Proximal Hamstring Tendinopathy is a horrible condition affecting athletes and non-athletes alike. If you fall victim to the misguided information that is circulating the internet, symptoms can persist for months, sometimes years and start impacting your everyday life. This podcast is for those looking for clear, evidence-based guidance to overcome Proximal Hamstring Tendinopathy. Hosted by Brodie Sharpe, an experienced physiotherapist and content creator, this podcast aims to provide you with the clarity & control you desperately need. Each episode brings you one step closer to finally overcoming your proximal hamstring tendinopathy. With solo episodes by Brodie, success stories from past sufferers and professional interviews from physiotherapists, coaches, researchers and other health professionals so you get world class content. Tune in from episode #1 to reap the full benefits and let's get your rehabilitation back on track!
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Learn more about Brodie's PHT AI Assistant
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In this episode, we dive into Lily's incredible journey of overcoming proximal hamstring tendinopathy (PHT). Lily shares her unique and challenging experience, from the onset of her symptoms to the various treatment approaches she explored and her eventual recovery. Her story is one of resilience, learning, and finding the right path to healing.Key Takeaways:Introduction to Lily:Lily, originally from the Netherlands and now residing in London, shares her active lifestyle, including tennis, hiking, and Pilates. Despite her vibrant routine, she faced an unexpected setback with her injury.Onset of Symptoms:Lily's PHT symptoms began unusually, with initial hip pain diagnosed as ischial femoral impingement. A medical injection intended to alleviate pain inadvertently exacerbated her condition, leading to intense pain and significant limitations in daily activities.Initial Treatment and Challenges:Initial treatments involved minimal exercises and gentle massages, which provided temporary relief but did not lead to significant improvement. Lily struggled with the limitations imposed by her condition, impacting both her professional and personal life.Breakthrough in Recovery:A pivotal moment in Lily's recovery was finding the podcast and realizing the importance of structured exercise and gradual load management. She began a more focused rehabilitation program, which included targeted exercises like bridges, deadlifts, and prone curls.Mental and Emotional Journey:The journey was not just physical but also mental. Lily had to overcome fear and anxiety related to pain and re-injury. She learned to focus on positive progress rather than dwelling on setbacks, which significantly contributed to her recovery.Successful Rehabilitation:Through consistent effort and a well-structured rehab plan, Lily saw rapid improvements. She was able to return to her active lifestyle, including sitting for extended periods, a significant challenge for her earlier.Ongoing Management:Lily continues to maintain her progress with routine exercises, ensuring that she keeps her hamstring strength up and her symptoms at bay. She also highlights the importance of balancing exercise and rest.Advice for Others:Lily emphasizes the importance of education and structured rehab, encouraging others not to lose hope during challenging times. She highlights the value of focusing on incremental improvements and maintaining a positive outlook.Final Thoughts: Lily's story is a testament to the power of perseverance, proper guidance, and the right rehabilitation strategy. Her experience offers valuable insights for anyone dealing with PHT or similar injuries, providing hope and practical advice for recovery.Resources Mentioned:Podcast episodes on PHT recovery and rehabilitation strategies.Online support groups and communities for individuals dealing with PHT.Listen Now: Tune in to hear Lily's full story and gain insights into how you can navigate your own recovery journey. Don't miss this inspiring and informative episode!Book a free 20-min physio chat hereJoin our community of PHT rehabbers with our PHT Monthly MembershipIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Brodie reviews a paper titled: Effect of resistance exercise dose components for tendinopathy management: a systematic review with meta-analysisBook a free 20-min physio chat hereJoin our community of PHT rehabbers with our PHT Monthly MembershipIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Brodie answers the following membership questions:Janine:1.) Rest days: I've been religious about rest days for months but I've just been out for a short slow mile to start the day and it reminded me how good a daily run streak can feel with a short slow trot on the days you don't have anything else planned.How important are full rest days?2.) Xmas events are starting to interfere with my training schedule. If I am having to cut sessions my sense is I should prioritise a weights session over a run but just looking for some advice on balancing.Melissa3.) I have been told over the years several times by PTs doctors and read it online that tight hips and hip flexors will create a pelvic tilt that pulls on the hamstring and will aggravate PHT or may have even caused PHT. Is this accurate information?4.) How do you know when to increase your weights in your strength training program? It has been several weeks/months since I have increased any of my weights, but they still feel challenging. After my last flare-up, my baseline never returned to a 0 pain, and hovers between a PL1 or 2 and sometimes sitting for really long periods can be a bit uncomfortable again.
