Proximal Hamstring Tendinopathy

Proximal hamstring tendinopathy is irritation of the hamstring tendon near the sit bone. It commonly causes deep buttock pain with running, sitting, or bending forward.

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Typical Recovery Time

Recovery often takes 8 to 12 weeks or longer depending on tendon severity.

Symptoms

•Buttock pain
•Pain with sitting
•Pain with running
•Hamstring tightness
•Tenderness

Common Causes

•Overuse
•Running hills
•Sprint activity
•Training errors
•Hamstring overload

Treatment Options

1Physical therapy

2Activity modification

3Eccentric strengthening

4Anti-inflammatory medication

5Injection therapy

When to See a Doctor

See a doctor if buttock pain persists or limits running and sitting.

Frequently Asked Questions

What is proximal hamstring tendinopathy?

Proximal hamstring tendinopathy is irritation or degeneration of the hamstring tendon at its attachment near the pelvis. It often causes pain in the lower buttock region. It is common in runners and endurance athletes.

What causes proximal hamstring tendinopathy?

It is caused by repetitive loading, overuse, or prolonged sitting with pressure on the tendon. Running hills, sprinting, and cycling can increase stress. Symptoms usually develop gradually.

What are the symptoms?

Symptoms include deep buttock pain, especially when sitting or running. Pain may worsen with sprinting or uphill running. Some people notice stiffness or reduced performance.

How is it treated?

Treatment includes load management, physical therapy, and progressive strengthening. Avoiding prolonged sitting or using padding can help. Injections or other treatments may be considered for persistent symptoms.

When can I return to running?

Return depends on pain and tendon tolerance to loading. Many athletes improve over weeks to months with proper rehab. Running should be restarted gradually.

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