Overcoming Proximal Hamstring Tendinopathy - podcast cover

Overcoming Proximal Hamstring Tendinopathy

Brodie Sharpeβ€’overcomingpht.libsyn.com
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!

Episodes

Q&A: Combining Rehab & Run Days/Flare-up Plans/Sciatica Symptoms/Finding a Good PT

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” This episode addresses the following PHT questions: When you realize you have pushed past your β€œadaptation zone”, for example, on a longer, faster run than intended, what is the best post workout plan? Do you run on your off days or strength days otherwise how would you track what may cause a flare up? hHw does the sciatic nerve factor into this injury? The nerve is next to tendon? How can you determine if the injury is hamstring and or sciatica? W...

Nov 08, 2022β€’39 minβ€’Ep. 84

Q&A: Flare-up Confusion/Measuring Progress/Chronic Pain Susceptibility/Preventing PHT

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” This episode addresses the following PHT questions: What makes PHT seemingly come back out of nowhere? Is the treatment different for this recurrence? With this being such a slow-healing injury, how do you measure week-to-week progress? Are there markers of progress besides a reduction in the day-to-day pain level? What makes a chronic sufferer? Body type or genetics? How can we prevent PHT? Book a free 20-min physio chat here Click here to learn m...

Oct 25, 2022β€’45 minβ€’Ep. 83

Injury Update: Proximal Hamstring Tendinopathy

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” In this episode, Brodie recaps what he has learnt over the years about PHT. It was originally released on the Run Smarter Podcast and is now shared on the PHT podcast. Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount If you would like to learn more about having Brodie on your rehab team go to www.runsmarter.online...

Oct 11, 2022β€’34 minβ€’Ep. 82

Pain Science, Mindfulness and Healing Chronic Injuries with Maddie

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Maddie is a recreational runner who has had bilateral plantar fasciitis for over 5 years. She has faced debilitating symptoms including intense pain, pins and needles and burning sensations which dramatically altered her social life. Cooking, shopping, walking the dogs and playing with her son were sometimes ceased because the pain was so bad. Despite periods of time not running, the pain continued. Maddie shares her newfound improvement after acti...

Sep 13, 2022β€’46 minβ€’Ep. 80

Rob Jones’ PHT Success Story

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Rob developed a hamstring strain mid-race in January 2018 which eventually progressed into pain when sitting and driving. Initial shockwave therapy irritated symptoms for over a week and Rob struggled to get symptoms under control. With limited fitness equipment at home, Rob made use of what he could and with careful progressions, would see his first glimpse of hope. Rob shares his initial successes alongside his apprehensive/nervous start in a gym...

Aug 30, 2022β€’44 minβ€’Ep. 79

Q&A: Preserving Strength/Rehab vs Strength/Anterior Pelvic Tilts/Stride Implementation

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” In today's episode, Brodie answers the following questions: Rob: "I'm currently on a 2-week holiday. I do have access to the gym here but the equipment isn't as good as at my gym at home. Is easing back on the exercise likely to set me back at all? Brent: "Are the rehab stages considered 'strength' training and, if so, is it too much strength, taking away from my runs or bike days?" Jennifer: "I saw a PT who said my hamstring was constantly under t...

Aug 16, 2022β€’40 minβ€’Ep. 78

Q&A: Global PHT awareness/tendon strength assessment/rehab after recovery/mid-belly soreness

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” In today's episode, Brodie answers the following questions: Julia: Hi Brodie I have a general query about the fact that this condition is so difficult to treat within the physio/orthopedic community with seemingly only a handful of specialists (like yourself) who understand how to rehab it successfully. Is this a new 21st-century condition that has been amplified by our sedentary lifestyles and long hours of sitting at work? It just seems strange t...

Aug 02, 2022β€’32 minβ€’Ep. 77

Tendon Compression Explained

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” I talk with a lot of people with proximal hamstring tendinopathy, and I commonly hear them say "Brodie, I know you talk about the importance of tendon compression during rehab, but I still don't fully get it". Well, this episode aims to clear the confusion behind what tendon compression is and why is it important in your PHT rehab. Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% disc...

Jul 19, 2022β€’22 minβ€’Ep. 76

Expert opinions on PHT treatment (2021 paper)

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Brodie reviews a paper titled: Proximal hamstring tendinopathy; expert physiotherapists' perspectives on diagnosis, management and prevention. This paper interviewed leading PHT experts and discuss the following categories: Onset of pain, location of symptoms, clinical tests, palpation, scans, differential diagnosis, management, treatment and prevention. Check out the paper here: https://pubmed.ncbi.nlm.nih.gov/33378733/ Book a free 20-min physio c...

