Proximal Hamstring Tendinopathy: What the Latest Research Says You Should Be Doing
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In today's video we go over, Proximal Hamstring Tendinopathy: What the Latest Research Says You Should Be Doing - FPF Show Episode 190:
- 00:00 What PTs MUST Know About Proximal Hamstring Tendinopathy
- 00:40 Key Impairments You’re Probably Missing (Gait, Glutes, Hypermobility)
- 02:07 FREE Evidence-Based Proximal Hamstring Tendinopathy Cheat Sheet
- 03:10 Best Outcome Measures (VISA-H & Patient-Specific Functional Scale)
- 05:19 The Pain Monitoring Model (Green, Yellow, Red Light System)
- 07:53 The 2025 JSPT Study That Changes How We Rehab PHT
- 11:00 The 5-Stage Rehab Model Explained
- 13:50 Stage 1: Do Isometrics Actually Work?
- 16:12 Stage 2: Progressive Strength Loading (Sets, Reps, Tempo)
- 17:26 Stage 3: Why You MUST Train the Entire Kinetic Chain
- 30:00 Reintroducing Compression (When & How)
- 31:37 Increase Load First or Range First?
- 36:14 Stage 5: Energy Storage & Return to Sport Progressions
Finally pain free,
- Dan Pope DPT,OCS,CSCS
Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- What Physical Therapists NEED to Know About Hamstring Strain Injuries
- Patellofemoral Pain MASTER Class
- What Physical Therapists Need to Know About Adult Hip Dysplasia
- What Physical Therapists Need to Know About Femoral Acetabular Impingement Syndrome
- Femoral Acetabular Impingement Treatment WITHOUT Surgery! [Physical Therapist's Guide]
Want to earn some CEUs for physical therapists, physical therapy assistants & ATCs for watching this content? Click HERE to sign up for FPF "Insiders Academy" for just a dollar. You can earn CEUs for watching this content. Plus, you'll gain access to over 14 MASTER courses, 50+ cheat sheets, 100+ webinars, e-books and complete guides. You'll also get private access to the "Insiders Academy" community where you can have all of your questions answered by me.
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Thank you!
Dan Pope DPT, OCS, CSCS
References:
Goom TS, Malliaras P, Reiman MP, Purdam CR. Proximal Hamstring Tendinopathy: Clinical Aspects of Assessment and Management. J Orthop Sports Phys Ther. 2016 Jun;46(6):483-93. doi: 10.2519/jospt.2016.5986. Epub 2016 Apr 15. PMID: 27084841.
Cacchio A, De Paulis F, Maffulli N. Development and validation of a new visa questionnaire (VISA-H) for patients with proximal hamstring tendinopathy. Br J Sports Med. 2014 Mar;48(6):448-52. doi: 10.1136/bjsports-2012-091552. Epub 2013 Mar 7. PMID: 23470447.
Rich A, Cook J, Hahne A, Ford J. Treatment of Proximal Hamstring Tendinopathy with Individualized Physiotherapy: A Clinical Commentary. Int J Sports Phys Ther. 2025 Jun 2;20(6):892-910. doi: 10.26603/001c.138308. PMID: 40469642; PMCID: PMC12129629.
Rich ALF, Cook JL, Hahne AJ, Ford JJ. A pilot randomised trial comparing individualised physiotherapy versus shockwave therapy for proximal hamstring tendinopathy: a protocol. J Exp Orthop. 2023 May 25;10(1):55. doi: 10.1186/s40634-023-00615-x. PMID: 37227516; PMCID: PMC10212870.
Nasser AM, Pizzari T, Grimaldi A, Vicenzino B, Rio E, Semciw AI. Proximal hamstring tendinopathy; expert physiotherapists' perspectives on diagnosis, management and prevention. Phys Ther Sport. 2021 Mar;48:67-75. doi: 10.1016/j.ptsp.2020.12.008. Epub 2020 Dec 18. PMID: 33378733.