What is Proximal Hamstring Tendinopathy?

Tendinopathy of the proximal hamstring tendon is a common cause of buttock pain which can result in high levels of pain and disability. Tendinopathy is believed to be responsible for up to 50% of injuries (Rees at al, 2009).

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Tendinopathy of the proximal hamstring tendon is a common cause of buttock pain which can result in high levels of pain and disability. Tendon pathology is common in both occupational medicine and sport and is often associated with unaccustomed activity and overuse. Tendinopathy is believed to be responsible for up to 50% of injuries (Rees at al, 2009).

Proximal hamstring tendinopathy is a condition seen in patients of all ages from the young long-distance runners and sprinters to the more sedentary elderly person. It is also known as high hamstring or hamstring origin tendinopathy. The injury occurs at the attachment of the hamstring muscles onto the ischial tuberosity (your sitting bone).

It typically causes pain at the top of the leg and will often begin at the buttock crease and refer down the leg. It is classically aggravated by sitting, prolonged walking, driving and running. Often patients have had this condition for several months or even years before we see them. It is known to be a difficult, frustrating injury to resolve.