I've literally been dreaming for someone that has this much passion on the subject that they can properly delve into each and every single aspect of the injury. Thank you so very much for this video.
This is exactly what I have. Thank you for the video. There are literally no other TH-cam videos for this condition, so I was feeling hopeless about this. But you went ahead and made an hour long video. So thankful!🎉
Been suffering bilateral distal tendinitis now for 9 months or so, been rehabbing from hospital physio, but no advice on not straightening out leg on hamstring curls, leg raises etc, which as you say can really aggravate the tendons and does, thank you for excellent advice, a brilliant video, I shall adapt my schedule to suit. Just started with ECSTherapy last week, no pain during session, but next day pain in both knees was full on, next day seemed much better so fingers crossed, don’t apologise for length of video, most informative out there as, doesn’t seem to be a lot about this injury. Thank you.
I started getting it towards the summer between my sophmore and junior year of high school and neglected treatment because there was only pain after activity rather than during. I also didn't have a parent that would drive me to a physical therapist or anything. After seeing this video I could cry tears of joy, but I also feel very anxious because of the potential restructuring of my tendon because I neglected treatment for easily over a year. Played soccer and basketball back to back for 2+ years which I believe to be the eventual cause.
Thank you Maryke (i hope i wrote it well). Your video was brilliant. Thank you to spend time on this rare and terrible injury in the most completed and scientific way. You are an angel. God bless you 🙏
Wow. Very thorough and passionate! I've always had a feeling that the hamstring stretches were causing more issues. I definitely started mine prematurely. I wish General practice physicians were this thorough! One can indure months of co-pays and deductibles and still not get this type of guidance. Thank you so much! What a blessing
I've been trying to understand my injuries for months, my physio never really explained my ultrasound results like this. My current loading exercises still gives me quite a bit of pain, hopefully with this approach I can get back onto the bike soon. Brilliant video. Thank you so much!!
i wish that video was out 7 months ago when i had that issue. i did it cause i decided to start running and went from sitting on the sofa all day to running, completely ignoring the signals from my legs. ended up in insane pane in the pes anserine on both legs and 2 weeks recovery. my physio also advised that weak glutes could also cause hamstring overload. great video!
Hello! What type of physiotherapy did you do specifically? I had hamstring tendinopathy and now my pes anserine bursa on the same leg / knee, been a couple months of pain, would you be able to let me know what your physio said?
Great video and presentation! I'm going to a physio after watching this, but it's most likely this. Been struggling to find information on my symptoms until I find this amazing video, you're giving such in depth and nuanced advice. Worth gold. Thank you!
Thank you so much for this video. I’m 29 yo and a year ago I injured my hamstring in both legs during an exercice in the gym. Ultrasound did not find any abnormalities but I was still diagnosed with distal hamstring tendinopathy by the sports doc. It has been hard dealing with this injury. The only hobbies I have and enjoy are sports like hiking, running and going to the gym. I can’t do these the way I used to do, and I’m always in pain afterwards. Sitting for longer periods on a hard chair or in my car can also be aggravating. Mentally it has been tough. I went to a local fysiotherapist (kinesist) for 8 weeks, 4 months after the injury but I only got massages there and one exercice to perform at home - a Stability Ball Leg Curl - which was too aggravating. So I gave up on the rehab and just hoped for the ‘wait and see’ method which has improved my day to day symptoms but didn’t give me improvement when performing sports. Cortisone has been proposed by the doc but I refused this for the moment.. MRI might be scheduled. Your explanation and advice on this topic has been the first time in months I’ve had some hope that distal hamstring tendinopathy might be treatable and there is light at the end of the tunnel. I will start with the exercises u described and might visit a sportsphysio in the near future. I want to be able to exercice pain free again. Bedankt!
Hi! I have exactly the same same as you explained! Mine started 3 years ago and ever since it has been on and off, I was basically neglecting it 😢! 5 weeks ago I got calf strain muscle and I was sitting more than usually and I aggravated it again, now is bigger pain that ever! I went to see ortopedic and she said it is hamstring tendinitis and she prescribed me physical therapy with laser, needling (whatever) that is! Never done it before! All I know I have changed 3 different facilities and PT’s are terrible, all they do they show some exercises that we can do at home, they did not even massage my calf! Now with this hamstring I really hope I will find someone who can help! I love to workout and it has been a long time that I have been pushing through this pain. It is good to see I am not alone, I just hope I am not too late and this hamstring did not reach some incurable stage 😢 Thank you for sharing nicely and honestly! I hope you are cured by now 🙏
@@Gaga-l2c Thank you for your message. Unfortunately, almost 2 years after the injury I am still suffering from my hamstring injury. It comes and goes. Every single time I have returned to sports and hiking I have had flare ups of pain that lasts for multiple days to weeks. And at such times, sitting for even short periods of time is also painfull, just like u said. Currently as I am typing this I'm having pretty bad pain from sitting. So yeah, I can not exercice anymore without paying the price afterwards, and so I have actually turned into a frustrated couch potato. I also have had no luck with PT. I got massage which didn't do anything and exercices that were to hard and aggravating. I have never been helped by a PT (got another injury a couple of years ago for which I also visited a PT that didn't do anything usefull, luckily that injury healed by itself in the end). It is extremely frustrating. I have no idea what the ideal recovery program should be like because it seems like the slightest overexertion sets u back to square one. Be carefull with doctors as they want to inject cortisone a lot, and this is very bad for tendon quality. A lot of studies discourage the use of corticosteroids and there would even be worse outcomes in the longer term.. I was persuaded by the doctor for an injection and I wish I had not done it. I had more pain after the injection for 2 months! I still hope there is a solution... Wishing u the best!
