Hamstring pain can be frustrating, particularly when it affects running, exercise, sitting comfortably, or everyday activities. One condition that commonly causes ongoing discomfort at the upper part of the hamstring is proximal hamstring tendinopathy.

Often experienced by runners, athletes, and active individuals, proximal hamstring tendinopathy involves changes in the tendon where the hamstring muscles attach near the sitting bone. While the symptoms can vary between individuals, physiotherapy can help assess the contributing factors and provide guidance on managing the condition.

At Belconnen Physiotherapy Clinic in Canberra, our physiotherapists work with clients experiencing hamstring injuries and persistent hamstring pain by providing individualised assessments and evidence-informed treatment approaches.

What is proximal hamstring tendinopathy?

Proximal hamstring tendinopathy is a condition involving the upper hamstring tendon near the pelvis. The hamstring muscles play an important role in movements such as running, jumping, walking, and bending.

When the tendon becomes irritated or unable to tolerate the demands placed upon it, symptoms may develop. Unlike a sudden hamstring strain, which often occurs during a specific incident such as sprinting or changing direction quickly, proximal hamstring tendinopathy often develops gradually over time.

Common contributors may include:

• Increased training load or changes in exercise routines

• Repetitive activities involving running or hip movement

• Reduced tolerance to certain movements or positions

• Previous hamstring injury

• Strength or movement factors that influence how the tendon is loaded

Understanding the cause of hamstring pain is an important part of developing an appropriate management plan.

What are the common symptoms of proximal hamstring tendinopathy?

Symptoms can differ from person to person, but common signs may include:

• Pain deep in the buttock area near the sitting bone

• Discomfort during or after running

• Pain when sitting for extended periods

• Symptoms during activities involving hip flexion, such as bending forward

• Reduced ability to participate in sport or exercise comfortably

Some people notice that symptoms gradually increase rather than appearing suddenly. If hamstring pain continues or affects your normal activities, an assessment with a physiotherapist can help identify possible causes and appropriate next steps.

How can physiotherapy help with hamstring tendinopathy?

A physiotherapy assessment for proximal hamstring tendinopathy typically involves understanding your symptoms, activity levels, previous injuries, and movement patterns.

Your physiotherapist may assess:

• The location and nature of your hamstring pain

• Strength and capacity of the hamstring muscles

• Hip and lower limb movement

• Training or activity demands

• Factors that may be contributing to your symptoms

Treatment is based on your individual presentation and goals. It may include:

Exercise-based rehabilitation

Progressive strengthening exercises are commonly used in managing tendon-related conditions. A physiotherapist can guide you through exercises that are appropriate for your current level and gradually progress them as your capacity improves.

Activity modification advice

Managing hamstring tendinopathy does not always mean stopping all activity. Your physiotherapist can provide advice on modifying activities, training loads, and movements to help you remain active while considering your symptoms.

Education and self-management strategies

Understanding your condition can help you make informed decisions about your recovery. Your physiotherapist can explain factors that may influence hamstring pain and provide strategies you can use outside of appointments.

How long does proximal hamstring tendinopathy take to improve?

Recovery time can vary depending on factors such as symptom duration, activity demands, overall health, and how consistently rehabilitation strategies are followed.

Some people experience improvement over a shorter period, while others with longer-standing symptoms may require a gradual approach over several months. A physiotherapist can help set realistic expectations and monitor progress throughout your rehabilitation.

Can I continue exercising with hamstring pain?

Many people with proximal hamstring tendinopathy can continue some form of exercise, although modifications may be needed. Completely avoiding movement is not always necessary or helpful.

A physiotherapist can help you determine:

• Which activities may be appropriate

• How to adjust training intensity

• How to gradually return to running, sport, or gym activities

The right approach depends on your symptoms, goals, and individual circumstances.

When should I see a physiotherapist for hamstring pain?

Consider booking an appointment with a physiotherapist if:

• Your hamstring pain has not improved with rest or self-management

• Symptoms are affecting your work, sport, or daily activities

• You are unsure whether you have a hamstring strain or tendinopathy

• Pain is limiting your ability to exercise or train

• You want guidance on returning to activity safely

Early assessment can help you better understand your symptoms and identify appropriate management options.

Physiotherapy for proximal hamstring tendinopathy in Canberra

If you are experiencing hamstring pain, ongoing discomfort near the buttock area, or difficulty returning to your usual activities, Belconnen Physiotherapy Clinic can help you understand your condition and explore suitable physiotherapy options.

Our Canberra physiotherapists provide personalised assessments and rehabilitation plans designed around your needs, activity goals, and lifestyle.

Contact Belconnen Physiotherapy Clinic or book in online HERE!