Depending on a runner’s goals, he also discusses when to add exercises like prone hamstring curls or Nordic curls to support endurance running versus speed work. The key message: keeping the tendon strong and progressively loaded helps reduce the likelihood of symptoms returning.

 The episode also addresses common frustrations during recovery, such as lingering sensations during a return-to-run program, setbacks from activities like rowing, and uncertainty about whether PHT ever truly “goes away.” Brodie outlines practical pain-monitoring rules, strategies for adjusting running variables (distance, pace, frequency), and how to identify training factors that may be slowing recovery. He also discusses scenarios such as young athletes with persistent sitting pain, older individuals starting rehab without gym access, and runners balancing rehab with race goals—emphasising that the key to long-term success is gradually building tendon capacity while carefully managing training load and recovery.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this Q&A episode, Brodie answers a flood of listener questions on proximal hamstring tendinopathy (PHT), starting with one of the most common concerns: how to load the tendon without flaring it up. He breaks down why deadlifts are one of the most effective strengthening tools for the upper hamstring, how to manipulate range of motion, weight and frequency, and why “dosage” is the difference between progress and a setback. You’ll learn how to systematically find your sweet spot, adjust frequency as loads get heavier, and avoid the common mistake of jumping in too hard, too soon.

The episode also explores more complex cases, including persistent morning pain, uncertainty around diagnosis, and radiating symptoms that may point to something beyond classic PHT. Brodie discusses how to use loading as both a treatment and a diagnostic tool, when to consider alternative causes like lower back involvement, and how nervous system sensitisation and hypervigilance can amplify pain. 

He finishes with rapid-fire answers on rehab frequency, maintenance loading, and how to modify exercises when other injuries (like low back pain) enter the picture. If you’ve been struggling to balance strengthening with symptom control, this episode offers practical, measured guidance to help you regain confidence and move forward with clarity.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Check out Loopi's Website here: https://www.athletetransitionlab.com/ 

When proximal hamstring pain just won’t settle, the conversation often turns to surgery — and that’s where confusion, fear, and mixed advice really begin.

In this episode, I’m joined by Dr. Luise Weinrich (known as Loopi), an orthopedic and trauma surgeon with extensive experience in hamstring avulsions, surgical repair, and post-operative rehabilitation. With a background as a former elite breakdancer and years working in top German sports orthopaedic hospitals, Luise brings a rare blend of surgical insight and athlete-centred thinking.

Together, we unpack the “grey zone” — the large group of runners and athletes who don’t clearly fall into “definitely need surgery” or “definitely don’t” — and how to make smarter, more confident decisions when the path forward isn’t obvious.

🎧 In This Episode, You’ll Learn:

• Why most proximal hamstring cases sit in a surgical grey zone
• The key MRI findings that matter — and the ones that don’t tell the full story
• How goals, age, chronicity, and function influence the surgery decision
• When partial tears may (or may not) warrant surgery
• Why surgery for chronic tendinopathy is often not a “winner operation”
• Common mistakes athletes make before and after surgery
• Why pre-op strength, sleep, protein, hydration, and nervous system regulation matter
• How post-op rehab should be phase-based, not timeline-based
• The biggest reasons athletes overdo or underdo rehab after surgery
• What questions you should ask your surgeon before committing
• Why post-operative protocols are essential — and often missing

🧠 Key Takeaways for Runners

• MRI findings alone shouldn’t dictate surgery — context matters
• Chronic tendon pain doesn’t automatically mean “failed rehab”
• Tendons need time, structure, and progressive loading to recover
• Surgery can remove pain drivers, but it doesn’t guarantee a “new” tendon
• Clear rehab phases + 24-hour symptom rules beat rigid timelines
• Being prepared before surgery often improves outcomes after
• If you’re unsure, a structured second opinion can prevent rushed decisions

In other words: the goal isn’t just to fix tissue — it’s to make the smartest long-term decision for your body, your sport, and your identity as a runner.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this episode of the Overcoming Proximal Hamstring Tendinopathy Podcast, Brodie dives into the most commented-on and most challenging questions from the PHT Facebook community over the past 90 days.

Rather than quick comment replies, this episode delivers long-form, evidence-based explanations to help you better understand your symptoms, your scans, and your rehab options—especially when things feel confusing or discouraging.

If you’ve ever been told “it’s severe,” “you’re too old,” or “it’ll never be the same,” this episode is for you.

🔍 What You’ll Learn in This Episode

1. Severe PHT, Tendon Tears & Bursitis — Is Recovery Still Possible?

• Why tendon tears on MRI are often part of the tendinopathy spectrum, not a reason to avoid loading
• How to interpret bursitis findings and when they’re clinically relevant vs incidental
• When ultrasound-guided corticosteroid injections may (or may not) help
• Why age and genetics slow recovery—but don’t prevent it
• Realistic timelines: why “2–3 years and never the same” is poor advice

Key takeaway: Even severe, chronic PHT can improve with the right loading strategy and recovery environment.

2. Load Management: The Missing Piece in Long-Term Recovery

• Why slow, progressive strength training is still the gold standard—even in older athletes
• How to find the “sweet spot” between challenge and flare-ups
• Why setbacks usually come from mismanagement, not irreversible damage
• The role of sleep, protein (especially leucine), collagen, hydration, and overall wellness in tendon healing

3. “Can I Start Walking Again—or Am I Making It Worse?”

• Why waiting for zero pain before returning to activity often delays recovery
• How to reintroduce meaningful activities (like dog walking) safely and progressively
• Why doing something—even 2–5 minutes—can be both physically and mentally therapeutic
• How graded exposure applies to walking, running, and all functional goals

4. Heel Pain & PHT — Are They Related?

• Why plantar fasciitis commonly appears alongside PHT
• How reduced sitting → increased standing can overload the plantar fascia
• Practical strategies for managing both conditions:
  • Footwear and gel insoles
  • Sitting vs standing vs kneeling rotations
  • Step counts, surfaces, and daily load awareness

5. Prone Hamstring Curls Flaring You Up? Here’s How to Modify Them

• How to confirm whether an exercise is actually the irritant
• Why double-leg > single-leg is often the right starting point
• Using reduced range of motion strategically
• How to progress:
  • Double-leg → single-leg
  • Load first vs range first
• Why small, systematic steps matter—especially for sensitive tendons

6. Sciatic-Type Pain With PHT — What’s Really Going On?

• How to tell when symptoms are no longer “pure PHT”
• Red flags for nerve involvement (pain past mid-hamstring or below the knee)
• Possible contributors:
  • Nerve sensitivity in chronic pain
  • Scar tissue or adhesions near the sciatic nerve
  • Compensation patterns (sitting, standing, movement changes)
• Why assessment matters—and what clinicians look for:
  • Piriformis testing
  • Neurodynamic tests
  • Nerve glide exercises and when to use them

🎯 Big Picture Takeaways

• Imaging findings don’t dictate outcomes—management does
• Severe or long-standing PHT does not mean you’re “too far gone”
• Recovery improves when load, recovery, and lifestyle align
• If symptoms spread or change character, don’t guess—get assessed
• Progress comes from doing the right things consistently, not perfectly

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

For years, chronic tendinopathy has been treated as a tendon problem — load it, strengthen it, remodel it. But what if, for some runners, the tendon itself isn’t the main driver of pain anymore?

In this episode, Brodie breaks down a new 2026 systematic review that may reshape how we think about stubborn, long-standing tendon pain. The paper explores whether nerve ingrowth and abnormal blood vessels around tendons — not degeneration of the tendon tissue itself — may be the real pain source in chronic cases.

We unpack the emerging research, explain each intervention in plain language, and discuss who this may (and may not) apply to — especially runners stuck in repeated rehab cycles despite “doing everything right.”

This is early, evolving science. But it’s a fascinating glimpse into where chronic tendon treatment may be heading next.

What You’ll Learn in This Episode

• Why some chronic tendon pain may be neuropathic (nerve-driven) rather than structural
• How abnormal blood vessels and nerves grow into painful tendons over time
• Why traditional loading programs sometimes stop working in very chronic cases
• What “neural modification” treatments aim to do — and why they’re gaining interest
• The six intervention categories reviewed in the paper (explained simply)
• How strong (or limited) the current evidence actually is
• Where this research fits alongside exercise-based rehab, not against it

Interventions Reviewed (Plain-English Overview)

1. High-Volume Injections (HVIGI / HVDI)

Large volumes of fluid are injected around the tendon (not into it) under ultrasound guidance to mechanically disrupt abnormal blood vessels and pain-sensitive nerves.

Key takeaway:
Consistent short- to medium-term pain and function improvements, especially in people who had failed exercise-based rehab.

2. Sclerosing Polidocanol Injections

A chemical agent is injected directly into abnormal blood vessels to deliberately close them down, cutting off blood supply to pain-producing nerves.

Key takeaway:
Moderate to strong pain reductions in very chronic cases, with outcomes comparable to surgery in some studies.

3. Radiofrequency Microtenotomy

A minimally invasive procedure using controlled heat to disrupt nerve ingrowth and abnormal vessels at the tendon–paratenon interface.

Key takeaway:
Very strong results in a small cohort, but higher risk and limited evidence so far.

4. Minimally Invasive Paratenon Release

Scar-like adhesions between the tendon and surrounding tissue are mechanically released to restore tendon movement and reduce nerve irritation.