@Themix274 I noticed I struggled to walk on flat surfaces after I did a walk on an uphill trail that was uneven I felt really good but walking around the shops a pain in my leg. It wasn't a steep hill but I had to climb some rocks.
That was simply an awesome video. I was struggling with my injury and was so anxious how to go about it. This video made things crystal clear. Hopefully, I should run again in a couple of weeks. I am 59 and an avid Marathoner.
I’m going through medial & posterior knee pain as we speak. It only hurts after running or exercising! I am going to do MRI soon but this was extremely educational video and I’m grateful of your channel. I will try to implement all what you advised in this video and hopefully I see improvements in weeks to come! Thank you for your incredible and immense help!
Hi, I think we have the same issue, this started when i begin training for half-marathon(doing some slow and easy runs). the back of the knee and inside gets tight. Doing the single leg bridges helps. at the moment after 5days without running, the pain is somehow 70% gone. let me know what happened to you MRI.
Thank you so much for this great video that explains exactly what is happening to me. It hurts so bad and stretching seems to make things worse. It’s not my hamstring. It’s my hamstring tendons that are sore. Mine is not due to training but due to weak core muscles from losing 100 pounds. My back and core was very weak and not able to support my body so I was standing weird with bent knees for so long that it caused this tendinitis. Now I know how to fix it properly. Thank you!
Fantastic video! This was so educational. I was feeling frustrated with various muscle imbalances and my PT's giving me different diagnoses. This has definitely filled in the gaps and I can start attacking my recovery the right way. Thank you!
Goldmine! Thank you so much for sharing all of this helpful information ....and for free! I can't afford a Dr right now, but have hope of some relief with these techniques.
That is absolutely incredible advice. Thanks so much. This is exactly the symptoms I have. Pain in the arch, Peroneus on both sides, lower hamstring and glute. Off to the physio tonight and I'll be trying your exercises in a few days.
What an amazing lady! What a superb knowledge! Thoroughly explained! I am suffering with one leg pain over a year now, saw many doctor's, had physiotherapy with 3 different physios over the past 6 months but nothing is helping. None of these people seem to be having even 30% of your knowledge!!! How can they rehab patients and call themselves professionals!. That upsets me!. Where are you based? I would love to become your patient😊 God bless! You are amazing lady!!!! Mariana
Hi Mariana, Thank you for the kind words! I don't see patients anymore (rather focusing on making helpful videos like this one) but we have a team of very knowledgeable and experienced physios who see patients via video call, so it can be anywhere in the world. More info here, if you're interested: www.sports-injury-physio.com/
I dare to say that that your video is the best i 've seen. Full coverage of the subject, from the anatomy to possible solutions with pros and cons. AND References! A true scientific approach...(As someone who works in pharma industry i couldn't be more impressed). Vere very well done!
10:23 described my situation perfectly. I'm a soccer player and only have pain AFTER activity, on the side of my knee. At first my problem was diagnosed as "Illiotibial Band Syndrome," then later was diagnosed (by the same sports physical therapist) as "Hamstring Tendonitis." The pain is right where the I.T. Band ends on the side of my leg and I wasn't sure that my problem was Hamstring tendonitis, but after hearing that a symptom of HT is pain AFTER activity, I feel more comfortable about the diagnosis. I've been trying to find any information about pain after activity, and this is the first source that actually mentioned this.
I was starting to feel the same pain the past two weeks when I was recovering from a hamstring pull. I have not felt it since I started playing soccer 3 days ago
What an insightful video! The explanation was exceptionally clear. Two months back, during an indoor soccer game, I accidentally kicked the floor instead of the ball due to the uneven turf. Initially, I felt pain behind my knee, which subsided after a few days, except when I exerted resistance on the lower hamstring. Despite this, I decided to return to play, still experiencing some discomfort. Now, I'm noticing new pain at the lower hamstring tendon and on the side of my knee. Although my physiotherapist is excellent, the explanation didn't fully resonate. Nonetheless, I'll diligently follow the prescribed exercises. Thank you immensely!
I find this video pure gold! thank you so much for the detailed guidance! looks like I suffer from biceps femoris tendonitis and when I stretch the leg and try to work tight hamstrings it feels uncomfortable. The choice of your exercises (as you can do it at home) is very thoughtful. 47 mins is not a short video to follow through, but it was worth every minute. I felt even more irritated with classic hamstring stretches. Subscribed.
