Proximal Hamstring Tendinopathy: Clinical Aspects of Assessment and Management

J Orthop Sports Phys Ther. 2016 Jun;46(6):483-93. doi: 10.2519/jospt.2016.5986. Epub 2016 Apr 15.


Synopsis Proximal hamstring tendinopathy (PHT) typically manifests as deep buttock pain at the hamstring common origin. Both athletic and nonathletic populations are affected by PHT. Pain and dysfunction are often long-standing and limit sporting and daily functions. There is limited evidence regarding diagnosis, assessment, and management; for example, there are no randomized controlled trials investigating rehabilitation of PHT. Some of the principles of management established in, for example, Achilles and patellar tendinopathy would appear to apply to PHT but are not as well documented. This narrative review and commentary will highlight clinical aspects of assessment and management of PHT, drawing on the available evidence and current principles of managing painful tendinopathy. The management outline presented aims to guide clinicians as well as future research. J Orthop Sports Phys Ther 2016;46(6):483-493. Epub 15 Apr 2016. doi:10.2519/jospt.2016.5986.

Keywords: evaluation; tendon; treatment.

Publication types

  • Review

MeSH terms

  • Athletic Injuries / diagnosis
  • Athletic Injuries / etiology
  • Athletic Injuries / pathology
  • Athletic Injuries / therapy
  • Diagnosis, Differential
  • Exercise Therapy / methods
  • Hamstring Tendons* / anatomy & histology
  • Hamstring Tendons* / physiology
  • Hamstring Tendons* / physiopathology
  • Humans
  • Pain / etiology
  • Patient Outcome Assessment
  • Tendinopathy / diagnosis*
  • Tendinopathy / etiology
  • Tendinopathy / pathology
  • Tendinopathy / therapy*