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If your proximal hamstring tendinopathy (PHT) has been lingering for months or even years, there may be a key roadblock keeping you stuck.

After speaking with thousands of people struggling with persistent PHT, I’ve noticed the same patterns appearing again and again.

In this episode, I break down 5 common reasons why PHT isn’t improving and, more importantly, what you can do differently.

We cover:

• Why relying on PRP, shockwave, massage and other passive treatments may not address the underlying capacity of your tendon.
• Why bodyweight and low-level exercises can become a roadblock if you never progress beyond them.
• How the frustrating boom-bust cycle can repeatedly flare your symptoms just as you start making progress.
• Why your supposedly “easy” running pace may still be too fast for your hamstring tendon right now.
• When persistent sit-bone pain might not actually be PHT, including other conditions and structures that can produce similar symptoms.

I also explain why some pain during strengthening doesn’t necessarily mean you should avoid progressing, how I approach gradual increases in tendon loading, and why running speed needs to be reintroduced carefully.

If you feel like you’ve tried everything and your PHT still isn’t improving, this episode may help you identify what’s been missing.