Key takeaway:
Large pain reductions and high rates of pain-free outcomes in non-insertional Achilles tendinopathy.

5. Electrocoagulation Therapy

Electrical energy is used to seal off abnormal blood vessels surrounding the tendon under ultrasound guidance.

Key takeaway:
Promising early results, but evidence limited to one small study.

6. Surgical Interventions (Open & Endoscopic)

Surgery physically separates the tendon from irritated surrounding tissue and removes abnormal vessels and nerves.

Key takeaway:
Effective for some, but invasive, with longer recovery and higher risk.

The Big Picture Takeaway

Across very different procedures, outcomes were surprisingly similar.

That points to a common mechanism:
 👉 Modifying the neural (nerve-driven) pain environment around the tendon, rather than “fixing” tendon structure itself.

This doesn’t replace exercise-based rehab — but it may explain why a subset of runners with long-standing, highly sensitive tendinopathy stop responding to load alone.

This research is best viewed as a future direction, not a replacement for good rehab principles.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Check out Lasse's website here: https://www.lasselempainen.fi/?lang=en

In this episode, Brodie sits down with world-leading orthopedic surgeon Dr. Lasse Lempainen, a specialist in complex hamstring injuries, to answer one of the most confusing and anxiety-provoking questions runners face:

“How do I know if I actually need surgery — or if rehab is still the right path?”

Drawing on decades of surgical experience and extensive research into hamstring avulsions and proximal hamstring tendinopathy (PHT), Dr. Lempainen walks through how he actually makes decisions in real clinical practice — not just what MRI scans show, but how symptoms, function, timelines, and rehab quality all fit together.

Together, Brodie and Lasse unpack the gray area that most runners live in: partial tears, chronic pain, mixed scan results, failed rehab attempts, and fear-based decision-making. The result is a balanced, evidence-informed discussion that helps runners understand where surgery fits — and where it doesn’t.

What You’ll Learn in This Episode:
How Surgeons Decide Who Actually Needs Surgery

• Why MRI findings alone are never enough
• The importance of correlating scans with clinical function and symptoms
• Why some complete avulsions heal well conservatively — and others don’t

Hamstring Avulsion vs Proximal Hamstring Tendinopathy (PHT)

• Key differences between acute avulsions, chronic avulsions, and tendinopathy
• Why not all “avulsions” are the same (1-tendon vs 3-tendon injuries)
• When retraction distance matters — and when it doesn’t

Critical Timing Windows

• Why acute avulsions should ideally be operated on within 2–3 weeks
• What happens when diagnosis is delayed
• When chronic injuries become harder (or impossible) to fully restore surgically

“Failed Rehab” — What That Really Means

• Why many runners are told they’ve “failed rehab” when they actually haven’t
• Common mistakes in conservative treatment (under-loading, poor progression)
• When even excellent rehab is unlikely to succeed due to tendon biology

What Surgery for PHT Actually Involves

• What surgeons look for during surgery beyond “tendon thickening”
• The role of semi-membranosus release, scar tissue, and sciatic nerve involvement
• Why surgeons often find structural issues not obvious on standard MRI

Common Pre- and Post-Op Mistakes

• Why under-diagnosis is one of the biggest pre-op risks
• Why returning to running too early post-op leads to setbacks
• The importance of fixing why the injury happened — not just repairing tissue

Key Takeaway

This episode helps you understand which group you fall into, without fear-based decisions or false hope.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

 In this episode, Brodie breaks down a newly published review paper that takes a deep dive into what’s actually happening inside painful tendons — far beyond the usual “overuse” explanation. You’ll learn how healthy tendons are structured, what changes at a microscopic level when tendinopathy develops, and why pain severity often doesn’t match what shows up on scans. The episode explores how factors like load management, low-grade inflammation, oxidative stress, ageing tendon cells, and overall metabolic health all interact to influence tendon pain and recovery.

Brodie also discusses what this emerging science means for real-world rehab — including why rest alone doesn’t work, why exercises sometimes stall progress, and why a more holistic approach is often needed. The episode finishes by looking ahead at future treatment directions, from improved diagnostics to regenerative and molecular therapies, while grounding everything in practical takeaways runners can apply right now. If you’re dealing with persistent tendon pain — especially proximal hamstring or Achilles tendinopathy — this episode will help you understand why recovery can be slow and what actually gives you the best chance of long-term success. 

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

 In this episode, we break down a brand-new randomized controlled trial comparing individualized physiotherapy with shockwave therapy for proximal hamstring tendinopathy. I walk through how the study was designed, what each treatment involved, and why the results showed no meaningful difference between the two approaches. We also explore the role of education, load management, and compressive tolerance, and what this means for your rehab decisions moving forward. If you’ve ever wondered whether shockwave is worth trying or how it stacks up against a structured strength program, this episode gives you a clear, evidence-based answer.

Paper 1: Physiotherapy Compared With Shockwave Therapy for the Treatment of Proximal Hamstring Tendinopathy: A Randomized Controlled Trial
Paper 2: Treatment of Proximal Hamstring Tendinopathy with Individualized Physiotherapy: A Clinical Commentary

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info
Run 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 leg
• Lower 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 tilt
• Lower hamstring activation
• Better 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 technique
• Better 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 sliders
• Weighted eccentric sliders
• Single-leg sliders
• Assisted → full Nordic drops
• Deadlifts (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 curls
• Toes-in sliders
• Toes-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.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info
Run 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.

Paper Title 1: Porcine Collagen Injection Therapy Affects Proximal Hamstring Tendinopathy in Athletes by Reducing Time to Return to Sport
Paper Title 2: Estrogen and progesterone exhibit distinct yet coordinated roles in the regulation of tendon extracellular matrix remodeling 

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info
Run 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, Brodie reviews brand new research exploring patients’ real-life experiences receiving physio-led rehab vs shockwave therapy for proximal hamstring tendinopathy (PHT). This qualitative study highlights what people found most helpful, frustrating, and effective during rehab—revealing valuable lessons for anyone currently recovering from PHT. Brodie also provides a personal update on his own hamstring rehab and HYROX training progress.

Check out the paper here: Education, rapport and convenience are key to participants’ perceptions of receiving physiotherapy or shockwave for proximal hamstring tendinopathy: a qualitative study

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info
Run 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. 

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info
Run 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. 

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info
Run 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. 

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

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.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this episode, Brodie reviews a brand-new 2025 clinical commentary on the treatment of proximal hamstring tendinopathy (PHT) with an individualised physiotherapy approach. The paper, authored by experts including Jill Cook and Aidan Rich, outlines a comprehensive, stage-based rehab protocol grounded in tendinopathy principles and adapted for the unique demands of the hamstring complex.

CHECK OUT THE PAPER HERE

What you’ll learn in this episode:

• Why recent systematic reviews still show insufficient evidence for one superior PHT treatment.
• The three core pillars of the proposed protocol: education, progressive strengthening, and graded exposure to compressive/sport-specific loads.
• How the five rehab stages work:
  1. Isometrics – for pain relief and warm-up effect.
  2. Isotonics – to build strength and endurance.
  3. Kinetic chain training – targeting glutes, calves, adductors, and lumbopelvic control.
  4. Compressive load reintroduction – safely restoring tolerance to hip flexion positions.
  5. Energy storage/release drills – for athletes with high-speed or power demands.
• The importance of pain monitoring, “hurt vs harm” education, and avoiding rapid spikes in load.
• How to individualise the program based on goals, deconditioning level, and activity demands.
• Practical tips for combining stages, structuring training cycles, and maintaining long-term tendon health.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

🧠 Episode Summary

In this episode, Brodie dives into a newly published paper titled “Female Tendons are from Venus and Male Tendons are from Mars: But Does it Matter for Tendon Health?” by Gerard McMahon and Jill Cook. The paper explores how male and female tendons differ in structure, adaptation, healing, and injury risk—and what it means for those dealing with tendinopathy.

🔍 What You’ll Learn

• Key structural differences between male and female tendons (size, stiffness, collagen synthesis)
• Why female tendons may stretch more but adapt less to training
• How men and women respond differently to tendon rehab protocols
• Surprising findings about pain, healing, and tendon blood flow
• Whether injury prevention or rehab should differ based on sex

📌 Key Takeaways

• Female tendons are more compliant, have lower stiffness, and show slower collagen production—even at rest.
• Male tendons respond more favorably to traditional rehab (like eccentric loading), often reporting greater pain reduction and functional improvements.
• Despite men experiencing more frequent tendon injuries in some data, women may be closer to their strain “danger zone” during exercise, possibly increasing injury risk.
• Women may need longer rehab timelines, heavier resistance training (beyond just eccentrics), and closer attention to recovery, nutrition, and hormonal cycles.
• Men should be cautious about overloading tendons due to higher force-generating capacity and should still progress gradually.

💡 For Runners With Tendinopathy

• Don’t compare your progress to someone of the opposite sex—recovery is sex-specific.
• Trust the process: healing may be happening at a microscopic level even if pain relief is slow.
• Tailor your rehab by considering not just gender, but also age, training history, injury severity, and more.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this episode, Brodie explores the latest research on vitamin D and its role in tendon health, diving into a 2024 comprehensive review that examines both cell-based and animal studies. You’ll learn how vitamin D influences tendon healing, inflammation, and collagen production—and how low levels could delay your recovery. Plus, Brodie shares practical advice on vitamin D testing, optimal levels, sun exposure, supplementation, and the potential role of vitamin K2.