Jul 05, 2022β€’35 minβ€’Ep. 75

How to rehab your PHT without a gym membership

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” While a gym membership is highly encouraged, sometimes it isn't readily available. Whether it is financially, accessibility or you are travelling in the short-term. For this reason, this episode covers rehabilitation tips if a gym membership is not an option. Brodie covers helpful exercises and progressions with 5 levels of equipment. Level 1: No equipment Level 2: Resistance bands Level 3: Swiss ball Level 4: Weighted backpacks Level 5: Adjustable...

Jun 21, 2022β€’29 minβ€’Ep. 74

Will your PHT get better on its own?

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Today, Brodie discusses the key principles of injury management. In particular, will an injury get better on its own. Brodie starts with discussing the injury adaptation zone and why some injuries revert back to a pain-free state quickly, while others persist. These include: Mismanagement in the early phases. Load exceeding capacity outside of running. Persisting with missing pieces to your rehab. Encountering unhelpful misinformation about your in...

Jun 07, 2022β€’31 minβ€’Ep. 73

Arthi's PHT success story

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Arthi developed proximal hamstring tendinopathy in September 2021 one month out from a marathon. With stretching, manual therapy and dry needling, the medical team gave Arthi the all-clear to participate in the marathon. She raced and qualified for the Boston marathon but symptoms persisted. Arthi stopped running and continued swimming, foam rolling, chiro adjustments, dry needling and sports massages to try and heal. The situation was becoming urg...

May 24, 2022β€’50 minβ€’Ep. 72

Why PHT exercises are now affecting the other leg

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” "Reached next level of insanity: since about 2 weeks my healthy leg is in pain because of PHT. Because of my other hammie I can't run, jump, walk too much and sit only on cushions. This PHT on the right side started after doing hamstring exercises! Exercises, that should heal or prevent from PHT! Single leg elevated hip thrust and single leg glute bridges with straight legs. I never had any tendon problems before my injury 2 years ago on my left le...

May 10, 2022β€’25 minβ€’Ep. 71

Q&A: PRPs, MRIs, Medications & Return to activity

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” In today's episode, Brodie answers all the questions coming in from social media. Here is the list: #1: When can I apply heat? And does ice and ibuprofen impede healing? #2: Can PRP help PHT? #3: My chronic PHT shows no tendon issues on MRI. Can my pain still be coming from the tendon? #4: How do I reintroduce compression activities? Eg. Cycling, Gardening, Hillwalking? #5: What core exercises can I incorporate that won't irritate PHT? #6: Should I...

Apr 26, 2022β€’30 minβ€’Ep. 70

Brodie discussing PHT on the Fit Cookie Nutrition Podcast

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” From the Fit Cookie Nutrition Podcast: "In this episode, I had the pleasure of chatting with Brodie Sharpe, who is a physio therapist, podcaster, and founder of the Run Smarter Series. We discuss a common nagging runner injury in today's episode, proximal hamstring tendinopathy, and how Brodie recommends runners go about recovering from this injury". Check out the Fit Nutrition Cookie Podcast with host Holley Samuel Book a free 20-min physio chat h...

Apr 12, 2022β€’1 hr 1 minβ€’Ep. 69

When is it okay to stretch?

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” This episode covers the beliefs behind stretching and when it is safe and not safe with proximal hamstring tendinopathy. Stretching was once a common treatment option for this condition but as our understanding has changed, so has the management. But a lot of people with PHT need to return to stretching. Whether it is a pilates or yoga class or stretching without their chosen sport or physical activity. In addition, stretching the hamstring is a pa...

Mar 29, 2022β€’24 minβ€’Ep. 68

Charlie's PHT success story

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Charlie has been managing proximal hamstring tendinopathy after completing a marathon block in 2020. Pain originally started down the hamstring but eventually worked its way into the sitting bone. Initial treatment attempts included shockwave, strength training and steroid injections however PHT persisted. Through dedication and willingness to understand this condition, Charlie finally turned a corner and shares all of his insights on today's podca...

Mar 15, 2022β€’52 minβ€’Ep. 67

Understanding a painful strong tendon vs painful weak tendon

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Brodie sheds some light on the difference between a strong and a weak tendon during a flare-up phase. These two scenarios should be interpreted and managed very differently so it is important to learn. Tune in to learn the differences in behaviours between strong and weak tendons during a PHT flare-up and what to do about each. Book a free 20-min physio chat here Click here to learn more about the PHT video course & to receive your 50% discount...

Mar 01, 2022β€’28 minβ€’Ep. 65

Q&A: When will sitting ease/foam rolling/massage guns/PHT warm-ups & cooldowns

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Brodie answers your proximal hamstring tendinopathy questions: 1.) Does it mean it is improving if you are progressing with the weights but sitting pain still remains painful? 2.) While strengthening seems to be the primary mode to rehab. What, if any, is evidence on modalities like stretching, foam rolling, massage gun for temporary relief from pain so we can do the strengthening protocols? 3.) What are the best warm-ups and warm-down stretches wh...