This is very great! Really well explained! I was wondering what this pain is abouth, started 3weeks ago just suddenly wake up in the morning and feeling little pain when bending leg. Run true it but now started to worry, because after hard running session next morning pain is bigger than after not running days. I will stop running and start doing all exercises that you suggested. Thank you!!!
This is a phenomenal guide. I was worried I would struggle to find a video that was specific enough for this issue. Very well done - Thank you so much!
Best knowledge and explanation on TH-cam. I am watching many of your other videos and wish they were available/discoverable 6- 7 years ago. Whenever I am free later, would love to collaborate with you in translation to Hindi for huge Indian audience who don't have this level of info.
Thank you so much for this! I learned more about what to do for my injury from than I have been from seeing a PT in person. I did the bridge exercises last night and I could tell they definitely engaged the right area. I was scared I did too many because my injury was pretty sore going to bed last night, but I woke up with less pain than I was a few days ago. So thank you ! I'll keep at it!
Amazing video, great presentation and detailing... Of all the noise on there on YT, this stands out to be precise and the most relevant video with end to end issue resolution advice. Thanks.. I have acute pain and my ortho has prescribed anti inflammatory medicines and rest for three weeks and assured that this issue will be recovered. 🤞
This is crazy detailed. Have been looking for the answer to my symptoms for over a year now and this is the first time I think I might know what my condition is. The only drawback is I think I might be a little too far gone for an "easy" fix now. Here goes the long haul eh?
@@SportsInjuryPhysio thanks, and thanks for making the vid. Have been unable to run for 5 weeks due to avulsion fracture to 5th metatarsal on my left foot. Resorted to cycling to try and maintain some level of cardio and that has seemingly flaired up tendinopathy around the right knee. Its 6 of one and half a dozen of another 😂 Off to do some bridges. Thanks again!
Best video. Thank you so much Coach. I was suffering to much from my lower hamstring tendonitis. Now I know why it causes and how I can recover. And from next time, I will be more careful with my practice session. Thanks again
Thank you so much for this video! I’m working with a PT and he explained it really well, but I like getting even more info. I started running again (only a mile vs my usual 6-7), and I was worried I shouldn’t because I could feel the tendons a bit. I don’t see the PT until next week, so watching this put me at ease-it’s not uncomfortable. A mile at a slow pace seems okay 😊.
I've been trying to understand what exactly this pain is on the outside of my knee for the last year. This video clearly explained it, my biceps femoris tendon is inflamed. It only hurts when I sit too long or stand too long. I exercise 6 times a week, 4 times with weights. I will incorporate your exercises in my regimen. Thanks so much for the very detailed explanation.
I had a knee replacement two years ago. I am 75 years old and like to golf three days a week and practice at the range. I have had four back operations in my life, a shoulder operation, an elbow sewn, and a knee replacement among other types of injuries. My back is fine now but I got three months ago, I had a neck fusion from a pinched nerve and played no golf. Once I was released to golf, I got bad pain on the side of my knee and on my upper thigh. My doctor said the implant looked good on the xray but it was a hamstring. I keep golfing and it got to whenever I put weight on it, I had bad pain. I stopped golfing a week ago and after a stretching session, I could walk a mile with no pain. Then after sitting or getting up in the morning, the pain with weight on it started pain again. I think now it's now a little better, still hurts but not as much. I did PT and do perscribed exercises at home every day. I think the walking is helping with the exercises. I guess I should stop golfing for awhile even through the doctor said golf was a low impact sport. My biggest worry is damaging the implant. I long would you think I know it's safe to golf again? I ride in cart when I play.
It really is best to ask your physio because I have no idea of what is causing your pain or what is needed to fix it without assessing you. If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/
@@SportsInjuryPhysio Thank you for the reply. I’m going to see two orthos and a bone scan scheduled. I was trying to diagnose it myself but I’ll find out more by next week.
Thanks for the in depth video! I ended up getting pretty gnarly tendonitis in my left biceps femoris from laying leg curls to the point where even bodyweight curls hurt, so I completely backed off. Went back to squatting to avoid hamstring use and somehow managed to make it worse than it was before. I'll give relative rest and glute bridges a try and see if I can allow for better recovery!
thank you for this video on lower hamstring issues. I had a stroke last year and fell when I got home from the hospital. I landed with my right leg bent so that my calf was touching the back of my leg. I had no idea why my tendon behind my knee hurt all the time and prevented me from making a full recovery (walking). I'm still in a wheelchair because my knee buckles when I walk. I'm going to do some exercises to help my recovery.
Genuinely appreciate the time and effort that went into this video. I've had an unhappy triad that was diagnosed as 2nd grade MCL, treated as so for two months then another injury lower hamstring tendonitis that I've been using hydro and physical therapy for about 2 months now. Things are much better, pain is going away and strength is increasing, but to go back to playing soccer, does the pain have to be 0% or would I risk having a complete ACL/MCL tear?