🧠 What You'll Learn:

• How tendons respond to training and stress via collagen synthesis
• Why vitamin D is like a “site manager” during tendon repair
• The difference between in vitro (lab) and in vivo (animal) studies
• What research shows about vitamin D deficiency and tendon healing
• The importance of maintaining adequate vitamin D levels (and what’s considered optimal)
• Whether supplementation is necessary—and how to combine it with vitamin K2

🧪 Research Highlight:

Study: Exploring the Impact of Vitamin D on Tendon Health: A Comprehensive Review (2024)

• 14 studies analyzed: 5 in vitro, 9 in vivo (mostly animal models)
• Key takeaway: Vitamin D deficiency may impair tendon healing and increase re-injury risk

🛠️ Practical Takeaways:

• Ask your GP for a 25-hydroxyvitamin D blood test
• Aim for blood levels between 75–125 nmol/L for optimal musculoskeletal health
• Get sun exposure for 10–30 mins/day (arms and legs, mid-morning or afternoon)
• Include dietary sources like fatty fish, egg yolks, and fortified foods
• Supplement with 1,000–2,000 IU/day if needed; higher doses may require supervision
• If supplementing long-term, consider pairing vitamin D with vitamin K2 to support bone health and calcium balance

🎯 Ideal For:

• Runners and athletes recovering from tendinopathy
• People looking to optimize tendon repair and performance
• Anyone curious about the role of micronutrients in injury recovery

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Guest: Dr. Ian Seels | Specialist Musculoskeletal Physiotherapist

🧠 Episode Summary

In this thought-provoking episode, Brodie chats with Dr. Ian Seels, a private musculoskeletal physiotherapist with over 35 years of experience and a co-author of the paper The Relevance of Diet in Musculoskeletal Clinical Practice – A Narrative Review. Together, they explore the emerging science behind how diet influences inflammation, pain, and injury recovery—with a particular focus on what this means for recreational runners.

If you're battling persistent niggles, chronic tendon pain, or just want to run pain-free into your later years, this episode offers a fresh perspective you might not have considered: what you eat could be the missing link in your recovery journey.

🔍 What You’ll Learn

• Why inflammation matters more than weight when it comes to injury and pain
• How a high-carb Western diet may be quietly sabotaging your recovery
• The 3 pillars of "active management" for injury: mechanical, mental, and metabolic
• The basics of an anti-inflammatory diet (very low carb, high fat, moderate protein)
• The difference between nutritional ketosis vs. metabolic acidosis
• How to train your body to burn fat instead of carbs for endurance
• Simple ways to reduce oxidative stress and support your gut health
• Why omega-3 to omega-6 balance is critical for joint and tendon health
• Label-reading tips that might surprise even the most health-conscious runners
• Whether CRP and ketone testing is worth doing to track inflammation

🧪 Practical Takeaways for Runners

• A 4–6 week anti-inflammatory diet “trial” could help reduce pain and improve energy
• Reducing processed foods and increasing healthy fats can shift you into a less inflamed state
• Berries, leafy greens, herbs, and spices are powerful sources of antioxidants
• Ketone testing can “gamify” your dietary changes and provide real-time feedback
• Omega-3s from oily fish, grass-fed meats, and free-range eggs support healing

🛠️ Resources Mentioned

• 📄 Paper: The Relevance of Diet in Musculoskeletal Clinical Practice – A Narrative Review
• 📺 YouTube: Diet, Health and the Wisdom of Crowds (2018)
• 🌐 LowCarbDownUnder.com.au – A go-to hub for evidence-based low-carb/keto nutrition

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

❓ Questions Answered in This Episode:

• How do I correctly perform Keith Barr’s isometric bridge for PHT?
• Can I build a rehab routine without deadlifts if I have knee issues?
• Can diseased tendons or partial tears ever fully heal?
• Should I keep doing strength sessions if I’ve flared up?
• What do I do when I can no longer progress my exercises?
• Could walking on a treadmill cause a flare-up?

💡 Key Takeaways:

• Keith Barr's Isometric Strategy: Use an anterior pelvic tilt during a single-leg bridge to target the proximal hamstring tendon more directly.
• Training Around Knee Pain: Modify deadlift range, keep the shin vertical, and experiment with tolerable load zones to stay active during knee flare-ups.
• Partial Tears & Recovery: Tendons with partial tears can often recover without surgery—track your strength, function, and symptom trends instead of obsessing over scan results.
• Managing Flare-Ups: You don't need to wait for a full return to baseline—1–3 days of rest followed by finding a new adaptation zone is often ideal.
• Progression Plateaus: When nearing max capacity in exercises, micro-progressions (e.g. +1 rep or +2 lbs) and reduced frequency (e.g. 2x/week) may be best.
• Walking Flare-Up Clues: High frequency, speed, incline, or insufficient recovery might turn a low-load activity like walking into a trigger.

🧠 Brodie’s Insight:

“Consistency and experimentation are key. You're not just following a plan—you're learning how your tendon responds. The more data points you collect, the smarter your rehab becomes.”

🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉
For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info
Run 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. 

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In Part 3 of this special series, Brodie tackles more insightful questions from listeners navigating their PHT recovery journey. With practical advice and personal stories, this episode is packed with actionable takeaways for anyone dealing with chronic hamstring pain.

🧠 Topics Covered:

• Training other leg muscles during rehab:
  Are squats, leg presses, and calf raises safe? What about creating muscle imbalances?
• Flare-ups after rehab:
  Are they normal? When should you start worrying?
• Toughest client experiences:
  Brodie shares the most challenging cases he's worked with—and the common thread between them.
• Psychological struggles:
  How to shift your mindset when it feels like you’ll never get better.
• End-stage rehab guidance:
  For those almost fully recovered, how to know what exercises to keep, drop, or progress.
• Running warm-ups:
  What’s necessary when reintroducing running post-injury?
• Strength progression pacing:
  How to safely increase weights, reps, or volume—especially for seniors or those easily flared up.
• Does slower recovery = weaker tendon?
  Brodie breaks down the myths and shares what really influences recovery time.

🧰 Key Takeaways:

• Keep training unaffected muscles to prevent deconditioning and stay mentally engaged.
• Flare-ups are learning opportunities—not failures.
• Progress rehab slowly and smartly—especially if you're prone to setbacks.
• Your mindset matters. Reframing rehab as your new “sport” can be a game-changer.
• Progress only one variable at a time—reps, weight, or frequency—not all at once.
• Recovery time from soreness is multifactorial: nutrition, sleep, age, and stress all play a role.

📚 Brodie Mentions:

• Book: Rebound by Carrie Jackson Cheadle
  (A great read for injured athletes struggling with identity and motivation.)

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this milestone Q&A episode, Brodie tackles your most pressing questions about proximal hamstring tendinopathy (PHT) — covering flare-ups, long-term pain, sleeping issues, training setbacks, and even how tight hip flexors fit into the picture.

Whether you're just starting your rehab journey or stuck in a plateau, these answers will help you adjust your plan and regain control.

🎧 What You'll Learn:

✅ Cycling & PHT — When cycling to work becomes part of the problem
✅ Long-Term Recovery Doubts — “Will I ever be pain free again?”
✅ Tight Hip Flexors — Do they relate to PHT or are they just noise?
✅ Flare-Up Triggers — Why some weeks you feel great… and others fall apart
✅ Running Strategy — When to stop, reduce, or push through
✅ Speed Work — The right time to reintroduce faster running
✅ Sleep Disruption — Why some flare-ups hit hardest at night
✅ Nervous System Involvement — How chronic PHT becomes more than just tendon pain
✅ Hot or Burning Sensations — What it means when your tendon feels “hot”
✅ Post-Rehab Maintenance — What to do after symptoms go away

🧠 Key Takeaways:

• Pain rules matter: Mild discomfort (<4/10), return to baseline by the next day, and a positive weekly trend are your north star.
• Setbacks are part of progress: Use them to tweak—not trash—your rehab plan.
• Training load ≠ just running: Cycling, gardening, and even long sitting can tip the load-recovery balance.
• The nervous system matters: Chronic pain is often more than just a mechanical issue.
• Hotness ≠ progress: It might be a sign of irritation or nerve sensitivity.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this listener-driven episode, Brodie answers 10 of your most pressing questions about proximal hamstring tendinopathy (PHT). From isometric training to pain rules, sitting tolerance, and tendon healing potential—this Q&A is packed with practical insights to help you take control of your recovery.

🧠 What You’ll Learn in This Episode:

• 📉 Is gentle running delaying healing? How to use "pain rules" to guide your load management.
• ✅ Can PHT fully heal? Yes—and Brodie explains how research supports complete tendon recovery (with some important caveats about pain).
• 🧱 Isometrics revisited: Brodie shares how his views have shifted after his chat with Dr. Keith Barr and what exercises he now recommends.
• 🏋️‍♀️ How should isometrics be programmed? Duration, intensity, and how to pair with RDLs, curls, and step-ups.
• 🚶‍♂️ When to do loading exercises vs walking: How to time your rehab and avoid diagnostic confusion.
• 💪 Am I getting stronger if I still have pain? Why strength and pain are different metrics—and how to track both.
• 🚗 Sitting pain: annoying or damaging? Whether long car rides are actually harming your tendon and how to modify.
• 🤔 Is it still PHT? Brodie explains why he avoids making remote diagnoses and what to do when symptoms are vague or lower down the leg.
• 📈 How do I progress my running? A guide to adding a third running day without flaring up symptoms.
• 🎭 Living with PHT as a performer: Does pushing through mild pain lead to long-term damage? Plus, are foam rollers helpful or harmful?

