Overcoming Proximal Hamstring Tendinopathy

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉 🗓️ Book a free 20-minute Injury Chat with Brodie 📞 📄Learn more about Brodie's PHT AI Assistant 🔍 Check out Loopi's Website here: https://www.athletetransitionlab.com/ When proximal hamstring pain just won’t settle, the conversation often turns to surgery — and that’s where confusion, fear, and mixed advice really begin. In this episode, I’m joined by Dr. Luise Weinrich (known as Loopi), an orthopedic and trauma surgeon with extensive experience in hamstring avulsions, surgical repair, and post-operative rehabilitation. With a background as a former elite breakdancer and years working in top German sports orthopaedic hospitals, Luise brings a rare blend of surgical insight and athlete-centred thinking. Together, we unpack the “grey zone” — the large group of runners and athletes who don’t clearly fall into “definitely need surgery” or “definitely don’t” — and how to make smarter, more confident decisions when the path forward isn’t obvious. 🎧 In This Episode, You’ll Learn: most proximal hamstring cases sit in a surgical grey zonemattergoals, age, chronicity, and functionnotmistakes athletes make before and after surgeryphase-basedoverdo or underdo rehabshould🧠 Key Takeaways for Runners MRI findings alone shouldn’t dictate surgerytime, structure, and progressive loadingbeforeafterIn other words: the goal isn’t just to fix tissue — it’s to make the smartest long-term decision for your body, your sport, and your identity as a runner.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉 🗓️ Book a free 20-minute Injury Chat with Brodie 📞 📄Learn more about Brodie's PHT AI Assistant 🔍 In this episode of the Overcoming Proximal Hamstring Tendinopathy Podcast, Brodie dives into the most commented-on and most challenging questions from the PHT Facebook community over the past 90 days. Rather than quick comment replies, this episode delivers long-form, evidence-based explanations to help you better understand your symptoms, your scans, and your rehab options—especially when things feel confusing or discouraging. If you’ve ever been told “it’s severe,” “you’re too old,” or “it’ll never be the same,” this episode is for you. 🔍 What You’ll Learn in This Episode 1. Severe PHT, Tendon Tears & Bursitis — Is Recovery Still Possible? tendon tears on MRI are often part of the tendinopathy spectrumbursitis findingsultrasound-guided corticosteroid injectionsslow recovery—but don’t prevent itKey takeaway: Even severe, chronic PHT can improve with the right loading strategy and recovery environment. 2. Load Management: The Missing Piece in Long-Term Recovery slow, progressive strength training“sweet spot”mismanagementsleep, protein (especially leucine), collagen, hydration, and overall wellness3. “Can I Start Walking Again—or Am I Making It Worse?” zero pain before returning to activitydoing something4. Heel Pain & PHT — Are They Related? reduced sitting → increased standingboth5. Prone Hamstring Curls Flaring You Up? Here’s How to Modify Them double-leg > single-legreduced range of motion6. Sciatic-Type Pain With PHT — What’s Really Going On? no longer “pure PHT”🎯 Big Picture Takeaways management doesnotdon’t guess—get assesseddoing the right things consistently