The pain doesn't have to be 100% gone but should usually only be like a niggle rather than proper pain. The important part is that your rehab should have built up to the point where you can actually do exercises and activities that are at an intensity and complexity similar to your sport.
Thank you for your response. I'm at the niggling part of recovery at the moment with my triad. The tendons behind my knee are still stiff but the range of motion has increased to about 90% without pain. The stiffness always goes away after warming up. As I understood from your comment and video, I could focus on the exercises you presented along with other PT concentrating on soccer movements until the therapist feels I'm readyto go back to football, correct?
Thank you so much for this. Been running consistently without issue for over a year and a half and now I think I’ve gotten tendon pain in the lower hamstring. Stopped running for a few days to recover..
Trying the relative rest. Went for a short run 5km jog felt slight tightness but no pain. Waiting for a few hours now and there’s still no pain but a slight tightness returning not sure if that means if it’s too much. I’m gonna watch out for tomorrow.
Absolutely fantastic video! I can't thank you enough! I have flat feet with overpronation. I ran a 10k for the first time and my hamstrings started talking with all the symptoms described here. I already started very light deadlifts. This gave clarification and reassurance about my approach.
@@SportsInjuryPhysioreally informative. I want to get back to distance trail running. Did have a 75km ultra planned in 3 weeks but will probably not do it, or just walk it. Long cut offs, then plan to run it next year.
I love these videos. Its so nice how much work you put in it. Im just like at this state that im looking this videos rather to go to an doctor and get like elektrotherpaie or something eles. You helped me trough my osteitis pubis and now hopefully through my biceps femoris tendienopathie. Thank you and greetings from Germany !
What do you think about Nordic harmstringcurls? After watching this video it should be a good exercise, because it also strengthen the eccentric of the tendon or am i wrong? Obv. It should be an exercise for the late state of the Rehab
Hello, I have been struggling with distal hamstring tendinopathy (bilaterally) on and off for months. I have tried deadlifts (>225lb), bridges (unweighted and weighted up to 135lb with barbell), hamstring curls (both with band and machine and eccentric movement) with only limited success. Maybe I will try shockwave or injections. Or request a consult with your clinic. This is the best video I have found on this subject. Thank you very much
I have lower biceps femoris tendinitis that I got while recovering my knee post acl reconstruction. I'm really struggling to continue my recovery. I'm at 10 weeks post op and 8 weeks into physical recovery. I don't know where to go from where I am 😔 I'll show this video to my trainer. Thanks for this. Very informative!
Hi, I’m not sure if you will see this comment. But I have a question if you wouldn’t mind answering. First off thank you for such a detailed video and sharing your valuable knowledge. In terms of beginning rehab after resting the tendon, should I avoid doing anything where I notice the tendon is under pressure/discomfort. Such as when I do hamstring curls I can feel discomfort in the tendon. I have been doing exercise to the point where I can feel some discomfort but I don’t keep going when I feel pain. I guess what I’m asking is if there is a way to recognise what level of discomfort/pain is good to work through and when to know when to stop. Thanks again.
The rule with rehab and exercise is usually that it is OK to do as long as: 1. It only causes a slight discomfort while doing it, AND 2. It does not cause an increase in your pain and swelling that lasts for more than 24 hours So check how your pain responds in the day after and that will tell you if a session is OK or not.
My symptoms included aggressive muscle spasms. Has anyone experienced this. Still not sure what exactly the injury diagnosis is. But behind my leg hurts and spasm if I put my heel completely down. I need help. MRI soon.
A very informative video 👏🏻 I’ve got a hip impingement, and then recently in the last week have felt the symptoms you have mentioned. Due to tight hips and also hamstrings previously. Due to this have done quite a lot of Hamstring work stretching and strengthening to try help so I can continue to play football training 2/3 times a week with a match at the weekend, they have now been possibly overworked to much? Now I am icing and resting to wait for an improvement. 🤕
It is likely that you've just overdone it on the exercise side - it should calm down nicely if you allow it a bit of a break and then observe how different exercises and stretches affect it when you go back.
Thank you for such an informal video. I was stretching my hamstrings a couple weeks ago (sitting on the floor with my legs spread out and leaning forward), and i felt a strain in my Semimembranosus. Do you think this was an acute tendinitis? I didn’t have any swelling but it’s been bothering me ever since. Some days worse than others.
My question is about instability. I had a hockey injury in college that led to lateral knee arthritis. Had a lateral knee replacement 2 years ago. 5 weeks ago while playing hockey (I don’t learn, do I) I did something to injure the knee. Middle of the night I had extreme pain in region of biceps tendon, and significant swelling of the entire knee. Could hardly straighten my leg. When I tried to walk, my knee kept buckling. It was BAD. Extreme pain, my femur seemed to shift forward and my tibia backward. Also, my patella seemed to luxate laterally. Completely unstable. Surgeon said what they always say: “Well, the implant is fine!” If this is a hamstring tendon problem, why the instability? It’s been 5 weeks, it’s better but I have to be sooo careful.
