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.