🔁 Stay Tuned:

This is just part 1 of a multi-episode Q&A series—more listener questions and in-depth answers coming soon. If you’d like to submit a question for a future episode, sign up for the free email course and keep an eye on your inbox!

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this episode, Brodie sits down with Moira, a dedicated endurance athlete and physical therapist, to discuss her long and challenging battle with chronic injury. What started as a suspected stress fracture turned into a frustrating cycle of pain, conflicting diagnoses, and psychological hurdles. Moira shares her journey of setbacks, self-reflection, and ultimately, breakthrough moments that led her back to running. Her story highlights the importance of understanding pain science, overcoming fear of movement, and following a structured, gradual return-to-running plan.

What You’ll Learn in This Episode:

• The progression of Moira’s injury and the many misdiagnoses she received along the way.
• How medical imaging (MRI, x-rays) and different professional opinions added to her confusion.
• The psychological impact of chronic pain and injury on an athlete’s identity.
• The role of pain science in Moira’s recovery and how she shifted her mindset.
• The importance of finding a trusted health professional who aligns with your approach.
• How Moira gradually returned to running and her current training routine.

Key Takeaways:

• Pain Science & Nervous System Sensitivity: Moira learned that her pain wasn’t solely due to structural damage but also a result of a hypersensitive nervous system. Recognizing this was a major turning point in her recovery.
• Fear of Movement (Kinesiophobia): Despite being a physical therapist, Moira developed a deep fear of movement, which prolonged her symptoms. A gradual and confidence-building approach to movement helped her break this cycle.
• Small, Sustainable Steps: Her return to running started with 10-second run intervals. This slow approach was crucial in rebuilding confidence and reducing fear-driven pain responses.
• The Power of Self-Talk & Mental Reframing: Moira used mantras, journaling, and positive reinforcement to change her mental approach to pain and injury.
• Trust & Patience in the Process: Finding a professional she trusted and following a structured plan were critical in her return to pain-free running.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Optimal Nutrition for Tendon Recovery with Jordi Sullivan 

📍 Episode Summary:
In this episode, Brodie is joined by sports dietitian Jordi Sullivan, founder of The Fight Dietitian, to unpack one of the most overlooked aspects of injury rehab: nutrition. While the conversation begins with general performance nutrition, the focus soon shifts to actionable strategies for tendon recovery, particularly for those overcoming proximal hamstring tendinopathy (PHT).

Jordi shares his evidence-based, no-nonsense advice on calories, macronutrients, micronutrients, and supplements, while offering simple frameworks to help injured athletes support healing and stay on track with their rehab goals.

🧠 What You’ll Learn:

• Why calorie intake is essential—especially during injury
• How to calculate protein needs and why it's vital for tissue repair
• A breakdown of carbs and fats: their role in recovery and daily fueling
• How to spot signs of under-fuelling, both short- and long-term
• When (and if) supplements like collagen, vitamin D, and protein powders are worth using
• How to keep nutrition simple without sacrificing results
• What recreational runners can learn from elite athlete routines—without overdoing it
• The “factory” analogy to understand how your body uses food to heal

👤 Guest Bio:

Jordi Sullivan is a qualified dietitian with a Master's in Dietetics and a background in exercise and nutrition science. He works with a wide range of athletes including combat sport professionals, endurance runners, and team sport athletes. Through The Fight Dietitian, Jordi and his team specialize in helping athletes optimize performance, recovery, and injury resilience using practical, science-backed nutrition.

📌 Resources & Links:

• 🌐 Visit The Fight Dietitian Website
• 🌐 Website 'PDF Guides & Courses'
• 📸 Follow Jordi: @the_fightdietitian
• 📸 Follow Lauren (Endurance Specialist): @thexfitdietitian
• 
  

💬 Key Quotes:

🎧 Tune In If:

• You're recovering from PHT or any injury and want to optimize your healing
• You want clarity on protein, carbs, fats, and how much you really need
• You’re curious about collagen, vitamin C, and other trendy recovery supplements
• You want to stop guessing and start fuelling your body the smart way

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Episode Summary

In today’s episode, we welcome back Matt, who originally shared his success story in Episode 95. Two years ago, he successfully overcame proximal hamstring tendinopathy (PHT) in his left leg. However, in the past year, he faced a new challenge—PHT on his right leg. Unlike his previous experience, this case proved to be more stubborn and took nearly a year to resolve.

Matt’s journey provides deep insights into the complexities of PHT rehab and highlights the importance of strength training, patience, and persistence. This episode is a must-listen for runners struggling with recurring injuries, as Matt shares his key takeaways from his rehab journey, the role of gym-based strength work, and the adjustments that finally led to full recovery.

Key Takeaways from This Episode

🔹 The Reality of PHT Recurrence

• After successfully treating PHT on one side, Matt developed it on the other leg a year later.
• Despite applying the same rehab strategies, this case was more stubborn and required new approaches.

🔹 What May Have Caused the Second PHT Case

• Started a new training cycle with a strong emphasis on strides and uphill sprints.
• Simultaneously introduced gym training, leading to a hamstring strain near the knee.
• Once the strain healed, mild PHT symptoms began to develop, possibly due to hamstring weakness.

🔹 Rehab Attempts That Didn’t Work

• Performed targeted home-based hamstring strengthening exercises, focusing on painful movements.
• Experimented with different exercise frequencies, intensities, and recovery strategies.
• Symptoms remained at a mild but persistent 1-2/10 pain level for nearly a year.

🔹 The Breakthrough Moment

• Started going to the gym twice a week with a full-body strength program after running.
• Increased load with heavier weights and compound exercises (e.g., squats, deadlifts).
• Adopted a "one-set-per-exercise" approach to maximize exercise variety.
• Noticed improvements within 4 weeks, and symptoms completely resolved within 2 months.

🔹 Possible Reasons This Approach Worked

1. Heavier Strength Work – Increased tendon load beyond what was possible with home workouts.
2. Exercise Variety – Instead of focusing only on painful movements, he incorporated full-body training.
3. Running Before Strength Training – This may have helped fatigue healthy tendon fibers, forcing the injured portion to adapt and strengthen (as explained by tendon researcher Keith Baar).

🔹 Takeaways for Runners with PHT

• Strength training is non-negotiable if you want to avoid PHT.
• Ignoring symptoms early on can lead to longer recovery times. Address small flare-ups before they become chronic.
• The “Easy Interval Method” allowed Matt to include speed work without triggering symptoms.
• Runners should expect some setbacks. PHT recovery is not always linear, and adjusting training when needed is key.

Final Message from Matt

If you're dealing with mild but persistent PHT, don’t lose hope! The right training adjustments can help you return to pain-free running. Matt’s key lesson: Running alone makes you weaker—strength training is essential to stay resilient.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

PHT Success Story: Brook Benten’s Journey to Recovery

In this powerful and inspiring episode, we welcome Brook Benten, a personal trainer, exercise physiologist, and author, who shares her deeply personal journey of overcoming Proximal Hamstring Tendinopathy (PHT). Brooke opens up about her struggles, setbacks, and the pivotal mindset shifts that led her to recovery.

What You’ll Learn in This Episode:

✅ Brook’s background in the fitness industry and how her passion for movement shaped her career
✅ How overtraining, perfectionism, and high self-expectations contributed to her PHT injury
✅ The emotional and psychological battles that amplified her pain and delayed healing
✅ The turning point—embracing wellness, strength training, and self-compassion
✅ Key strategies that helped Brook finally break free from chronic pain
✅ The connection between mental health, trauma, and persistent pain
✅ How she successfully returned to running, including her emotional comeback race

Key Takeaways for PHT Recovery:

💡 Strength training is crucial – Incorporating heavy resistance exercises (like deadlifts and hamstring curls) played a massive role in Brook’s recovery
💡 Mental health matters – Addressing emotional stress, perfectionism, and suppressed emotions was key to reducing pain sensitivity
💡 Healing is holistic – Nutrition, sleep, stress management, and social connections all play a role in tendon recovery
💡 Small wins matter – Celebrating progress (instead of dwelling on limitations) builds a positive mindset that supports recovery
💡 You are not alone – Many runners struggle with PHT, but with the right approach, full recovery is possible

Connect with Brook Benten:

📸 Instagram: @BrookBenten
🏃‍♀️ Strava: Brook Benten-Himena
Books: “Sweat with Brook Benten"
Or “10 Minutes to Slim and Sober.”  Availabile here: https://brookbenten.com/shop/

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this episode of the Run Smarter Podcast, I sit down with Dr. Keith Barr from the University of California, Davis, to uncover groundbreaking research on tendon health, rehabilitation, and performance. Dr. Barr shares his expertise on tendon tissue engineering, the role of mechanical loading in healing tendinopathies, and how to reverse chronic scar tissue formation. Whether you're a runner struggling with tendon pain or a coach looking to optimize performance, this episode is packed with game-changing insights.