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉 🗓️ Book a free 20-minute Injury Chat with Brodie 📞 📄Learn more about Brodie's PHT AI Assistant 🔍 For years, chronic tendinopathy has been treated as a tendon problem — load it, strengthen it, remodel it. But what if, for some runners, the tendon itself isn’t the main driver of pain anymore? In this episode, Brodie breaks down a new 2026 systematic review that may reshape how we think about stubborn, long-standing tendon pain. The paper explores whether nerve ingrowth and abnormal blood vessels around tendons — not degeneration of the tendon tissue itself — may be the real pain source in chronic cases. We unpack the emerging research, explain each intervention in plain language, and discuss who this may (and may not) apply to — especially runners stuck in repeated rehab cycles despite “doing everything right.” This is early, evolving science. But it’s a fascinating glimpse into where chronic tendon treatment may be heading next. What You’ll Learn in This Episode neuropathic (nerve-driven)abnormal blood vessels and nervesstop workingsix intervention categoriesexercise-based rehabInterventions Reviewed (Plain-English Overview) 1. High-Volume Injections (HVIGI / HVDI) Large volumes of fluid are injected around the tendon (not into it) under ultrasound guidance to mechanically disrupt abnormal blood vessels and pain-sensitive nerves. Key takeaway: Consistent short- to medium-term pain and function improvements, especially in people who had failed exercise-based rehab. 2. Sclerosing Polidocanol Injections A chemical agent is injected directly into abnormal blood vessels to deliberately close them down, cutting off blood supply to pain-producing nerves. Key takeaway: Moderate to strong pain reductions in very chronic cases, with outcomes comparable to surgery in some studies. 3. Radiofrequency Microtenotomy A minimally invasive procedure using controlled heat to disrupt nerve ingrowth and abnormal vessels at the tendon–paratenon interface. Key takeaway: Very strong results in a small cohort, but higher risk and limited evidence so far. 4. Minimally Invasive Paratenon Release Scar-like adhesions between the tendon and surrounding tissue are mechanically released to restore tendon movement and reduce nerve irritation. Key takeaway: Large pain reductions and high rates of pain-free outcomes in non-insertional Achilles tendinopathy. 5. Electrocoagulation Therapy Electrical energy is used to seal off abnormal blood vessels surrounding the tendon under ultrasound guidance. Key takeaway: Promising early results, but evidence limited to one small study. 6. Surgical Interventions (Open & Endoscopic) Surgery physically separates the tendon from irritated surrounding tissue and removes abnormal vessels and nerves. Key takeaway: Effective for some, but invasive, with longer recovery and higher risk. The Big Picture Takeaway Across very different procedures, outcomes were surprisingly similar. That points to a common mechanism: 👉 Modifying the neural (nerve-driven) pain environment around the tendon, rather than “fixing” tendon structure itself. This doesn’t replace exercise-based rehab — but it may explain why a subset of runners with long-standing, highly sensitive tendinopathy stop responding to load alone. This research is best viewed as a future direction, not a replacement for good rehab principles.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉 🗓️ Book a free 20-minute Injury Chat with Brodie 📞 📄Learn more about Brodie's PHT AI Assistant 🔍 Check out Lasse's website here: https://www.lasselempainen.fi/?lang=en In this episode, Brodie sits down with world-leading orthopedic surgeon Dr. Lasse Lempainen, a specialist in complex hamstring injuries, to answer one of the most confusing and anxiety-provoking questions runners face: “How do I know if I actually need surgery — or if rehab is still the right path?” Drawing on decades of surgical experience and extensive research into hamstring avulsions and proximal hamstring tendinopathy (PHT), Dr. Lempainen walks through how he actually makes decisions in real clinical practice — not just what MRI scans show, but how symptoms, function, timelines, and rehab quality all fit together. Together, Brodie and Lasse unpack the gray area that most runners live in: partial tears, chronic pain, mixed scan results, failed rehab attempts, and fear-based decision-making. The result is a balanced, evidence-informed discussion that helps runners understand where surgery fits — and where it doesn’t. What You’ll Learn in This Episode: How Surgeons Decide Who Actually Needs Surgery MRI findings alone are never enoughclinical function and symptomsHamstring Avulsion vs Proximal Hamstring Tendinopathy (PHT) acute avulsionschronic avulsionstendinopathyCritical Timing Windows acute avulsions should ideally be operated on within 2–3 weeks“Failed Rehab” — What That Really Means excellentWhat Surgery for PHT Actually Involves semi-membranosus releaseCommon Pre- and Post-Op Mistakes whyKey Takeaway Most hamstring injuries — including many cases of PHT — can and should be treated conservatively. But there is a subset of runners where surgery is not only appropriate — it’s the missing piece.This episode helps you understand which group you fall into, without fear-based decisions or false hope.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉 🗓️ Book a free 20-minute Injury Chat with Brodie 📞 📄Learn more about Brodie's PHT AI Assistant 🔍 In this episode, Brodie breaks down a newly published review paper that takes a deep dive into what’s actually happening inside painful tendons — far beyond the usual “overuse” explanation. You’ll learn how healthy tendons are structured, what changes at a microscopic level when tendinopathy develops, and why pain severity often doesn’t match what shows up on scans. The episode explores how factors like load management, low-grade inflammation, oxidative stress, ageing tendon cells, and overall metabolic health all interact to influence tendon pain and recovery. Brodie also discusses what this emerging science means for real-world rehab — including why rest alone doesn’t work, why exercises sometimes stall progress, and why a more holistic approach is often needed. The episode finishes by looking ahead at future treatment directions, from improved diagnostics to regenerative and molecular therapies, while grounding everything in practical takeaways runners can apply right now. If you’re dealing with persistent tendon pain — especially proximal hamstring or Achilles tendinopathy — this episode will help you understand why recovery can be slow and what actually gives you the best chance of long-term success.

🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉 🗓️ Book a free 20-minute Injury Chat with Brodie 📞 📄Learn more about Brodie's PHT AI Assistant 🔍 In this episode, we break down a brand-new randomized controlled trial comparing individualized physiotherapy with shockwave therapy for proximal hamstring tendinopathy. I walk through how the study was designed, what each treatment involved, and why the results showed no meaningful difference between the two approaches. We also explore the role of education, load management, and compressive tolerance, and what this means for your rehab decisions moving forward. If you’ve ever wondered whether shockwave is worth trying or how it stacks up against a structured strength program, this episode gives you a clear, evidence-based answer. Paper 1: Physiotherapy Compared With Shockwave Therapy for the Treatment of Proximal Hamstring Tendinopathy: A Randomized Controlled Trial Paper 2: Treatment of Proximal Hamstring Tendinopathy with Individualized Physiotherapy: A Clinical Commentary

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉 🗓️ Book a free 20-minute Injury Chat with Brodie 📞 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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. Research Deep-Dive: Hamstring Strength & Running Biomechanics This episode reviews the study: “Hamstring Strength and Architectural Properties Are Associated with Running Biomechanics”, including findings from ultrasound imaging, EMG analysis, and 3D running mechanics. Key Study Questions 🔎 Main Findings From the Study 1. Stronger Hamstrings = Better Running Mechanics Athletes with higher eccentric hamstring strength had: 2. Longer Hamstring Fascicles = Safer, More Efficient Loading Runners with longer fascicle lengths showed: 3. A Two-Way Relationship Exists Strength ↔ mechanics influence each other. 4. Over-Reliance on the Biceps Femoris = Red Flag Runners with weak or short hamstrings tended to over-activate the biceps femoris long head — the most common site of PHT. Stronger runners shared load better with the medial hamstrings, reducing tendon stress. 🏃 Practical Rehab Takeaways 1. Build Eccentric Strength Eccentric strength is one of the strongest predictors of hamstring injury risk. Examples Brodie recommends: 2. Improve Fascicle Length Eccentric exercises at long muscle lengths help lengthen fascicles naturally — more so than stretching alone. 3. Strengthen the Medial Hamstrings To prevent overload of the biceps femoris: toes-in hamstring curls 4. Slightly Increase Cadence (~5%) A small increase in stride frequency may reduce late-swing strain and improve running economy. 5. Integrate Running Into Rehab Before adding speed: 30 minutes continuous, easy running StridesFinal Thoughts Hamstring strength, muscle architecture, and running technique are deeply interconnected. Improving one helps improve the others — creating a pathway toward better performance and long-term PHT resilience.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉 🗓️ Book a free 20-minute Injury Chat with Brodie 📞 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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. Paper Title 1: Porcine Collagen Injection Therapy Affects Proximal Hamstring Tendinopathy in Athletes by Reducing Time to Return to Sport Paper Title 2: Estrogen and progesterone exhibit distinct yet coordinated roles in the regulation of tendon extracellular matrix remodeling

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉 🗓️ Book a free 20-minute Injury Chat with Brodie 📞 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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 brand new research exploring patients’ real-life experiences receiving physio-led rehab vs shockwave therapy for proximal hamstring tendinopathy (PHT). This qualitative study highlights what people found most helpful, frustrating, and effective during rehab—revealing valuable lessons for anyone currently recovering from PHT. Brodie also provides a personal update on his own hamstring rehab and HYROX training progress. Check out the paper here: Education, rapport and convenience are key to participants’ perceptions of receiving physiotherapy or shockwave for proximal hamstring tendinopathy: a qualitative study

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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 of the Overcoming PHT Podcast, I dive into a valuable supplemental resource created by researchers at La Trobe University as part of their clinical trials on proximal hamstring tendinopathy (PHT). This patient education file breaks down everything from diagnosis to discharge advice—and I highlight the key takeaways that can help you better understand and manage your recovery. What You’ll Learn in This Episode: CHECK OUT THE PAPER HERE Understanding PHTTreatment options explainedThe role of strength trainingMRI mythsPain monitoring principlesCompression and load managementDischarge adviceWhy This Matters Whether you’re new to PHT or have been struggling for years, this episode gives you a clear, research-backed framework for understanding your pain and making smarter rehab choices. It’s not just my perspective—it’s guidance from some of the leading tendon researchers in the world.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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: insufficient evidenceeducationprogressive strengtheninggraded exposureIsometricsIsotonicsKinetic chain trainingCompressive load reintroductionEnergy storage/release drillspain monitoring

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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. 🧠 Episode Summary In this episode, Brodie dives into a newly published paper titled “Female Tendons are from Venus and Male Tendons are from Mars: But Does it Matter for Tendon Health?” by Gerard McMahon and Jill Cook. The paper explores how male and female tendons differ in structure, adaptation, healing, and injury risk—and what it means for those dealing with tendinopathy. 🔍 What You’ll Learn 📌 Key Takeaways Female tendonsMale tendonswomen may be closer to their strain “danger zone” during exerciseWomen may need longer rehab timelinesMen should be cautious about overloading tendons💡 For Runners With Tendinopathy recovery is sex-specificTrust the process