Feb 22, 2022β€’31 minβ€’Ep. 64

Q&A: Recovery expectations/Shockwave/PRP/Surgery

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Brodie answers your proximal hamstring tendinopathy questions: 1.) I am managing to get back to running and close to my previous pace, do you ever recover from this injury and do you have any more good news stories? 2.) How effective is shock-wave therapy & PRP to treat PHT? 3.) I've had PRP 3 times, PT, Tenjet, growth factors and wondering are there any Drs that do surgery to remove the micro-tears? I can find Drs that do surgery for complete ...

Feb 15, 2022β€’26 minβ€’Ep. 63

Q&A: Running as rehab/muscle building/PHT race preparations

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” In today's Q&A Brodie answers the three following questions from podcast listeners: "I'm a marathon runner and I've been suffering from PHT for 3 years. Progressive loading exercises didn't work and eventually, I gave up. Nothing seemed to work. I've now started running again building up very slowly (started with 3x1 minute running and a minute walk between). I can now run 3.5 miles pain-free. In your opinion is this something that could contin...

Feb 08, 2022β€’24 minβ€’Ep. 62

Incorporating nordics into your rehab with Damien McMahon

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Damian McMahon is a physiotherapist from Ireland and also the creator of the Outlier nordic T-bar. This device is designed to make eccentric nordic exercises accessible within your house and without complicated set-ups. Brodie tried out the t-bar personally and decided to chat with Damian about the idea behind his device. We also cover useful information to help PHT sufferers strengthen their hamstrings along with Damian's 3 tips to reduce the risk...

Feb 01, 2022β€’34 minβ€’Ep. 61

Patient independence during rehab with Nathan Carlson

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Nathan Carlson is a US-based Physical Therapist and co-host of the Runners Zone podcast. Brodie and Nathan talk about the importance of developing independence during a runner's rehabilitation and how a therapist needs to nature the independent process. This is important for every PHT sufferer to know. Some therapists may misdirect rehabilitation toward a short-term, dependant strategy, resulting in high consultation frequency & poor evidence-b...

Jan 25, 2022β€’1 hr 9 minβ€’Ep. 60

Brodie’s thoughts behind PHT misinformation

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Inspired by a chapter in the upcoming run smarter book. Brodie chats about the spread of misinformation and misconceptions. Searching on the internet, it is common to come across FADs, gimmicks, false claims ad outdated advice. In addition, asking for advice on social media results in a wide variety of responses. Some that contradict one another. But why? Brodie covers 6 reasons why he believes this exists. Click here to learn more about the PHT vi...

Jan 18, 2022β€’50 minβ€’Ep. 59

Exercise IS your rehab, not the end result

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Have you ever asked yourself, "when will I be able to return to running?" or "when can I cycle pain-free?" In today's episode, Brodie reframes this problem and highlights the importance of incorporating exercise into your rehabilitation. This is a crucial mind shift that allows you to rehab your proximal hamstring tendinopathy in the more efficient way possible. Tune in to hear detailed examples of how you can incorporate running, cycling and sitti...

Jan 11, 2022β€’30 minβ€’Ep. 58

Potential reasons behind bilateral tendinopathy symptoms

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” In today's episode, Brodie replies to a listener question: β€œI have had PHT bilaterally for close to a year and have also had bilateral chronic plantar fasciitis for many years. On one of the podcasts you mentioned when there are bilateral tendon issues, that may raise some red flags that there may be another contributing factor going on". "Any suggestions of other medical areas beyond muscular that I should consider looking into would be greatly ap...

Jan 04, 2022β€’26 minβ€’Ep. 57

Slow heavy resistance training: A 2020 case study

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” Brodie discusses a 2020 cade study paper by Kayla Krueger, Nicholas Washmuth & Tyler Williams titled: "THE MANAGEMENT OF PROXIMAL HAMSTRING TENDINOPATHY IN A COMPETITIVE POWERLIFTER WITH HEAVY SLOW RESISTANCE TRAINING" We dive into the case of this 31-year-old male competitive powerlifter that had failed prior treatments including static and dynamic hamstring stretching, hamstring soft tissue mobilization, dry-needling, general hamstring streng...

Dec 28, 2021β€’22 minβ€’Ep. 56

Client insights: Panic, social influences & pain science

Learn more about Brodie's PHT AI Assistant πŸ“„πŸ” In today's episode, Brodie breaks down the comments written by his past PHT client. Here is their submission when asked what their biggest insights and revelations were during Proximal hamstring tendinopathy rehab: "There’s a lot of β€˜horror stories’ out there which can easily lead to panic and catastrophising, causing increased attention to the pain". "Keeping routines and contact with friends has been hugely important. It would be easy to hide awa...

Dec 21, 2021β€’25 minβ€’Ep. 55