Tendinopathy
Tendinopathy is one of the most common — and often misunderstood — categories of musculoskeletal injury. Getting the loading programme right matters more than almost anything else in how quickly it resolves.
Tendinopathy is one of the most common — and often misunderstood — categories of musculoskeletal injury. Getting the loading programme right matters more than almost anything else in how quickly it resolves.
Proximal Hamstring Tendinopathy
Proximal hamstring tendinopathy causes deep pain near the sitting bone, often aggravated by prolonged sitting, uphill running, faster running, lunging or bending at the hip. The diagnosis is primarily clinical. MRI can support it when symptoms are atypical or persistent, but tendon changes may also appear in people without pain. Rehabilitation usually begins by reducing highly compressive or provocative positions without stopping all activity, then progressively develops hamstring, hip and trunk strength before reintroducing faster running and sport-specific loading. Improvement can be gradual because tendon capacity takes time to rebuild. Shockwave therapy or an image-guided procedure may be discussed for carefully selected persistent cases, while surgery is uncommon and reserved for substantial, refractory disability after the diagnosis has been reconsidered. This information is educational and does not replace an individual medical assessment.
Proximal Hamstring Tendinopathy
Proximal hamstring tendinopathy causes deep pain near the sitting bone, often aggravated by prolonged sitting, uphill running, faster running, lunging or bending at the hip. The diagnosis is primarily clinical. MRI can support it when symptoms are atypical or persistent, but tendon changes may also appear in people without pain. Rehabilitation usually begins by reducing highly compressive or provocative positions without stopping all activity, then progressively develops hamstring, hip and trunk strength before reintroducing faster running and sport-specific loading. Improvement can be gradual because tendon capacity takes time to rebuild. Shockwave therapy or an image-guided procedure may be discussed for carefully selected persistent cases, while surgery is uncommon and reserved for substantial, refractory disability after the diagnosis has been reconsidered. This information is educational and does not replace an individual medical assessment.