{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Overcoming Proximal Hamstring Tendinopathy","title":"Q&A: Chronic & Complicated PHT Questions","html":"","width":"100%","height":180,"duration":2488,"description":"In this PHT Q&A episode, Brodie tackles some of the more complex and challenging questions submitted by listeners.\nCan you still recover after 30+ years of proximal hamstring tendinopathy? How do you know whether you're pushing hard enough or too hard with strength training? And what role do age, hormones, stress and the nervous system play when symptoms just won't settle?\nBrodie also explores several tricky diagnostic presentations, including PHT that hurts with sitting but not running, sciatic nerve involvement, pain behind the knee, previous hamstring avulsions and why PHT is still so commonly mistaken for conditions such as piriformis syndrome, lumbar pathology and deep gluteal syndrome.\nTopics covered include:\nHow to know whether you're loading your tendon too much or not enough\nThe three key pain and progression rules Brodie uses during PHT rehab\nWhether PHT can still improve after 30+ years\nWhy chronic tendon degeneration doesn't necessarily prevent a full return to function\nThe \"treat the donut, not the hole\" approach to degenerative tendons\nHow chronic pain, hypervigilance and nervous-system sensitivity can influence symptoms\nWhether age significantly slows tendon recovery\nHow rehab may need to change for someone in their 60s\nPerimenopause, menopause, estrogen and progesterone: what we currently know about tendon health\nWhether hormonal fluctuations could explain sudden PHT flare-ups\nPsychological stress, pain sensitivity and recovery\nThe current evidence for low-level laser therapy / photobiomodulation\nNutrition considerations for tendon recovery, including protein, collagen and vitamin C\nWhether it can still be PHT if sitting hurts but running doesn't\nSciatic nerve involvement and when nerve mobility exercises may be useful\nWhy pain behind the knee warrants further investigation\nWhether PHT needs to be tender when you press directly over the tendon\nThe possible relationship between a previous proximal hamstring avulsion and later gluteal tendon...","thumbnail_url":"https://img.transistorcdn.com/U9QHyZiuMTAQbAt-L5NPn321w0Wzs7Udil1bb-3dkWM/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9zaG93/LzM5ODgxLzE2ODEw/MjE0MzEtYXJ0d29y/ay5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}