
2025 Research: Treatment of Proximal Hamstring Tendinopathy: A Clinical Commentary
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About this listen
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Run Smarter AI Assistant: Access personalized, research-based answers to your running and rehab questions. This tool integrates Brodie’s database of research papers and podcast episodes for tailored advice.
In this episode, Brodie reviews a brand-new 2025 clinical commentary on the treatment of proximal hamstring tendinopathy (PHT) with an individualised physiotherapy approach. The paper, authored by experts including Jill Cook and Aidan Rich, outlines a comprehensive, stage-based rehab protocol grounded in tendinopathy principles and adapted for the unique demands of the hamstring complex.
CHECK OUT THE PAPER HERE
What you’ll learn in this episode:
- Why recent systematic reviews still show insufficient evidence for one superior PHT treatment.
- The three core pillars of the proposed protocol: education, progressive strengthening, and graded exposure to compressive/sport-specific loads.
- How the five rehab stages work:
- Isometrics – for pain relief and warm-up effect.
- Isotonics – to build strength and endurance.
- Kinetic chain training – targeting glutes, calves, adductors, and lumbopelvic control.
- Compressive load reintroduction – safely restoring tolerance to hip flexion positions.
- Energy storage/release drills – for athletes with high-speed or power demands.
- The importance of pain monitoring, “hurt vs harm” education, and avoiding rapid spikes in load.
- How to individualise the program based on goals, deconditioning level, and activity demands.
- Practical tips for combining stages, structuring training cycles, and maintaining long-term tendon health.