PHT Q&A: Why You’re Still in Pain Despite Doing Everything Right

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In this milestone Q&A episode, Brodie tackles your most pressing questions about proximal hamstring tendinopathy (PHT) — covering flare-ups, long-term pain, sleeping issues, training setbacks, and even how tight hip flexors fit into the picture.

Whether you're just starting your rehab journey or stuck in a plateau, these answers will help you adjust your plan and regain control.

🎧 What You'll Learn

✅ Cycling & PHT — When cycling to work becomes part of the problem

✅ Long-Term Recovery Doubts — “Will I ever be pain free again?”

✅ Tight Hip Flexors — Do they relate to PHT or are they just noise?

✅ Flare-Up Triggers — Why some weeks you feel great… and others fall apart

✅ Running Strategy — When to stop, reduce, or push through

✅ Speed Work — The right time to reintroduce faster running

✅ Sleep Disruption — Why some flare-ups hit hardest at night

✅ Nervous System Involvement — How chronic PHT becomes more than just tendon pain

✅ Hot or Burning Sensations — What it means when your tendon feels “hot”

✅ Post-Rehab Maintenance — What to do after symptoms go away

🧠 Key Takeaways

• Pain rules matter: Mild discomfort (<4/10), return to baseline by the next day, and a positive weekly trend are your north star.
• Setbacks are part of progress: Use them to tweak—not trash—your rehab plan.
• Training load ≠ just running: Cycling, gardening, and even long sitting can tip the load-recovery balance.
• The nervous system matters: Chronic pain is often more than just a mechanical issue.
• Hotness ≠ progress: It might be a sign of irritation or nerve sensitivity.

🛠️ Helpful Resources Mentioned

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For ALL Other Resources, Visit the Website proximalhamstrin…ndinopathy.info

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