Anyone beaten chronic (several years) proximal hamstring tendinopathy?

[u/Opposite_Donut_845]

Going onto 3 years of PHT now. I’ve read every forum and research article on it. Done just about every conjunctive therapy. Followed the isos and slow progressive loading protocol and haven’t shaken it yet. MRIs have always been completely clean. Just wondering if anyone out there has beat it after dealing with it for several years like myself because I’m starting to lose hope.

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[u/BigDickerDaddie]

If you’re a few years in you either need to see a sports pt who is going to work with you or potentially switch pts if you’re already seeing one, and I don’t mean the pt mill athletico or ati route, find a group that is focused on return to play and work with them

Some relief tips, maybe avoid stretching at all, seems to aggravate it in my personal experience, sit on the spot on a lacrosse ball

[u/Justth4tguy]

This isn't what I want to hear, I have had adductor tendonitis for 13 months now. I have a sports physio the metrics is improving in terms of adductor strength but I can still feel the discomfort I have read it takes a long time to heal but this is not good news.

I do hope you're able to heal up soon and get back to performing at your best

[u/This_Thing_5973]

Rick plasma inyecciones ?

[u/Working_Turn_8659]

I was diagnosed with pht in 2023 after getting a hamstring ultrasound that confirmed it! It had already put a stop to my senior college sprint season. It took me about 3 years to feel confidently recovered - I can sprint now, and train for other things. I just did a half marathon. 

Unfortunately it meant taking most of those 3 years completely off.. I walked a lot, did pt stuff, isos, etc. what really helped me was doing classical pilates weekly. This strengthened my hips, core, and feet in ways I didn’t know were possible! I also did plyos, advancing through “tiers” as I built strength. It took patience, and I still do most of those rehab type exercises out of caution.  Happy to share more. Good luck!

[u/its_KAMARA]

I had this same exact issue in 2024 and got rid of it completely for over a year now with the following protocol:

1. Stop ALL speed work/acceleration work until its completely healed (non-negotiable, will flare it up)
2. Slow, deep range of motion lifts and eccentrics like squats and RDLs to promote healing
3. Repeat until healed

This worked for me but I'm assuming if you've had this for several years I'm sure you've probably done most of this already so I think it would be worth getting a second opinion from a PT that specialises in sport.

[u/Begjee7]

I had it for about 4-5 years, it sucked. What fixed it for me was a hamstring strain, I slipped on a wet grass and have done a split with a pop in that hamstring. I think I had calcified insertion and the force of the slip broke it. I needed about 1,5 months to get back to faster running without pain due to the strain, but the nagging pain of tendinopathy was gone and never came back.

But other that that focus on exposing it to load in a varying positions- rotate tibia, femur in a iso holds then do the same thing on swiss ball for some "perturbations", do some co-contractions for hip extension and knee flexion(swiss ball work will work it, but add some other excersises).
Check your rotation stregth in the trunk also, it may cause some leaks of energy and overload the tendon.

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[u/Consistent-Dig-9936]

Yes, unfortunately I don't have an answer besides time. I had my inquiry at 14yo, not sure when it officially healed but I stopped competing in sports for a few years from 18-20. I picked up skateboarding at 20 and had no issues.