It doesn't sound like a hamstring injury - the amount of swelling you are describing sounds like you injured something inside the joint. Did the surgeon check your ligaments? If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com
Based on my couch research and my latest PT assessment, I've had this since a run I did in May (not in the moment, felt it the morning after on the inside behind my knee). Since then I've found little issue with swimming (occasionally when kicking), biking (I may feel it during hard interval sessions) and I feel it within 3 minutes when running. Is this consistent with DHT? Thanks so much for this video, learned a lot!
What a brilliant video! Thank you so much. If I can ask: Should a 'load' day during rehab include a form of bridge, curl and deadlift? Or is this typically too much?
Totally depends on how sensitive yours is and where you are in your rehab - I usually start my patient on bridges - then add in light curls and lastly deadlifts - so they can eventually do all in one session but start really light and build over time.
What a great video and thank you very much!!! Would this hamstring tendinopathy cause swelling of the knee? And difficulties of going upstairs? Felt sharp pain around the area where you are describing in your video while playing soccer. If i rested, i felt better. So went out and played and then came home with (or the day after) with a swollen knee. After several repeats of this i finally gave up. No progress after 8 PT sessions. My therapist has been working on my glutes. Very frustrating!! Perhaps I will try your exercises. Thanks again.
It might cause a bit of puffiness around the tendons but not a lot of swelling in the knee itself. If you felt a sharp pain when you injured it the first time, it may be that you've torn something actually. If you want help with your rehab, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/
I've literally been dreaming for someone that has this much passion on the subject that they can properly delve into each and every single aspect of the injury. Thank you so very much for this video.
You're welcome, and good luck with your recovery!
This is exactly what I have. Thank you for the video. There are literally no other TH-cam videos for this condition, so I was feeling hopeless about this. But you went ahead and made an hour long video. So thankful!🎉
You're very welcome!
Been suffering bilateral distal tendinitis now for 9 months or so, been rehabbing from hospital physio, but no advice on not straightening out leg on hamstring curls, leg raises etc, which as you say can really aggravate the tendons and does, thank you for excellent advice, a brilliant video, I shall adapt my schedule to suit. Just started with ECSTherapy last week, no pain during session, but next day pain in both knees was full on, next day seemed much better so fingers crossed, don’t apologise for length of video, most informative out there as, doesn’t seem to be a lot about this injury. Thank you.
You're welcome, and good luck with your recovery!
Hamtring stretches are the reason I have tendinitis in the first place. Thank you so much for the informative video
You're welcome.
I started getting it towards the summer between my sophmore and junior year of high school and neglected treatment because there was only pain after activity rather than during. I also didn't have a parent that would drive me to a physical therapist or anything. After seeing this video I could cry tears of joy, but I also feel very anxious because of the potential restructuring of my tendon because I neglected treatment for easily over a year. Played soccer and basketball back to back for 2+ years which I believe to be the eventual cause.
Thank you Maryke (i hope i wrote it well).
Your video was brilliant.
Thank you to spend time on this rare and terrible injury in the most completed and scientific way.
You are an angel.
God bless you 🙏
Me too ❤
Wow. Very thorough and passionate! I've always had a feeling that the hamstring stretches were causing more issues. I definitely started mine prematurely. I wish General practice physicians were this thorough! One can indure months of co-pays and deductibles and still not get this type of guidance. Thank you so much! What a blessing
You're very welcome!
I've been trying to understand my injuries for months, my physio never really explained my ultrasound results like this. My current loading exercises still gives me quite a bit of pain, hopefully with this approach I can get back onto the bike soon. Brilliant video. Thank you so much!!
Good luck with your recovery!
i wish that video was out 7 months ago when i had that issue. i did it cause i decided to start running and went from sitting on the sofa all day to running, completely ignoring the signals from my legs. ended up in insane pane in the pes anserine on both legs and 2 weeks recovery. my physio also advised that weak glutes could also cause hamstring overload. great video!
Hello! What type of physiotherapy did you do specifically? I had hamstring tendinopathy and now my pes anserine bursa on the same leg / knee, been a couple months of pain, would you be able to let me know what your physio said?
Great video and presentation! I'm going to a physio after watching this, but it's most likely this. Been struggling to find information on my symptoms until I find this amazing video, you're giving such in depth and nuanced advice. Worth gold. Thank you!
You're most welcome!
Thank you so much for this video.
I’m 29 yo and a year ago I injured my hamstring in both legs during an exercice in the gym. Ultrasound did not find any abnormalities but I was still diagnosed with distal hamstring tendinopathy by the sports doc.
It has been hard dealing with this injury. The only hobbies I have and enjoy are sports like hiking, running and going to the gym. I can’t do these the way I used to do, and I’m always in pain afterwards. Sitting for longer periods on a hard chair or in my car can also be aggravating. Mentally it has been tough.