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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 explores the latest research on vitamin D and its role in tendon health, diving into a 2024 comprehensive review that examines both cell-based and animal studies. You’ll learn how vitamin D influences tendon healing, inflammation, and collagen production—and how low levels could delay your recovery. Plus, Brodie shares practical advice on vitamin D testing, optimal levels, sun exposure, supplementation, and the potential role of vitamin K2. 🧠 What You'll Learn: collagen synthesissite managerin vitroin vivoadequate vitamin D levelsvitamin K2🧪 Research Highlight: Study: Exploring the Impact of Vitamin D on Tendon Health: A Comprehensive Review (2024) 🛠️ Practical Takeaways: 25-hydroxyvitamin D blood test75–125 nmol/Lfatty fish, egg yolksfortified foods1,000–2,000 IU/dayvitamin K2🎯 Ideal For: tendinopathyoptimize tendon repair and performancemicronutrients

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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. Guest: Dr. Ian Seels | Specialist Musculoskeletal Physiotherapist 🧠 Episode Summary In this thought-provoking episode, Brodie chats with Dr. Ian Seels, a private musculoskeletal physiotherapist with over 35 years of experience and a co-author of the paper The Relevance of Diet in Musculoskeletal Clinical Practice – A Narrative Review. Together, they explore the emerging science behind how diet influences inflammation, pain, and injury recovery—with a particular focus on what this means for recreational runners. If you're battling persistent niggles, chronic tendon pain, or just want to run pain-free into your later years, this episode offers a fresh perspective you might not have considered: what you eat could be the missing link in your recovery journey. 🔍 What You’ll Learn anti-inflammatory diet🧪 Practical Takeaways for Runners 🛠️ Resources Mentioned The Relevance of Diet in Musculoskeletal Clinical Practice – A Narrative ReviewYouTube: Diet, Health and the Wisdom of Crowds (2018)LowCarbDownUnder.com.au

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE ❓ Questions Answered in This Episode: 💡 Key Takeaways: Keith Barr's Isometric Strategy:Training Around Knee Pain:Partial Tears & Recovery:Managing Flare-Ups:Progression Plateaus:Walking Flare-Up Clues:🧠 Brodie’s Insight: “Consistency and experimentation are key. You're not just following a plan—you're learning how your tendon responds. The more data points you collect, the smarter your rehab becomes.” 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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.

🎉🎉Sign up for the FREE PHT ROADMAP 🎉🎉 Learn more about Brodie's PHT AI Assistant 📄🔍 Sign up for the FREE PHT 5-Day Course HERE In Part 3 of this special series, Brodie tackles more insightful questions from listeners navigating their PHT recovery journey. With practical advice and personal stories, this episode is packed with actionable takeaways for anyone dealing with chronic hamstring pain. 🧠 Topics Covered: Training other leg muscles during rehab: Flare-ups after rehab: Toughest client experiences: Psychological struggles: neverEnd-stage rehab guidance: Running warm-ups: Strength progression pacing: Does slower recovery = weaker tendon? 🧰 Key Takeaways: slowly and smartly📚 Brodie Mentions: Rebound 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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.

Learn more about Brodie's PHT AI Assistant 📄🔍 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 In this milestone Q&A episode, Brodie tackles your most pressing questions about proximal hamstring tendinopathy (PHT) — covering flare-ups, long-term pain, sleeping issues, training setbacks, and even how tight hip flexors fit into the picture. Whether you're just starting your rehab journey or stuck in a plateau, these answers will help you adjust your plan and regain control. 🎧 What You'll Learn: ✅ Cycling & PHT — When cycling to work becomes part of the problem ✅ Long-Term Recovery Doubts — “Will I ever be pain free again?” ✅ Tight Hip Flexors — Do they relate to PHT or are they just noise? ✅ Flare-Up Triggers — Why some weeks you feel great… and others fall apart ✅ Running Strategy — When to stop, reduce, or push through ✅ Speed Work — The right time to reintroduce faster running ✅ Sleep Disruption — Why some flare-ups hit hardest at night ✅ Nervous System Involvement — How chronic PHT becomes more than just tendon pain ✅ Hot or Burning Sensations — What it means when your tendon feels “hot” ✅ Post-Rehab Maintenance — What to do after symptoms go away 🧠 Key Takeaways: Pain rules matterSetbacks are part of progressTraining load ≠ just runningThe nervous system mattersHotness ≠ progress🛠️ Helpful Resources Mentioned: 🎉🎉 Sign up for the FREE PHT 5-Day Course HERE 🎉🎉 For ALL Other Resources, Visit the Website proximalhamstringtendinopathy.info 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.