In this episode, Idelkys shares her journey through proximal hamstring tendinopathy, a challenge that began during the COVID-19 lockdown. From her initial symptoms in early 2021, she discusses the evolution of her condition, the various treatments she underwent, and her eventual progress with a combination of shockwave therapy, steroid injections, and guided strength training.Key Points Discussed:The Onset of Symptoms: Idelkys first noticed symptoms while intensifying her workout routines during the lockdown, starting with a sharp pain during a single-leg deadlift.Seeking Professional Help: After worsening symptoms, Idelkys visited a physiotherapist and later a doctor who prescribed MRIs and diagnosed her with proximal hamstring tendinopathy.Treatment Journey: Idelkys' treatment included shockwave therapy and steroid injections, with limited success initially. She faced challenges with pain management and mobility, significantly impacting her daily life.Strength Training and Rehabilitation: Transitioning to strength training proved crucial. She began incorporating specific exercises like deadlifts, crab walks, and Bulgarian splits, which helped improve her condition significantly.Mental Health and Persistence: Idelkys speaks on the psychological challenges of dealing with chronic pain and the importance of mental resilience and patience throughout the recovery process.Current Routine and Progress: She now maintains a balanced routine of strength training and running, which has allowed her to manage symptoms and engage in activities like half-marathons with minimal discomfort.Her experience underscores the necessity of appropriate and timely medical interventions and the significant role of strength training in recovering from tendon-related injuries. Her journey is a testament to the power of resilience and the critical role of self-education in managing health challenges.Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Brodie answers these PHT questions:Sandrine: Two weeks leading to race day I typically stop all lower body strength exercises. That is when I sometimes feel a little ache in the proximal hamstring. Now I do some deadlifts which helped up to a week leading to race day. I know body weight exercises like squats will not help but I want to hear your thoughts about body weight squats leading to race day?Lara: Any issues with strength training quads and glutes while rehabbing pht?Jeff: Does sitting prevent healing from PHT? If I have a desk job with PHT, should I invest in a standing desk?Michelle: For those of us who are recovering from proximal hamstring tendon tears how do we prevent future tears or inflammation?Jason: Do you think some people have a genetic disposition to tendonopathies, I'm currently going through PHT and have had various other tendonopathies throughout my life.Siân: I would love to hear your thoughts on whether some of us are more at risk of tendon issues than others. I read that women are at higher risk when we get to peri/menopause too. Thoughts? What can I do to prevent any more?Patrick:Anything about ischial bursitis/swelling of the sit bone
In today's episode, we delve deep into the world of tendinopathy research with Miles Murphy, a renowned physiotherapist, neuroscience, and lower limb injury researcher. Together with Ebony Rio, they've published influential work that could change how tendinopathies are managed.Key Highlights:Understanding Tendinopathy: Miles Murphy provides a thorough overview of the history, physiology, and pathology of tendinopathies, emphasizing the complexity and nuances of tendon injuries.Innovative Research: The discussion includes insights into recent groundbreaking papers that challenge and expand our understanding of tendinopathy management.Treatment Modalities Explored: Various treatments such as PRP, corticosteroid injections, and shockwave therapy are critically evaluated, with a focus on their effectiveness and practical application in clinical settings.Load Management: The core of tendinopathy management, according to Murphy, revolves around appropriate load management, highlighting the importance of understanding and adjusting the mechanical load on tendons for optimal recovery.Future Directions: The episode concludes with a forward-looking discussion on the potential future directions in tendinopathy research and management, including the development of new outcome measures and a better understanding of pain mechanisms associated with tendon issues.Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