I went to a local fysiotherapist (kinesist) for 8 weeks, 4 months after the injury but I only got massages there and one exercice to perform at home - a Stability Ball Leg Curl - which was too aggravating. So I gave up on the rehab and just hoped for the ‘wait and see’ method which has improved my day to day symptoms but didn’t give me improvement when performing sports. Cortisone has been proposed by the doc but I refused this for the moment.. MRI might be scheduled.
Your explanation and advice on this topic has been the first time in months I’ve had some hope that distal hamstring tendinopathy might be treatable and there is light at the end of the tunnel. I will start with the exercises u described and might visit a sportsphysio in the near future. I want to be able to exercice pain free again.
Bedankt!
Thanks for sharing, and good luck with your recovery!
Hi! I have exactly the same same as you explained! Mine started 3 years ago and ever since it has been on and off, I was basically neglecting it 😢! 5 weeks ago I got calf strain muscle and I was sitting more than usually and I aggravated it again, now is bigger pain that ever! I went to see ortopedic and she said it is hamstring tendinitis and she prescribed me physical therapy with laser, needling (whatever) that is! Never done it before! All I know I have changed 3 different facilities and PT’s are terrible, all they do they show some exercises that we can do at home, they did not even massage my calf! Now with this hamstring I really hope I will find someone who can help! I love to workout and it has been a long time that I have been pushing through this pain. It is good to see I am not alone, I just hope I am not too late and this hamstring did not reach some incurable stage 😢 Thank you for sharing nicely and honestly! I hope you are cured by now 🙏
@@Gaga-l2c Thank you for your message. Unfortunately, almost 2 years after the injury I am still suffering from my hamstring injury. It comes and goes. Every single time I have returned to sports and hiking I have had flare ups of pain that lasts for multiple days to weeks. And at such times, sitting for even short periods of time is also painfull, just like u said. Currently as I am typing this I'm having pretty bad pain from sitting. So yeah, I can not exercice anymore without paying the price afterwards, and so I have actually turned into a frustrated couch potato.
I also have had no luck with PT. I got massage which didn't do anything and exercices that were to hard and aggravating. I have never been helped by a PT (got another injury a couple of years ago for which I also visited a PT that didn't do anything usefull, luckily that injury healed by itself in the end).
It is extremely frustrating. I have no idea what the ideal recovery program should be like because it seems like the slightest overexertion sets u back to square one.
Be carefull with doctors as they want to inject cortisone a lot, and this is very bad for tendon quality. A lot of studies discourage the use of corticosteroids and there would even be worse outcomes in the longer term.. I was persuaded by the doctor for an injection and I wish I had not done it. I had more pain after the injection for 2 months!
I still hope there is a solution...
Wishing u the best!
@Themix274 I noticed I struggled to walk on flat surfaces after I did a walk on an uphill trail that was uneven I felt really good but walking around the shops a pain in my leg. It wasn't a steep hill but I had to climb some rocks.
Thank you. Totally needed this.
You are welcome!
That was simply an awesome video. I was struggling with my injury and was so anxious how to go about it. This video made things crystal clear. Hopefully, I should run again in a couple of weeks. I am 59 and an avid Marathoner.
Good luck with your recovery!
I’m going through medial & posterior knee pain as we speak. It only hurts after running or exercising!
I am going to do MRI soon but this was extremely educational video and I’m grateful of your channel.
I will try to implement all what you advised in this video and hopefully I see improvements in weeks to come!
Thank you for your incredible and immense help!
Best of luck!
Hi, I think we have the same issue, this started when i begin training for half-marathon(doing some slow and easy runs). the back of the knee and inside gets tight.
Doing the single leg bridges helps. at the moment after 5days without running, the pain is somehow 70% gone.
let me know what happened to you MRI.
Wow this is the answers ive been looking for
Thank you so much for this great video that explains exactly what is happening to me. It hurts so bad and stretching seems to make things worse. It’s not my hamstring. It’s my hamstring tendons that are sore. Mine is not due to training but due to weak core muscles from losing 100 pounds. My back and core was very weak and not able to support my body so I was standing weird with bent knees for so long that it caused this tendinitis. Now I know how to fix it properly. Thank you!
You're welcome!
Fantastic video! This was so educational. I was feeling frustrated with various muscle imbalances and my PT's giving me different diagnoses. This has definitely filled in the gaps and I can start attacking my recovery the right way. Thank you!
You're welcome!
Goldmine! Thank you so much for sharing all of this helpful information ....and for free! I can't afford a Dr right now, but have hope of some relief with these techniques.
You're welcome, and good luck with your recovery!
That is absolutely incredible advice. Thanks so much. This is exactly the symptoms I have. Pain in the arch, Peroneus on both sides, lower hamstring and glute. Off to the physio tonight and I'll be trying your exercises in a few days.
Good luck with your recovery!
