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Overcoming Proximal Hamstring Tendinopathy

Brodie Sharpe

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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  • 21 episodes
  • fortnightly
  • Avg 42 min
  • English
Counted on this page — what you have heard stays on this device, so it is not something the list can be paged by.
  • #163
    Nov 18, 2025 · 41 min

    Hamstring Strength, Running Form & Injury Risk: The Science Every Runner Should Know

    👉 Complete the 30 Sec Survey & Find Your Best PHT Recovery Plan 🎉 Sign up for the FREE PHT 5-Day Course HERE 💪 Overcome PHT Yourself with Brodie's PHT Blueprint Online Course For all other PHT resources, go to: https://proximalhamstringtendinopathy.info/ 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 Do stronger hamstrings create better running mechanics? Do better mechanics help build stronger, longer hamstrings? How do strength, fascicle length, pelvic position, and muscle activation interact? 🔎 Main Findings From the Study 1. Stronger Hamstrings = Better Running Mechanics Athletes with higher eccentric hamstring strength had: Higher stride frequency (cadence) Better control of decelerating the swinging leg Lower ground contact time (improved efficiency) Lower hamstring activation at sub-max speeds → reduced overload 2. Longer Hamstring Fascicles = Safer, More Efficient Loading Runners with longer fascicle lengths showed: Less anterior pelvic tilt Lower hamstring activation Better ability to tolerate late-swing loading (a high-irritation phase for PHT) 3. A Two-Way Relationship Exists Strength ↔ mechanics influence each other. Stronger hamstrings → better running technique Better running technique → better hamstring loading → stronger, longer muscle structure over time This creates a positive adaptation loop. 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: Hamstring sliders Weighted eccentric sliders Single-leg sliders Assisted → full Nordic drops Deadlifts (when tolerated) 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: Use toes-in hamstring curls Toes-in sliders Toes-in deadlift variations These help redistribute load more evenly across the tendon. 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: Build to 30 minutes continuous, easy running → symptom-free Then introduce: Strides (15–20 sec at ~75% speed, 4 reps) Gradual progression based on symptoms the next day Final 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.

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