Charlie’s PHT success story

Overcoming Proximal Hamstring Tendinopathy: Charlie’s Success Story


In this podcast episode, we delve into Charlie’s journey of battling proximal hamstring tendinopathy (PHT), also known as high hamstring tendinopathy, a condition that causes discomfort, especially when sitting. Charlie’s story serves as an inspiring example of how persistence, targeted rehabilitation, and a shift in mindset can lead to overcoming this challenging condition.

Meet Charlie: A Passionate Runner

Charlie Butcher, a 39-year-old avid runner from the UK, shares his experience with PHT. Charlie’s running journey spans nearly two decades, with the last six or seven years dedicated to more serious and structured training. Interestingly, he initially ventured into ultramarathons, a unique starting point compared to many runners who typically begin with shorter distances.

A Slow Descent into PHT

Charlie’s encounter with PHT began in late 2020, following a period of intense training and racing. His competitive spirit led him from mountain ultramarathons to road racing, with a focus on running faster. However, his approach eventually took a toll on his hamstrings.

The Puzzling Nature of PHT

What makes PHT particularly challenging is its unpredictable and elusive nature. Charlie’s symptoms initially manifested in the lower portion of his hamstring, near the knee. However, over time, the discomfort seemed to migrate, making it challenging to pinpoint and treat effectively.

Early Treatment Attempts

In his quest to recover, Charlie explored various treatment options. These included shockwave therapy and even a cortisone injection, which unfortunately exacerbated his symptoms. The frustration of dealing with PHT’s erratic behavior and trying multiple treatments was overwhelming.

The Role of Strength Training

One pivotal element of Charlie’s recovery was strength training. He incorporated heavy lifting exercises into his routine, focusing on deadlifts, single-leg deadlifts, split squats, hip thrusters, and Nordic curls. These exercises helped target the hamstring muscles and create a foundation for rehabilitation.

The Turning Point

Charlie’s turning point came when he adopted a more patient and holistic approach to his recovery. Instead of rushing to regain his aerobic fitness, he prioritized healing his tendon and building up strength gradually. This shift in mindset was crucial in his rehabilitation journey.


Charlie’s journey through PHT highlights the importance of persistence, personalized rehabilitation, and patience. Proximal hamstring tendinopathy can be a challenging condition, but with the right approach, it is possible to overcome it. Charlie’s story serves as an inspiration to anyone dealing with similar issues, emphasizing the significance of listening to your body, proper strength training, and a determined mindset in the path to recovery.