What an amazing lady! What a superb knowledge! Thoroughly explained! I am suffering with one leg pain over a year now, saw many doctor's, had physiotherapy with 3 different physios over the past 6 months but nothing is helping. None of these people seem to be having even 30% of your knowledge!!! How can they rehab patients and call themselves professionals!. That upsets me!. Where are you based? I would love to become your patient😊 God bless! You are amazing lady!!!! Mariana
Hi Mariana,
Thank you for the kind words! I don't see patients anymore (rather focusing on making helpful videos like this one) but we have a team of very knowledgeable and experienced physios who see patients via video call, so it can be anywhere in the world. More info here, if you're interested: www.sports-injury-physio.com/
Thank you so much. I will try to get in touch soon. Is it possible to speak to you though? Thank you
I dare to say that that your video is the best i 've seen. Full coverage of the subject, from the anatomy to possible solutions with pros and cons. AND References! A true scientific approach...(As someone who works in pharma industry i couldn't be more impressed). Vere very well done!
Thank you for the kind words!
10:23 described my situation perfectly. I'm a soccer player and only have pain AFTER activity, on the side of my knee. At first my problem was diagnosed as "Illiotibial Band Syndrome," then later was diagnosed (by the same sports physical therapist) as "Hamstring Tendonitis." The pain is right where the I.T. Band ends on the side of my leg and I wasn't sure that my problem was Hamstring tendonitis, but after hearing that a symptom of HT is pain AFTER activity, I feel more comfortable about the diagnosis. I've been trying to find any information about pain after activity, and this is the first source that actually mentioned this.
I was starting to feel the same pain the past two weeks when I was recovering from a hamstring pull. I have not felt it since I started playing soccer 3 days ago
Same. This sucks 😢
What an insightful video! The explanation was exceptionally clear. Two months back, during an indoor soccer game, I accidentally kicked the floor instead of the ball due to the uneven turf. Initially, I felt pain behind my knee, which subsided after a few days, except when I exerted resistance on the lower hamstring. Despite this, I decided to return to play, still experiencing some discomfort. Now, I'm noticing new pain at the lower hamstring tendon and on the side of my knee. Although my physiotherapist is excellent, the explanation didn't fully resonate. Nonetheless, I'll diligently follow the prescribed exercises. Thank you immensely!
Good luck with your recovery!
Your videos are always so well researched and articulated. Thank you for providing this information and all the effort it takes to create this!!
So nice of you!
excellent presentation. So clear & thorough
Thank you!
Thank you so much for This video. You are probably the best on this subject in the TH-cam community.
Wow, thank you!
I just want to say thank you. Ive been suffering from this for almost 2 years and there are so little resources out there. Thanks for the video
You're welcome!
I find this video pure gold! thank you so much for the detailed guidance! looks like I suffer from biceps femoris tendonitis and when I stretch the leg and try to work tight hamstrings it feels uncomfortable. The choice of your exercises (as you can do it at home) is very thoughtful. 47 mins is not a short video to follow through, but it was worth every minute. I felt even more irritated with classic hamstring stretches. Subscribed.
Thanks for watching, and good luck with your recovery!
This is an awesome video. I strained my semimembranosus tendon 2 weeks ago. I think I will give these a shot.
Me too, had mine for two weeks now when I did some hill sprints 😔. Update me about your recovery.
This is very great! Really well explained! I was wondering what this pain is abouth, started 3weeks ago just suddenly wake up in the morning and feeling little pain when bending leg. Run true it but now started to worry, because after hard running session next morning pain is bigger than after not running days. I will stop running and start doing all exercises that you suggested. Thank you!!!
Thanks for sharing, and good luck with your recovery!
Absolutely the best I've ever seen, you are amazing at sharing knowledge!
Glad you think so!
Thank you, I think You have answered my questions. I’ve been trying too hard and I’m inflaming my hamstring. ❤
You're welcome!
Wow, this was great information! I've been struggling with this for a few weeks now and no physio has been as thorough as this in identifying.
Glad it was helpful!
This is a phenomenal guide. I was worried I would struggle to find a video that was specific enough for this issue. Very well done - Thank you so much!
You're very welcome!
Best knowledge and explanation on TH-cam. I am watching many of your other videos and wish they were available/discoverable 6- 7 years ago. Whenever I am free later, would love to collaborate with you in translation to Hindi for huge Indian audience who don't have this level of info.
It's 2nd time that i've found your content is the best. You helped me to heal and i appreciate your work.
Happy to help!
Great work. This helped me get identify the source of my pain and gave me real solutions to help it
Glad it helped!
This was such a helpful, informative video; I think this is exactly the issue I’m experiencing. Thank you so much!
You're welcome!
Thank you very, very much. This is what I am exactly searching for
You're welcome!
Excellent video. Great explanations and solutions. You are a knowledgeable physio who explains well.
I appreciate that!
Thank you so much for this! I learned more about what to do for my injury from than I have been from seeing a PT in person. I did the bridge exercises last night and I could tell they definitely engaged the right area. I was scared I did too many because my injury was pretty sore going to bed last night, but I woke up with less pain than I was a few days ago. So thank you ! I'll keep at it!