In this enlightening episode of the Smarter Scholars podcast, we delve into the intricate world of understanding and overcoming various types of pain. Drawing inspiration from the Huberman Lab podcast and personal experiences, this episode offers a comprehensive look at the physical and psychological aspects of pain, providing listeners with practical strategies and tools to manage and overcome pain effectively.Key Discussion Points:Understanding Pain:Brodie shares a personal experience of a minor accident while running, leading to a broader discussion on the nature of pain.Pain is fundamentally a brain output, regardless of its acute or chronic nature.It's vital to understand that pain receptors, or nociceptors, can only detect heat, pressure, and pH changes, emphasizing the brain's role in interpreting these signals.Strategies for Overcoming Pain:The episode highlights effective interventions for chronic pain, such as intentional distraction, mindfulness-based stress reduction (MBSR), and cognitive reframing.These strategies emphasize the importance of not just sensory experience but also emotional states in managing pain.Psychological Aspects of Pain:The discussion delves into how catastrophization and personality traits like optimism can significantly affect pain perception and recovery.The role of psychological factors, including stress, anxiety, and past traumas, is explored in relation to pain experiences.Role of Physical Therapy and Other Treatments:The episode touches on various treatment options for chronic pain, including medications, nerve blocks, psychological therapies, physical and occupational therapy approaches, complementary alternative medicines, and self-empowerment strategies.The critical role of physical therapists in pain management and recovery is highlighted.Nutrition and Pain:The conversation extends to the impact of nutrition on pain and recovery, emphasizing the importance of anti-inflammatory diets and identifying food triggers.Journaling Protocol for Pain Management:Based on another Huberman Lab podcast episode, a specific journaling protocol is discussed as an effective tool for managing chronic pain and mental health.Conclusion:The episode concludes with a comprehensive understanding of pain, emphasizing that it's not only a physical sensation but also deeply intertwined with our emotional and psychological states. By exploring various methods, including intentional distraction, mindfulness, cognitive reframing, and practical approaches like physical therapy and nutrition, listeners are equipped with a diverse array of tools to confront and manage their pain effectively.Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Today we learn all about Ischiofemoral impingement syndrome and whether you have it instead of PHT or if you have it alongside your PHT. We dive into the clinical presentation, diagnostic tests and potential treatments along with the recent research on the topic. Paper 1: Ischiofemoral impingement syndrome masked by proximal hamstring tendinopathy as a cause of gluteal pain in a marathon runnerPaper 2: Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on UltrasonographyBook a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Jennifer's PHT Success Story: A Deep Dive into Overcoming Proximal Hamstring TendinopathyIn this episode, we sit down with Jennifer, a passionate runner from Fort Collins, Colorado, who shares her inspiring journey of overcoming proximal hamstring tendinopathy (PHT). Discover the challenges she faced, the evidence-based treatments she explored, and how she busted widespread misconceptions about PHT.Episode Highlights:Introduction to Jennifer and PHTJennifer's athletic background and how she transitioned from soccer to running.Early signs of PHT and initial reactions.Jennifer's PHT JourneyThe onset of symptoms and initial treatments.The struggle with misdiagnosis and the frustration of recurring pain.Turning PointDiscovering the root cause of her symptoms.Adjusting her approach to treatment and rehab.Effective Treatments and StrategiesEvidence-based treatments that worked for Jennifer.The role of weightlifting and specific exercises in her recovery.Challenges and MisconceptionsCommon misconceptions about PHT and Jennifer's experience dispelling them.The psychological impact of long-term injury and finding identity beyond running.Success and Advice for OthersJennifer's return to trail running and her achievements post-recovery.Advice for runners facing similar challenges.Key Takeaways:Understanding PHT and the importance of accurate diagnosis.The significance of a tailored, evidence-based approach to treatment.The mental and emotional aspects of recovering from a long-term injury.Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Enter code PODCAST7 for 7-Day Access to the PHT membership https://app.runsmarter.online/access/phtmembership Dr. Andrea Moore is a Physical Therapist, Orthopedic Specialist, Nutritional Therapy Practitioner and the host of the Unweaving Chronic Pain Podcast.On the podcast, she shares her insights and expertise on chronic pain and how the nervous system plays a pivotal role in our pain experience. Andrea also offers practical advice for those navigating their journey through chronic pain. Her holistic approach, focusing not only on the physical but also on the mental, emotional, and even ancestral aspects of pain, provides a comprehensive framework for understanding and addressing chronic pain in ways that traditional models might not fully encompass.Remember, healing from chronic pain is a journey that encompasses more than just the physical body. By integrating mind-body practices, understanding the underlying factors contributing to pain, and approaching oneself