Q&A: Recovery expectations/Shockwave/PRP/Surgery

Title: Overcoming Proximal Hamstring Tendinopathy: FAQs and Insights


Proximal Hamstring Tendinopathy (PHT), also known as High Hamstring Tendinopathy, is a painful condition that can affect athletes and non-athletes alike. In this podcast episode transcript, we’ll explore common questions about PHT and share valuable insights to help you understand this condition better.

Section 1: Understanding Proximal Hamstring Tendinopathy

1.1 What is PHT?

  • PHT is a challenging condition characterized by pain and discomfort in the proximal hamstring tendon, close to the buttock area.

1.2 Can You Fully Recover from PHT?

  • Complete recovery from PHT can be elusive, but it’s possible to manage and reduce symptoms significantly.
  • Recovery depends on your commitment to rehab, strength-building, and managing your activities effectively.

1.3 Realistic Recovery Expectations

  • PHT may resurface from time to time, especially if you push your limits.
  • With proper rehabilitation, the frequency and intensity of symptoms should decrease over time.
  • It’s important to accept that minor setbacks are part of the journey.

Section 2: Exploring Treatment Options

2.1 Shockwave Therapy

  • Shockwave therapy can be effective for some individuals with stubborn PHT.
  • Effective candidates typically have experienced PHT for over six months, with persistent low-level pain.
  • Shockwave therapy is designed to provoke the tendon, sparking it into action, and it’s often followed by strengthening exercises.

2.2 Platelet-Rich Plasma (PRP) Therapy

  • PRP therapy’s effectiveness is questionable and may not be more beneficial than a placebo.
  • Many individuals do not experience significant improvement with PRP treatment.
  • PRP may not be the most reliable option for managing PHT.

Section 3: Surgical Considerations

3.1 Surgery for Micro Tears

  • Micro tears in the tendon may not necessarily require surgery.
  • Surgical intervention for micro tears is generally not recommended as these tears often resolve with appropriate rehab.
  • Strengthening the healthy parts of the tendon is a key strategy for managing micro tears.


Proximal Hamstring Tendinopathy can be a challenging condition, but understanding your options and setting realistic recovery expectations is crucial. Focus on tailored rehabilitation, progressive strength training, and effective load management to improve your condition and reduce symptoms. Surgery should be considered only as a last resort. Remember that PHT management is an ongoing journey, and setbacks are a part of the process. Stay committed to your recovery and prioritize your long-term well-being.

Thank you for reading this informative article on overcoming Proximal Hamstring Tendinopathy. We hope it has provided valuable insights to help you on your journey to recovery.