What You'll Learn in This Episode

🔹 Why tendons develop scar tissue – and how stress shielding plays a role in tendinopathy
🔹 How to reverse chronic tendon damage – with the right type of loading strategy
🔹 The difference between tendon stiffness and perceived stiffness – and how it impacts performance and injury risk
🔹 Why isometric exercises are a game-changer – and how to use them effectively in rehab and injury prevention
🔹 The role of hormones in tendon injuries – including how menopause and testosterone affect tendon health
🔹 How to train smarter to avoid tendon injuries – including the optimal way to structure your running volume

Key Takeaways & Actionable Strategies

✅ Target the scar tissue with load – Use isometric holds after a workout to gradually reintroduce load to the weak areas
✅ Don’t rush into plyometrics – Start with long-duration isometric exercises before progressing to slow, heavy strength training
✅ Train twice a day for better tendon adaptation – Splitting your runs into two sessions improves tendon recovery and adaptation
✅ Respect the first few sessions of new training – The first track session, spikes workout, or hill session introduces high jerk forces, increasing injury risk
✅ Consider hormonal factors – Women going through menopause may need to adjust their training due to changes in tendon stiffness and collagen synthesis

Dr. Keith Barr’s Research & Resources

🔹 Follow Keith Barr on BlueSky: Muscle Science
🔹 Read his research paper: Using Load to Improve Tendon Ligament Tissue Engineering and Develop Novel Treatments for Tendinopathy

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this episode, Brodie Sharpe sits down with Sara to share her inspiring journey of overcoming Proximal Hamstring Tendinopathy (PHT) after struggling with it for several years. Sara's story is filled with ups and downs, from navigating misdiagnoses and passive treatments to discovering the power of strength training and the mind-body connection. Whether you’re currently battling PHT or looking for guidance on chronic pain, this episode offers valuable insights and hope.

Episode Highlights:

• 00:00 – Introduction to today’s episode and Sara’s success story
• 00:33 – Background on Sara’s PHT journey and how it developed over the years
• 01:07 – Sara shares the onset of her symptoms dating back to 2009
• 02:34 – The chronic resurgence in 2017 and the role of life transitions
• 03:54 – Seeking treatment: from passive treatments to sports medicine
• 05:49 – Ineffective treatments: PRP, dry needling, and acupuncture
• 06:48 – Diagnosis of PHT and later gluteal tendinopathy
• 08:15 – Attempting different procedures: Tenex, injections, and shockwave therapy
• 09:43 – The mental and emotional toll of chronic pain
• 10:41 – Finding Brodie’s podcast and beginning strength training
• 12:18 – The importance of slow, heavy progressive strength training in recovery
• 14:13 – Balancing treatment approaches and avoiding unnecessary interventions
• 16:29 – Returning to running: overcoming fear and rebuilding confidence
• 19:22 – A pivotal moment: discovering ‘Think Away Your Pain’ and the mind-body connection
• 24:27 – The impact of personality traits on chronic pain and recovery
• 27:53 – How stress and responsibility play a role in pain persistence
• 31:36 – Understanding the emotional component of pain and its management
• 34:27 – Key strategies for overcoming hypervigilance and overanalysis
• 37:45 – How to shift treatment strategies when progress plateaus
• 41:02 – Sara’s current status: running again and symptom management
• 42:51 – Final advice for PHT sufferers and key takeaways

Key Takeaways: 
✔ Passive treatments like PRP, dry needling, and injections may not provide long-term relief for PHT. 
✔ Strength training, specifically slow, heavy progressive loading, is a crucial foundation for recovery. 
✔ Addressing the mind-body connection can be a game-changer in managing chronic pain. 
✔ Hypervigilance and fear of movement can perpetuate pain—learning to reframe these thoughts is essential. 
✔ Recovery is a journey—adjusting your approach when progress stalls is key to success. 
✔ Stress and personality traits (perfectionism, responsibility, self-criticism) can influence chronic pain.

Resources Mentioned:

• Sara's email: sarashaff@gmail.com
• Think Away Your Pain – David Schechter
• Healing Back Pain – Dr. John Sarno
• Emily's TMS Instagram
• Dan’s YouTube Channel: Pain Free You

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Protein and Tendon Healing with Dr. David Minkoff

In this episode of the Run Smarter Podcast, we are joined by Dr. David Minkoff, an expert in integrative medicine, author of The Search for the Perfect Protein, and an accomplished athlete with 43 Ironman finishes. We discuss the critical role of protein, specifically essential amino acids, in healing injuries like proximal hamstring tendinopathy, optimizing recovery, and improving overall performance. If you’ve struggled with chronic injuries, want to enhance muscle repair, or are curious about how protein intake affects running performance, this episode is packed with actionable insights.

What You’ll Learn in This Episode: 
✔️ How amino acids are the building blocks for tendon repair and injury recovery.
✔️ The impact of protein deficiencies on healing and performance.
✔️ The role of gut health in protein absorption and utilization.
✔️ Why tracking protein intake may not be enough for optimal recovery.
✔️ How Perfect Amino can enhance muscle repair and prevent injuries.
✔️ The truth about collagen for tendon health—does it really work?
✔️ How endurance athletes can optimize protein intake for peak performance.
✔️ Creatine supplementation—should runners be taking it?
✔️ How to structure your protein intake to maximize tendon and muscle recovery.

Key Takeaways: 
🔹 Essential amino acids are crucial for tendon and muscle repair, especially if you suffer from tendinopathy.
🔹 Many runners are protein-deficient despite eating a high-protein diet due to poor digestion and absorption.
🔹 Collagen lacks key amino acids (like tryptophan), making it a suboptimal choice for tendon repair on its own.
🔹 The best sources of protein are high-quality animal proteins (meat, fish, eggs) combined with essential amino acid supplements.
🔹 Taking Perfect Amino before meals or workouts ensures optimal absorption and utilization.
🔹 Runners with injuries should double their essential amino acid intake for enhanced recovery.
🔹 Strength athletes and endurance runners can benefit from creatine supplementation alongside amino acids.

Recommended Products & Resources:
📖 The Search for the Perfect Protein by Dr. David Minkoff –
💊 Perfect Amino – Order from Body Health.
📰 Body Health Newsletter – Get daily insights on nutrition, performance, and recovery. 

Connect with Dr. David Minkoff & BodyHealth:
🌐 Website: https://www.bodyhealth.com

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Paper title: Sex Differences and Extracorporeal Shockwave Therapy Outcomes in Runners with Achilles or Hamstring Tendinopathy

Episode Summary:
In this episode of the Run Smarter Podcast and Overcoming Proximal Hamstring Tendinopathy Podcast, Brodie Sharpe dives into the science behind shockwave therapy and its effectiveness for treating Achilles and hamstring tendinopathies in runners. Brodie explores the mechanisms of shockwave therapy, discusses its application, and reviews the findings of a fascinating research paper that delves into factors such as gender, hormonal contraceptives, and their impact on treatment outcomes. Whether you're dealing with stubborn tendon pain or just curious about innovative therapies, this episode is packed with actionable insights.

What You’ll Learn:

• What is shockwave therapy, and how does it work?
• Key findings from a research paper on shockwave outcomes in runners with Achilles and hamstring tendinopathies.
• Factors influencing the effectiveness of shockwave therapy, including hormonal contraceptive use and chronic versus acute tendinopathies.
• Ideal candidates for shockwave therapy and when it might not be suitable.
• The role of combining shockwave with strength training for optimal results.

Key Takeaways:

• Shockwave Therapy Basics: A handheld device delivers pressure waves to stimulate healing in tendons and surrounding tissues. It's especially effective for chronic, low-level, stubborn tendon pain.
• Research Insights: Female runners using hormonal contraceptives were less likely to see clinically significant improvements. Other variables like gender and the female athlete triad were explored with interesting results.
• Best Practices: Shockwave therapy is most effective when combined with strength training for long-term tendon health and resilience.
• Practical Advice: Most effective results typically require 3–6 sessions, with improvements continuing up to 12 weeks post-treatment.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Episode Description: Welcome to another episode of the podcast dedicated to giving you the most up-to-date, evidence-based insights on managing Proximal Hamstring Tendinopathy (PHT). In this episode, Brodie tackles listener-submitted questions on all things PHT rehab. From understanding inflammation and its role in recovery to breaking down the benefits of squats versus deadlifts, this episode is packed with practical advice and strategies for your journey to recovery. Whether you're new to managing PHT or have been battling it for years, you'll find valuable takeaways to guide your rehab.

What You’ll Learn in This Episode:

• The truth about inflammation in tendinopathy and why "tendonitis" is an outdated term.
• How to distinguish between tendon thickening and other possible causes of swelling, such as bursa inflammation.
• The critical differences between squats and deadlifts for targeting the proximal hamstring tendon.
• Why Bulgarian split squats might flare up your symptoms and how to safely incorporate them into your rehab.
• Activities and daily tasks that often aggravate PHT and how to identify your personal triggers.
• The importance of focusing on pain and function trends rather than temporary swelling.
• Tips for resuming running post-PHT and the role of strength training in long-term recovery.

Listener Questions Answered in This Episode:

1. What does swelling in the tendon after rehab mean? Is it a sign of healing?
2. Do squats help with PHT recovery, and how do they compare to deadlifts?
3. What are the most common activities that aggravate PHT, and how can I manage them?
4. How can I safely return to running after PRP treatments and a partial hamstring tear?