with kindness and curiosity, significant strides can be made towards recovery and a better quality of life.Follow Andrea Moore Here:Pain Archetype Assessment: https://welcome.drandreamoore.com/pain_response_assessmentInstagram: https://www.instagram.com/drandreamoore/ Website: https://drandreamoore.com/Podcast: https://www.unweavingchronicpain.com/Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Enter code PODCAST7 for 7-Day Access to the PHT membership https://app.runsmarter.online/access/phtmembership This episode covers a practical strategy for using isometrics your your proximal hamstring tendinopathy rehab. Including:What Are Isometrics? Explanation of isometric exercises compared to isotonic exercises? Examples of isometrics in rehabilitation, particularly for Posterior Hamstring Tendinopathy (PHT).Isotonic vs. Isometric Exercises: Description and examples of isotonic exercises and their isometric counterparts. Detailed examples: glute bridges (both double leg and single leg variations), long lever bridges, and isometric variations of these exercises.Diagnostic Use of Isometric ExercisesBenefits of Isometrics for Tendons:Research insights on the positive impact of isometrics on tendons, particularly in avoiding muscle and tendon fatigue.Primary Reasons for Using Isometrics: Two main reasons for incorporating isometrics in rehab: as a baseline exercise for deconditioned or sensitive injuries and for their analgesic (pain-relieving) effects.Tailoring Isometrics to Individual Needs:Emphasis on customizing isometric exercises based on the individual's pain levels and rehab stage.Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Click here for details on the PHT Monthly MembershipThis episode delves into the relationship between nutrition and tendon health, inspired by a systematic review and insights from running physio Tom Goom.Key Points Discussed:Collagen Synthesis: Importance in tendon health and adaptation.Systematic Review Findings: Evaluating the impact of nutrition on tendon health.Alcohol Consumption: Its role in tendon health and the risks associated with it.Collagen Supplements: Potential benefits and the need for further research.Nutritional Advice from Fran Taylor: Professional insights on diet and tendinopathy management.Load Management in Rehab: Strategies for effective tendon rehabilitation.Conclusion: This episode offers valuable insights into how nutrition can impact tendon health, supported by scientific research and expert opinions. It emphasizes the importance of a balanced diet, the potential role of supplements, and the need for careful management in tendon rehabilitation.Timestamps:[00:00] Introduction to the episode's topic: Nutrition's impact on tendon health.[00:53] Background on the episode's inspiration and mention of Tom Goom's runners workshop.[01:17] Discussion of a systematic review on nutrition and tendon health.[02:13] Explanation of collagen synthesis in tendon health.[03:09] Objective of the systematic review and its methodology.[04:08] Importance of evaluating the quality of studies in a systematic review.[05:05] Overview of the findings from the systematic review.[06:03] Discussion on the combination of nutrients for tendon health.[07:01] Findings on alcohol consumption and tendon health.[08:54] Impact of collagen supplements on tendinopathy.[10:17] Limitations in the conclusions drawn from the studies.[11:41] Insights from nutritionist Fran Taylor on diet, supplements, and tendinopathy.[15:05] Additional recommendations for managing tendinopathy.[21:19] Summary and final thoughts on tendon rehab and nutrition.Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Click here for details on the PHT Monthly MembershipIn the episode we answer the following questions:Alex Ashby: What is a good pre-run warm up routine when tackling PHT? Janine: Would love some advice on stretching and PHT - really feels like it doesn't want to be overstretched but would really value your view on yoga or stretch classes and when these help or hinder.Roosa: Those who have had surgery (still chronic) vs those who haven't —> is the rehab still similar?Roosa: First symptom was sore foot, then super tight adductor, then side glute PAIN, then PHT. Any clues about that? For 5 years my question has been: which is the chicken, which is the egg and does it even matter?Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Click here for details on the PHT Monthly MembershipThe podcast episode features Mark, a competitive masters runner in his sixties, sharing his journey overcoming proximal hamstring tendinopathy (PHT). We start exploring his initial symptoms, mistakes made, setbacks, and successful recovery methods. Mark's proactive approach to understanding his condition, especially upon receiving a diagnosis, led him to discover Brodie's podcast dedicated to PHT.Mark's injury originated from intense post-race training that exacerbated the PHT. Despite his initial resistance, Mark realized the importance of prioritizing rehab over running, a mental shift essential for recovery. His mistakes included running too much and participating in races prematurely. Gradually, he learned to follow prescribed exercise routines and mastered techniques like the deadlift, which significantly targeted the affected tendon.The conversation emphasizes the mental aspect of recovery, with Mark highlighting the significance of maintaining a routine, even during injury, for both physical and mental well-being. His dedication to sustaining a runner's routine, adjusting workouts, and staying positive played a pivotal role in his successful rehabilitation.Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Click here for details on the PHT Monthly MembershipOn this Episode, Brodie answers the follow questions:1.) Craig: Can yoga and/or nordic curls help reduce hamstring issues?2.) Tasha: Single leg hip extensions with the band tend to irritate my PHT, however hip thrusts (with heel on chair/step) do not. Any advice/ideas on why that might be?3.) Caroline: I have been wondering during PHT rehab if it's okay to start running again? How will I/others know when it's okay to start jogging? Feels like it's getting there but figured it must be a common questionBook a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Click here for details on the PHT Monthly MembershipWe answer the following questions:1.) Anna: I have HHT preceded by Achilles tendinopathy on the same side. Related? 2.) Anna: Best strength and rehab work to heal/prevent PHT?3.) Rachel: I've not had PHT so how can I avoid it?4.) Jordan: Imaging showed PHT plus a bone stress reaction in the ischial tuberosity. Is this common?5.) Sue: Have had recurrent PHT. Can't run more than 10 k every second day. This is ok to start running a marathon? Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Click here for details on the PHT Monthly MembershipThis episode comes from The Adaptive Zone Podcast and talks about: What is Proximal Hamstring Tendinopathy? What else could be causing pain in that area? How do you fix Proximal Hamstring Tendinopathy? How long does it take to fully recover from Proximal Hamstring Tendinopathy? Is foam rolling or stretching good for Proximal Hamstring Tendinopathy? Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Click here for details on the PHT Monthly MembershipBrodie reviews two PHT injury chat recordings to help you understand more about your own PHT rehab. Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Click here for details on the PHT Monthly MembershipBrodie reviews the book: Think Away Your Pain and how it can translate to helping Proximal Hamstring Tendinopathy rehab.Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Click here for details on the PHT Monthly MembershipQuestions for today's episode:1.) Alicia: Hypothetically, What happens when and if I age out of being able to perform my current weekly PHT maintenance exercises? Are there alternative exercises that will keep my hammy happy?2.) Jen: Will using a cushion long term make the tendon weaker in sitting or is it better to wean off using a cushion at some point?3.) Jen: Once the tendon is near the end stage of recovery, is it recommended to do any plyometric exercises to make it “extra” resilient? If so, what would be some recommended exercises?4.) Joseph: Is this a condition that can be cured, or is it a chronic condition that has to be managed for the rest of one's life?Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
In today's episode, Brodie reviews a paper titled: Buttock Pain in Athletes:a Narrative ReviewLearn the other conditions and structures that can cause symptoms similar to proximal hamstring tendinopathy. Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Jen has been battling proximal hamstring tendinopathy for many years and after her journey of self-discovery, has managed to become symptom-free.Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Brodie covers a 2022 paper titled 'From Fear to Safety: A Roadmap to Recovery From Musculoskeletal Pain' and relates the biopsychosocial model to the recovery of proximal hamstring tendinopathy. Learn how to rehab PHT beyond strengthening exercises!Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
In today's episode Brodie review this article to identify the difference between PHT and sciatica:https://www.uhcw.nhs.uk/self-care/sciatica/Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
Coming from the listeners of the podcast, Brodie answers the following questions: How do you recommend exercises and the number of reps for different age groups? I spent a year rehabbing PHT on my right hamstring, but now my left hamstring flared up! How common is this and what can I do? What is the best way to treat PHT if it has been going on for years and doctors mis-diagnosed it for something else? Do you ever recommend conventional deadlifts as a rehab exercise for PHT or are Romanian deadlifts always going to be the best variation? How do you know it's time to enter the maintenance phase of your rehab? Book a free 20-min physio chat hereClick here to learn more about the PHT video course & to receive your 50% discountIf you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online
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