Proximal Hamstring Tendinopathy: An Evidence-Based Guide for Physical Therapists

📌 FREE Guide - Proximal Hamstring Tendinopathy Evidence Based "Cheat Sheet" https://fitnesspainfree.com/programs/proximal-hamstring-tendinopathy-cheat-sheet-lead-magnet/ Thanks for watching!🎓 Insiders Academy - https://fitnesspainfree.com/programs/fpf-insiders/ 👉 Transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs. https://fitnesspainfree.com/programs/fpf-certification-presale-page/ Show Notes, Credit & References:- https://fitnesspainfree.com/2026/02/proximal-hamstring-tendinopathy-an-evidence-based-guide-for-physical-therapists/In today's episode we go over Proximal Hamstring Tendinopathy: An Evidence-Based Guide for Physical Therapists  - FPF Show Episode 189Timestamps:00:00 What PTs Need to Know About Proximal Hamstring Tendinopathy00:00:31 What Actually Defines Tendinopathy (Pain vs Imaging)00:01:17 Tendon Loading 101: Tensile vs Shear vs Compression00:02:56 Why Hip Flexion = More Compressive Load at the Ischial Tuberosity00:03:28 Free PHT Cheat Sheet (Ad Break)00:04:30 Exercise Selection: Neutral Hip vs Flexed Hip Loading00:05:13 Prevalence & Imaging Reality Check (MRI ≠ Symptoms)00:08:27 Relevant Anatomy: Semimembranosus vs Conjoint Tendon00:11:00 Perimenopausal Considerations & Hormonal Influence00:11:47 Running Biomechanics: Late Swing & Early Stance Demands00:13:01 Coaching Runners: Pelvic Tilt, Trunk Lean & Overstriding00:14:47 End-Stage Rehab for Athletes: Eccentrics, B-Skips & Sprint Prep00:16:23 Mechanism of Injury: Training Errors & Load Spikes00:17:31 Excessive Stretching as a Risk Factor (Yoga/Pilates Trap)00:18:47 Intrinsic Risk Factors: Age, BMI, Hormones, Medications00:19:54 Insiders Academy Promo (Ad Break)00:22:19 Fluoroquinolones & Tendon Rupture Risk00:23:00 Hormone Replacement Therapy & Tendon Pain00:24:01 Compression Debate: When to Unload vs Reload00:26:22 Pathogenesis: What’s Happening Inside the Tendon00:28:29 Clinical Presentation: “Sit Bone” Pain Patterns00:29:54 Warm-Up Effect & 24-Hour Pain Monitoring Model00:31:13 Squatting & Compressive Load Considerations00:31:35 Objective Testing: Max Hip Flexion + Active Knee Extension00:32:20 Strength Testing: Dynamometry & Length-Specific Testing00:32:55 Functional Testing: Jumps, Sprinting & Return-to-Run00:37:34 Clinical Test Cluster for Diagnosis (Arabesque, Bridge, Sitting)00:38:53 Imaging: MRI vs Ultrasound — What Matters?00:41:00 Imaging Doesn’t Always Match Pain00:43:19 Differential Diagnosis: Sciatic, Stress Fracture, Avulsion & Lumbar Referral00:45:00 When It’s Hard to Tell: Radicular vs Tendon Presentation00:45:48 Final Thoughts + Insiders Academy + Hamstring Strain Video*****Want to master physical therapy for patients in the strength and fitness world?  Click on the link and start to transform your career with the FREE FPF Mini Course & gets some FREE CEUs for PTs, PTAs & ATCs.- https://fitnesspainfree.com/programs/fpf-certification-presale-page/*****Welcome to the Fitness Pain Free Show!  This is where we help physical therapists like YOU get your patients out of pain back to training*****Want to support me?  Sign up for the FPF "Insiders Academy" where you can ask questions I'll answer for future episodes! https://fitnesspainfree.com/programs/fpf-insiders/