Resources Mentioned:

• PHT Online Workshop: Learn how to design a personalized rehab plan, including running and strength training programs, with step-by-step video guides.
• Adjustable Dumbbells: A cost-effective solution for home strength training. Find second-hand deals on platforms like Facebook Marketplace.
• Free Injury Chat with Brodie: Book a call to discuss your rehab journey and explore tailored coaching options.

Brodie’s Final Advice:
Recovery from PHT is possible with the right approach. Focus on gradual progression, listen to your body, and don’t shy away from activities you enjoy—just adapt and rebuild your tolerance over time.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In today’s episode, we dive into Kate’s inspiring journey of overcoming Proximal Hamstring Tendinopathy (PHT). Kate shares her experience, including the onset of her symptoms, the challenges she faced with traditional rehab methods, and the turning point that transformed her recovery. Her story reveals how addressing emotional and psychosocial factors played a critical role in her healing process. If you're navigating your own PHT recovery, this episode is filled with actionable insights and encouragement.

What You’ll Learn in This Episode:

• Kate’s Journey: How her PHT symptoms started and the initial struggles she faced with diagnosis and traditional rehab approaches.
• Rehab Challenges: Why conventional exercises didn’t work and how fear and deconditioning played a role in her pain progression.
• The Turning Point: How a family holiday, central nervous system relaxation, and a change in mindset began her path to recovery.
• Mind-Body Connection: The role of emotional and psychosocial factors in pain management and recovery.
• Actionable Strategies: Journaling, relaxation techniques, and changing beliefs about pain for effective recovery.
• Kate’s Results: From barely managing daily activities to driving long distances, enjoying social events, and returning to exercise.

Key Highlights:

• Understanding PHT Symptoms and Misdiagnoses: Kate recounts how initial scans and treatments failed to pinpoint her condition.
• Fear and Avoidance Cycle: How limiting activities out of fear of flare-ups contributed to her deconditioning.
• Mind-Body Realizations: Discovering that emotions were not just amplifying her pain but were potentially causing it.
• Practical Interventions That Worked:
  • Journaling to identify and address stressors.
  • Conscious relaxation techniques to calm the central nervous system.
  • Reframing fear-driven thoughts and building confidence in her body.
• Results in Real Time: Kate experienced significant improvements within days of addressing the emotional root of her pain.

Quotes from the Episode:

• "It was such a lightbulb moment when I realized my emotions weren’t just impacting my pain—they were causing it."
• "The biggest change came when I stopped thinking, ‘What did I physically do to cause this?’ and started asking, ‘How am I feeling right now?’"
• "You don’t have to rush. The gym will still be there next week when you’re ready."

Resources Mentioned:

• Think Away Your Pain by Dr. David Schechter
• Healing Back Pain by Dr. John Sarno
• Techniques for calming the central nervous system, such as deep breathing and journaling.

Final Takeaways:

• Recovery isn’t always about more exercises or stronger scans. Addressing fear, stress, and emotional connections can lead to profound and rapid improvements.
• If your rehab feels stagnant, consider exploring the mind-body connection and reassess how emotions might influence your pain.
• Small, meaningful steps—like journaling or joining a supportive community—can help rebuild your confidence and restore your quality of life.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Episode Summary: In this episode, we explore the fascinating role of Vitamin C in tendon recovery, collagen synthesis, and tendinopathy prevention. Brodie dives into the latest research to examine how Vitamin C-enriched supplements, when combined with exercises, can potentially enhance tendon healing and performance. 

He discusses two key studies: 
1.) Vitamin C–enriched gelatin supplementation before intermittent activity augments collagen synthesis 
2.) Effect of Vitamin C on Tendinopathy Recovery: A Scoping Review 

The conversation highlights the potential benefits and limitations of Vitamin C in injury recovery, offering practical insights for runners and those dealing with tendon injuries.

Key Takeaways:

1. Vitamin C and Tendon Health: Vitamin C plays a crucial role in collagen synthesis, which is essential for tendon repair and recovery. Collagen makes up 60-75% of tendons, making its synthesis critical for both injury recovery and performance enhancement.
2. Research Insights:
   • A 2017 study found that supplementing with Vitamin C-enriched gelatin before intermittent exercise doubled collagen synthesis in participants, suggesting a potential benefit for injury prevention and tissue repair.
   • A scoping review on Vitamin C’s role in tendinopathy recovery shows promising but inconsistent results, particularly when Vitamin C is combined with other nutrients like mucopolysaccharides and type 1 collagen.
3. Practical Application:
   • While there isn’t a definitive recommendation on the optimal dosage or timing of Vitamin C for tendon recovery, the studies suggest considering Vitamin C-enriched supplements, especially for athletes under intense training or those dealing with tendinopathies.
   • Other factors like proper nutrition, rest, and reducing alcohol intake are also critical for maximizing tendon recovery.

Why Listen? Whether you're recovering from an injury or looking to optimize your tendon health for peak performance, this episode offers valuable insights. With research-backed information and practical advice, Brodie simplifies the complex science behind tendon recovery and how you can potentially leverage Vitamin C for faster recovery and stronger tendons.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Episode Summary:

In today’s episode, we dive into new research that explores an innovative MRI technique for diagnosing Proximal Hamstring Tendinopathy (PHT) with greater accuracy. We'll break down a study titled 'Magnetic Resonance Imaging With a Novel Hip Flexion Scanning Position for Diagnosing Proximal Hamstring Tendinopathy' including the study's findings and discuss how this new hip flexion scanning position may help identify PHT pathology that traditional MRI positions could miss.

Key Takeaways:

• The Traditional MRI Position: Lying on your back with legs outstretched has been the standard scanning position. However, this method may miss some crucial signs of PHT, especially in tendinopathy cases where physical changes in the tendon aren't obvious.
• Novel MRI Position: A new method involves scanning patients on their side with hips flexed at approximately 90 degrees, mimicking the sitting position that often aggravates PHT symptoms. This position may reveal more severe injuries, such as tendon ruptures, that could be missed in the traditional position.
• Study Results: The study found that using the hip flexion position increased the detection of severe tendon issues, including tendon ruptures, in 33% of cases, which were initially diagnosed as normal or less severe using the traditional method.
• Implications for Runners and Patients: If you're dealing with PHT symptoms and undergoing an MRI, it may be worth discussing the option of scanning in this hip-flexed position with your healthcare provider.

What You’ll Learn:

• Why PHT can be challenging to diagnose accurately with standard MRI techniques.
• The importance of considering alternative MRI positions for more accurate results.
• Understanding that an MRI is just one piece of the puzzle when diagnosing and treating tendinopathy.
• Why pain severity doesn't always correlate with MRI findings and how this can affect your treatment plan.

By tuning into this episode, you'll gain valuable insights into the evolving science behind PHT diagnosis and learn how to be a more informed participant in your own recovery process.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

On today's episode, Brodie answers all the PHT questions submitted from the PHT facebook groups.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

On today's episode, Brodie answers all the PHT questions submitted from the PHT facebook groups.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this episode, we dive deep into groundbreaking research that could revolutionize how we understand and treat chronic tendon pain. Our host explores a new paper that suggests chronic tendon pain might be driven by neuropathy—dysfunctional nerves—rather than just degenerative or inflammatory disorders. This shift in understanding opens up exciting possibilities for more effective treatments and pain relief strategies.

Key Talking Points:

1. New Insights into Chronic Tendon Pain:
   • The episode begins by exploring the idea that chronic tendon pain might be primarily neuropathic. The latest research suggests that the pain could stem from nerve damage or dysfunction rather than solely from tendon degeneration or inflammation.
   • This novel understanding could change how we approach treatment, potentially leading to more targeted and effective methods.
2. The Role of Neuropathy in Tendon Pain:
   • We discuss how the study highlights nerve sprouting and neuronal ingrowth as possible causes of pain in chronic tendinopathy.
   • Learn about substance P, a neuropeptide that may play a significant role in maintaining chronic pain through neurogenic inflammation.
3. Lifestyle and Environmental Factors:
   • Discover how chronic stress, poor diet, and environmental exposures can elevate levels of substance P, leading to persistent inflammation and pain.
   • The importance of lifestyle modifications, such as stress management, anti-inflammatory diets, and healthy sleep habits, is emphasized as potential strategies to reduce chronic tendon pain.
4. Emerging Treatment Options:
   • We explore potential treatments discussed in the paper, including radio frequency ablation, shockwave therapy, and percutaneous ultrasound-guided tenotomy (PUT). While these treatments are promising, the host cautions listeners about the need for further research and understanding before seeking these options.
5. Holistic Approach to Managing Tendinopathy:
   • The episode concludes with actionable insights on how to manage chronic tendon pain through a combination of load management, lifestyle changes, and possibly exploring emerging treatments.
   • Encouragement to focus on a holistic approach, integrating physical, psychological, and environmental factors, to achieve better pain management and healing outcomes.

Why You Should Listen: This episode is a must-listen for anyone dealing with chronic tendon pain, as it uncovers new research that could significantly impact your treatment approach. Whether you're a runner, athlete, or someone struggling with tendinopathy, this discussion will provide valuable insights and practical advice to help you better manage your condition.

