PHT Injury Chat Insights: Sarah & Caspian

Click here for details on the PHT Monthly Membership

Title: Overcoming Proximal Hamstring Tendinopathy: Tips and Insights

Introduction: Proximal Hamstring Tendinopathy (PHT) can be a frustrating condition for many individuals, affecting their daily lives and athletic pursuits. In this blog post, we’ll explore insights and practical advice for managing PHT, commonly known as high hamstring tendinopathy, including tips on how to deal with buttock pain when sitting and buttock pain during physical activities.

Understanding Proximal Hamstring Tendinopathy

Proximal Hamstring Tendinopathy, or PHT, is a condition that can cause persistent pain and discomfort in the buttock and upper hamstring region. In this podcast episode transcript, we gain insights into managing this condition from Brodie Sharp, an online physiotherapist who has battled PHT himself.

The Challenges of PHT Facebook Groups

One common resource for PHT sufferers is Facebook groups dedicated to the condition. While these groups can provide a sense of community and support, Brodie warns that they can sometimes be filled with negativity and misinformation. People often post when they are experiencing flare-ups or seeking answers, creating a skewed perspective of the condition. Brodie aims to bring more positivity and accurate information to these groups.

Advice for PHT Sufferers

Brodie engages in two injury chats with individuals dealing with PHT, providing valuable insights and advice.

Case 1: Sarah’s Marathon Dilemma

Sarah is preparing for the London Marathon but is experiencing a flare-up of PHT just four weeks before the race. Brodie advises her to modify her sitting habits, use a sit-stand strategy, and avoid hamstring stretches. He also suggests reducing the range of movement in exercises and incorporating slow, heavy loading to help settle the tendon. Sarah’s running should focus on slower paces and avoid speed work and uphill running.

Case 2: Caspian’s High Hamstring Tendinopathy

Caspian has been dealing with high hamstring tendinopathy for several months and is focused on returning to heavy lifting. He occasionally experiences flare-ups, particularly after deadlifts. Brodie discusses his exercise regimen and advises him to progress more slowly, increase weights every two weeks instead of weekly, and be cautious with exercises that trigger symptoms.

Managing PHT During COVID-19

Caspian’s flare-up coincided with a bout of COVID-19, which may have heightened his pain sensitivity. It’s essential to consider external factors that could impact your PHT symptoms.


Proximal Hamstring Tendinopathy can be a challenging condition, but with the right knowledge and strategies, individuals can manage and overcome it. Whether you’re preparing for a marathon like Sarah or aiming to return to heavy lifting like Caspian, understanding the condition and following tailored advice can make a significant difference in your journey towards recovery. Remember, patience and consistency are key when dealing with PHT, and consulting with a healthcare professional is always recommended for personalized guidance.