Takeaways:

• Understanding the role of nerves in chronic tendon pain could lead to more effective treatments.
• Lifestyle changes, such as reducing stress and adopting an anti-inflammatory diet, can play a crucial role in managing pain.
• Stay informed about emerging treatments, but proceed with caution and consult with healthcare professionals before trying new therapies.

Tune in to explore these exciting developments in chronic tendon pain research and learn how you can apply these insights to your own recovery journey!

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Welcome to today's episode, where we delve into the management of proximal hamstring tendinopathy (PHT), exploring both surgical and non-surgical treatment options. 

Episode Highlights:

1. New Research Spotlight:
   • Dive into a newly released research paper on the management of proximal hamstring injuries, including a detailed analysis of both non-operative and operative treatment strategies.
   • Understand the anatomy, biomechanics, and risk factors associated with PHT, with a focus on the decision-making process for choosing between surgical and non-surgical approaches.
2. Key Findings and Expert Insights:
   • Explore the differences in outcomes between non-operative treatments, such as targeted physical therapy and PRP injections, and surgical interventions, including endoscopic and open repair techniques.
   • Learn about the typical patient profiles and injury characteristics that guide the choice of treatment, including the impact of injury severity, tendon involvement, and patient activity levels.
3. Practical Recommendations:
   • Get expert recommendations for post-operative rehabilitation, including phased recovery plans and criteria for returning to sport.
   • Hear about the importance of personalized treatment plans, considering factors like medical comorbidities, functional demands, and the potential for non-operative treatments even in cases of significant injury.
4. Case Studies and Real-World Applications:
   • Listen to case discussions and examples of how different treatment strategies are applied in clinical practice, including insights from Brodie's own experience and previous episodes with experts in the field.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Episode Description: In this powerful episode, we share Emily's inspiring journey from chronic pain to recovery through the discovery and treatment of Tension Myoneural Syndrome (TMS). Emily opens up about her struggle with pain over the past few years, the emotional and psychological battles she faced, and the transformative strategies that helped her reclaim her life.

Key Discussion Points:

• 00:00 - Introduction: Meet Emily and learn about her battle with chronic pain and her breakthrough with TMS.
• 00:54 - Understanding TMS: What is Tension Myoneural Syndrome? Emily and the host explain the connection between emotions, personality, and pain manifestation.
• 01:22 - Journey Through Pain: Emily recounts her four-year struggle with various misdiagnoses, including seronegative peripheral spondyloarthritis and Raynaud’s, and her eventual diagnosis with TMS.
• 04:07 - The Onset of Injuries: From cubital tunnel syndrome to sciatica, Emily describes the series of injuries that compounded her pain.
• 07:44 - Psychological and Emotional Factors: The impact of emotional repression and personality traits on chronic pain.
• 08:13 - Finding Relief: How reading "Think Away Your Pain" by Dr. David Schechter and other resources helped Emily start her recovery journey.
• 11:27 - What is TMS?: A deeper dive into the science behind TMS and how the brain creates and amplifies pain.
• 17:13 - Emily’s Recovery Tools: Journaling, meditation, positive self-talk, and visualization—practical strategies Emily used to overcome TMS.
• 22:41 - Breaking the Cycle: Overcoming the fear of pain and rebuilding a normal life.
• 30:05 - The Role of Positive Thinking: How shifting from negative to positive thinking played a crucial role in Emily's recovery.
• 33:35 - Early Signs of Improvement: The initial glimpses of relief and how they motivated Emily to continue her journey.
• 36:54 - Overcoming Setbacks: Advice for those struggling with belief and persistence in their recovery.
• 45:39 - Current Life: Emily shares her current state, pain-free and living a fulfilling life.
• 47:35 - Resources and Recommendations: Books, YouTube videos, quizzes, and other resources to help listeners explore and address TMS.

Resources Mentioned:

• Book: "Think Away Your Pain" by Dr. David Schechter
• YouTube Meditation: "Powerful Chronic Pain Healing Meditation for TMS Mind Body, Dr. John Sarno"
• Quiz: isthistms.com – To help determine if you have TMS.

Emily's email: simonsemily7@gmail.com
Follow Emily on Instagram: @painexplained_tms

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Join us as we dive deep into the intricacies of proximal hamstring tendon (PHT) avulsions, a condition that affects athletes and non-athletes alike. Our esteemed guests, Dr. Alex Hardy and Dr. Nicolas Lefevre, break down the anatomy, causes, and cutting-edge management strategies for this challenging injury.

Special Guests:
Dr. Alex Hardy – Renowned surgeon specializing in PHT avulsions, passionate about advancing surgical techniques and patient outcomes.
Dr. Nicolas Lefevre – A seasoned sports surgeon with over 20 years of experience, known for his expertise in complex proximal hamstring injuries.

Key Discussion Points:
What is an Avulsion?

Discover how tendon detachment from the sit bone occurs, the sports and everyday scenarios that can lead to this painful injury, and why understanding it is crucial for proper management.
Diagnosis and the Importance of MRI:

Learn why MRI is the gold standard for diagnosing PHT avulsions and why ultrasound may lead to misdiagnosis. Understand the key indicators on scans that differentiate between minor injuries and those requiring urgent care.
Surgical vs. Conservative Treatment:

When is surgery necessary? Explore the criteria that guide the decision for surgical intervention, including timing, severity, and the patient’s lifestyle.
Delve into conservative management strategies, including physical therapy and PRP injections, and when these might be the right choice.
Rehabilitation Post-Surgery:

Get insights into the rehabilitation process, from initial rest to progressive exercises, ensuring a full recovery and return to activity.
Understand the importance of a gradual return to sport and how to prevent re-injury.
Risk Factors for Re-Rupture:

Uncover the major risks associated with delayed surgery and how they impact long-term outcomes. Learn what patients can do to minimize these risks and ensure a successful recovery.

Additional Insights:
PRP Injections for Tendinopathy: Explore the potential benefits and limitations of PRP injections in treating chronic hamstring tendinopathy.
The Myth of Scar Tissue: Clarify common misconceptions about scar tissue’s impact on the sciatic nerve and learn what really happens during healing.
Real Stories and Case Studies: Hear compelling real-life cases that illustrate the challenges and triumphs of managing PHT avulsions.

Website: https://www.chirurgiedusport.com/en/specialty/hip/?_specialite=hamstrings
Email: hamstring@chirurgiedusport.com

Research Papers: 
Magnetic resonance imaging should be the first-line imaging modality for investigating suspected proximal hamstring avulsion injuries
Validation of the Parisian Hamstring Avulsion Score (PHAS) in the Evaluation and Follow-up of Patients Operated for Proximal Hamstring Avulsion
Predictors of Early Return to Sport After Surgical Repair of Proximal Hamstring Complex Injuries in Professional Athletes: A Prospective Study

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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

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!

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Brodie reviews a paper titled: Effect of resistance exercise dose components for tendinopathy management: a systematic review with meta-analysis

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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.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

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.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

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? 

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

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.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In this enlightening episode of the Smarter Scholars podcast, we delve into the intricate world of understanding and overcoming various types of pain. Drawing inspiration from the Huberman Lab podcast and personal experiences, this episode offers a comprehensive look at the physical and psychological aspects of pain, providing listeners with practical strategies and tools to manage and overcome pain effectively.

Key Discussion Points:

1. Understanding Pain:
   • Brodie shares a personal experience of a minor accident while running, leading to a broader discussion on the nature of pain.
   • Pain is fundamentally a brain output, regardless of its acute or chronic nature.
   • It's vital to understand that pain receptors, or nociceptors, can only detect heat, pressure, and pH changes, emphasizing the brain's role in interpreting these signals.
2. Strategies for Overcoming Pain:
   • The episode highlights effective interventions for chronic pain, such as intentional distraction, mindfulness-based stress reduction (MBSR), and cognitive reframing.
   • These strategies emphasize the importance of not just sensory experience but also emotional states in managing pain.
3. Psychological Aspects of Pain:
   • The discussion delves into how catastrophization and personality traits like optimism can significantly affect pain perception and recovery.
   • The role of psychological factors, including stress, anxiety, and past traumas, is explored in relation to pain experiences.
4. Role of Physical Therapy and Other Treatments:
   • The episode touches on various treatment options for chronic pain, including medications, nerve blocks, psychological therapies, physical and occupational therapy approaches, complementary alternative medicines, and self-empowerment strategies.
   • The critical role of physical therapists in pain management and recovery is highlighted.
5. Nutrition and Pain:
   • The conversation extends to the impact of nutrition on pain and recovery, emphasizing the importance of anti-inflammatory diets and identifying food triggers.
6. Journaling Protocol for Pain Management:
   • Based on another Huberman Lab podcast episode, a specific journaling protocol is discussed as an effective tool for managing chronic pain and mental health.

Conclusion:

The episode concludes with a comprehensive understanding of pain, emphasizing that it's not only a physical sensation but also deeply intertwined with our emotional and psychological states. By exploring various methods, including intentional distraction, mindfulness, cognitive reframing, and practical approaches like physical therapy and nutrition, listeners are equipped with a diverse array of tools to confront and manage their pain effectively.

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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Today we learn all about Ischiofemoral impingement syndrome and whether you have it instead of PHT or if you have it alongside your PHT. We dive into the clinical presentation, diagnostic tests and potential treatments along with the recent research on the topic. 

Paper 1: Ischiofemoral impingement syndrome masked by proximal hamstring tendinopathy as a cause of gluteal pain in a marathon runner
Paper 2: Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on Ultrasonography

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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Jennifer's PHT Success Story: A Deep Dive into Overcoming Proximal Hamstring Tendinopathy

In this episode, we sit down with Jennifer, a passionate runner from Fort Collins, Colorado, who shares her inspiring journey of overcoming proximal hamstring tendinopathy (PHT). Discover the challenges she faced, the evidence-based treatments she explored, and how she busted widespread misconceptions about PHT.

Episode Highlights:

1. Introduction to Jennifer and PHT
   • Jennifer's athletic background and how she transitioned from soccer to running.
   • Early signs of PHT and initial reactions.
2. Jennifer's PHT Journey
   • The onset of symptoms and initial treatments.
   • The struggle with misdiagnosis and the frustration of recurring pain.
3. Turning Point
   • Discovering the root cause of her symptoms.
   • Adjusting her approach to treatment and rehab.
4. Effective Treatments and Strategies
   • Evidence-based treatments that worked for Jennifer.
   • The role of weightlifting and specific exercises in her recovery.
5. Challenges and Misconceptions
   • Common misconceptions about PHT and Jennifer's experience dispelling them.
   • The psychological impact of long-term injury and finding identity beyond running.
6. Success and Advice for Others
   • Jennifer's return to trail running and her achievements post-recovery.
   • Advice for runners facing similar challenges.

Key Takeaways:

• Understanding PHT and the importance of accurate diagnosis.
• The significance of a tailored, evidence-based approach to treatment.
• The mental and emotional aspects of recovering from a long-term injury.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Dr. Andrea Moore is a Physical Therapist, Orthopedic Specialist, Nutritional Therapy Practitioner and the host of the Unweaving Chronic Pain Podcast.

On the podcast, she shares her insights and expertise on chronic pain and how the nervous system plays a pivotal role in our pain experience. Andrea also offers practical advice for those navigating their journey through chronic pain. 

Her holistic approach, focusing not only on the physical but also on the mental, emotional, and even ancestral aspects of pain, provides a comprehensive framework for understanding and addressing chronic pain in ways that traditional models might not fully encompass.

Remember, healing from chronic pain is a journey that encompasses more than just the physical body. By integrating mind-body practices, understanding the underlying factors contributing to pain, and approaching oneself with kindness and curiosity, significant strides can be made towards recovery and a better quality of life.

Follow Andrea Moore Here:
Pain Archetype Assessment: https://welcome.drandreamoore.com/pain_response_assessment
Instagram: https://www.instagram.com/drandreamoore/ 
Website: https://drandreamoore.com/
Podcast: https://www.unweavingchronicpain.com/

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

This episode covers a practical strategy for using isometrics your your proximal hamstring tendinopathy rehab. Including:

• What Are Isometrics? Explanation of isometric exercises compared to isotonic exercises? Examples of isometrics in rehabilitation, particularly for Posterior Hamstring Tendinopathy (PHT).
• Isotonic vs. Isometric Exercises: Description and examples of isotonic exercises and their isometric counterparts. Detailed examples: glute bridges (both double leg and single leg variations), long lever bridges, and isometric variations of these exercises.
• Diagnostic Use of Isometric Exercises
• Benefits of Isometrics for Tendons:
• Research insights on the positive impact of isometrics on tendons, particularly in avoiding muscle and tendon fatigue.
• Primary Reasons for Using Isometrics: Two main reasons for incorporating isometrics in rehab: as a baseline exercise for deconditioned or sensitive injuries and for their analgesic (pain-relieving) effects.
• Tailoring Isometrics to Individual Needs:
• Emphasis on customizing isometric exercises based on the individual's pain levels and rehab stage

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

This episode delves into the relationship between nutrition and tendon health, inspired by a systematic review and insights from running physio Tom Goom.

Key Points Discussed:

1. Collagen Synthesis: Importance in tendon health and adaptation.
2. Systematic Review Findings: Evaluating the impact of nutrition on tendon health.
3. Alcohol Consumption: Its role in tendon health and the risks associated with it.
4. Collagen Supplements: Potential benefits and the need for further research.
5. Nutritional Advice from Fran Taylor: Professional insights on diet and tendinopathy management.
6. Load Management in Rehab: Strategies for effective tendon rehabilitation.

Conclusion: This episode offers valuable insights into how nutrition can impact tendon health, supported by scientific research and expert opinions. It emphasizes the importance of a balanced diet, the potential role of supplements, and the need for careful management in tendon rehabilitation.

Timestamps:

• [00:00] Introduction to the episode's topic: Nutrition's impact on tendon health.
• [00:53] Background on the episode's inspiration and mention of Tom Goom's runners workshop.
• [01:17] Discussion of a systematic review on nutrition and tendon health.
• [02:13] Explanation of collagen synthesis in tendon health.
• [03:09] Objective of the systematic review and its methodology.
• [04:08] Importance of evaluating the quality of studies in a systematic review.
• [05:05] Overview of the findings from the systematic review.
• [06:03] Discussion on the combination of nutrients for tendon health.
• [07:01] Findings on alcohol consumption and tendon health.
• [08:54] Impact of collagen supplements on tendinopathy.
• [10:17] Limitations in the conclusions drawn from the studies.
• [11:41] Insights from nutritionist Fran Taylor on diet, supplements, and tendinopathy.
• [15:05] Additional recommendations for managing tendinopathy.
• [21:19] Summary and final thoughts on tendon rehab and nutrition

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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In the episode we answer the following questions:

Alex Ashby: What is a good pre-run warm up routine when tackling PHT? 

Janine: Would love some advice on stretching and PHT - really feels like it doesn't want to be overstretched but would really value your view on yoga or stretch classes and when these help or hinder.

Roosa: Those who have had surgery (still chronic) vs those who haven’t —> is the rehab still similar?

Roosa: First symptom was sore foot, then super tight adductor, then side glute PAIN, then PHT. Any clues about that? For 5 years my question has been: which is the chicken, which is the egg and does it even matter?

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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

The podcast episode features Mark, a competitive masters runner in his sixties, sharing his journey overcoming proximal hamstring tendinopathy (PHT). We start exploring his initial symptoms, mistakes made, setbacks, and successful recovery methods. Mark's proactive approach to understanding his condition, especially upon receiving a diagnosis, led him to discover Brodie's podcast dedicated to PHT.

Mark's injury originated from intense post-race training that exacerbated the PHT. Despite his initial resistance, Mark realized the importance of prioritizing rehab over running, a mental shift essential for recovery. His mistakes included running too much and participating in races prematurely. Gradually, he learned to follow prescribed exercise routines and mastered techniques like the deadlift, which significantly targeted the affected tendon.

The conversation emphasizes the mental aspect of recovery, with Mark highlighting the significance of maintaining a routine, even during injury, for both physical and mental well-being. His dedication to sustaining a runner's routine, adjusting workouts, and staying positive played a pivotal role in his successful rehabilitation.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

On this Episode, Brodie answers the follow questions:

1.) Craig: Can yoga and/or nordic curls help reduce hamstring issues?

2.) Tasha: Single leg hip extensions with the band tend to irritate my PHT, however hip thrusts (with heel on chair/step) do not. Any advice/ideas on why that might be?

3.) Caroline: I have been wondering during PHT rehab if it’s okay to start running again? How will I/others know when it’s okay to start jogging? Feels like it’s getting there but figured it must be a common question

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

We answer the following questions:
1.) Anna: I have HHT preceded by Achilles tendinopathy on the same side. Related? 
2.) Anna: Best strength and rehab work to heal/prevent PHT?
3.) Rachel: I’ve not had PHT so how can I avoid it?
4.) Jordan: Imaging showed PHT plus a bone stress reaction in the ischial tuberosity. Is this common?

5.) Sue: Have had recurrent PHT. Can’t run more than 10 k every second day. This is ok to start running a marathon? 

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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

This episode comes from The Adaptive Zone Podcast and talks about:

• What is Proximal Hamstring Tendinopathy?
• What else could be causing pain in that area?
• How do you fix Proximal Hamstring Tendinopathy?
• How long does it take to fully recover from Proximal Hamstring Tendinopathy?
• Is foam rolling or stretching good for Proximal Hamstring Tendinopathy?

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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Brodie reviews two PHT injury chat recordings to help you understand more about your own PHT rehab. 

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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Brodie reviews the book: Think Away Your Pain and how it can translate to helping Proximal Hamstring Tendinopathy rehab.

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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Questions for today's episode:

1.) Alicia: Hypothetically, What happens when and if I age out of being able to perform my current weekly PHT maintenance exercises? Are there alternative exercises that will keep my hammy happy?

2.) Jen: Will using a cushion long term make the tendon weaker in sitting or is it better to wean off using a cushion at some point?

3.) Jen: Once the tendon is near the end stage of recovery, is it recommended to do any plyometric exercises to make it “extra” resilient? If so, what would be some recommended exercises?

4.) Joseph: Is this a condition that can be cured, or is it a chronic condition that has to be managed for the rest of one’s life?

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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

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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For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

Jen has been battling proximal hamstring tendinopathy for many years and after her journey of self-discovery, has managed to become symptom-free.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

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!

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 

In today's episode Brodie review this article to identify the difference between PHT and sciatica:
https://www.uhcw.nhs.uk/self-care/sciatica/

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉

For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/