Amazing video, great presentation and detailing... Of all the noise on there on YT, this stands out to be precise and the most relevant video with end to end issue resolution advice. Thanks.. I have acute pain and my ortho has prescribed anti inflammatory medicines and rest for three weeks and assured that this issue will be recovered. 🤞
This is crazy detailed. Have been looking for the answer to my symptoms for over a year now and this is the first time I think I might know what my condition is. The only drawback is I think I might be a little too far gone for an "easy" fix now. Here goes the long haul eh?
Thanks for watching, and good luck with your recovery!
@@SportsInjuryPhysio thanks, and thanks for making the vid. Have been unable to run for 5 weeks due to avulsion fracture to 5th metatarsal on my left foot. Resorted to cycling to try and maintain some level of cardio and that has seemingly flaired up tendinopathy around the right knee. Its 6 of one and half a dozen of another 😂 Off to do some bridges.
Thanks again!
Thank you for your videos! Lucky for me, I get to learn more about the body by recovering from this from you!
You are welcome!
Best video. Thank you so much Coach. I was suffering to much from my lower hamstring tendonitis. Now I know why it causes and how I can recover. And from next time, I will be more careful with my practice session. Thanks again
You're welcome!
Thank you so much. You are just amazing and fully focus on one specified topic with useful information.
You're welcome!
Thank you so much for this video! I’m working with a PT and he explained it really well, but I like getting even more info. I started running again (only a mile vs my usual 6-7), and I was worried I shouldn’t because I could feel the tendons a bit. I don’t see the PT until next week, so watching this put me at ease-it’s not uncomfortable. A mile at a slow pace seems okay 😊.
You got this!
Thank you so much for a scientific and informative video.
Thanks for watching!
Such a well-explained video. I am so grateful to you for taking the time to give us details
You are welcome!
Excellent video, good job. You helped me understand my injury
I've been trying to understand what exactly this pain is on the outside of my knee for the last year. This video clearly explained it, my biceps femoris tendon is inflamed. It only hurts when I sit too long or stand too long. I exercise 6 times a week, 4 times with weights. I will incorporate your exercises in my regimen. Thanks so much for the very detailed explanation.
You're welcome!
This is spot on to how I feel. What a great video.
So glad!
I had a knee replacement two years ago. I am 75 years old and like to golf three days a week and practice at the range. I have had four back operations in my life, a shoulder operation, an elbow sewn, and a knee replacement among other types of injuries. My back is fine now but I got three months ago, I had a neck fusion from a pinched nerve and played no golf. Once I was released to golf, I got bad pain on the side of my knee and on my upper thigh. My doctor said the implant looked good on the xray but it was a hamstring. I keep golfing and it got to whenever I put weight on it, I had bad pain. I stopped golfing a week ago and after a stretching session, I could walk a mile with no pain. Then after sitting or getting up in the morning, the pain with weight on it started pain again. I think now it's now a little better, still hurts but not as much. I did PT and do perscribed exercises at home every day. I think the walking is helping with the exercises. I guess I should stop golfing for awhile even through the doctor said golf was a low impact sport. My biggest worry is damaging the implant. I long would you think I know it's safe to golf again? I ride in cart when I play.
It really is best to ask your physio because I have no idea of what is causing your pain or what is needed to fix it without assessing you. If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/
@@SportsInjuryPhysio Thank you for the reply. I’m going to see two orthos and a bone scan scheduled. I was trying to diagnose it myself but I’ll find out more by next week.
Great video. Just what I was looking for.
Great to hear!
Thanks for the in depth video! I ended up getting pretty gnarly tendonitis in my left biceps femoris from laying leg curls to the point where even bodyweight curls hurt, so I completely backed off. Went back to squatting to avoid hamstring use and somehow managed to make it worse than it was before. I'll give relative rest and glute bridges a try and see if I can allow for better recovery!
You're welcome!
The best video on the topic on earth
This is incredibly helpful. Thank you SO much!
Glad you found it helpful!
thank you for this video on lower hamstring issues. I had a stroke last year and fell when I got home from the hospital. I landed with my right leg bent so that my calf was touching the back of my leg. I had no idea why my tendon behind my knee hurt all the time and prevented me from making a full recovery (walking). I'm still in a wheelchair because my knee buckles when I walk. I'm going to do some exercises to help my recovery.
Good luck with your recovery!
Very nice video, I do it similar with my patients and I recommend them too to not stretch but use foam rolling instead of that
Thank you, Thank you, Thank you
My gratitude to you- SO helpful!
Glad it was helpful!
amazing video. so detailed and helpful. well worth the time!
Glad it was helpful!
Excellent explanation, a true professional 👏!!
Thank you kindly!
Genuinely appreciate the time and effort that went into this video.
I've had an unhappy triad that was diagnosed as 2nd grade MCL, treated as so for two months then another injury lower hamstring tendonitis that I've been using hydro and physical therapy for about 2 months now.
Things are much better, pain is going away and strength is increasing, but to go back to playing soccer, does the pain have to be 0% or would I risk having a complete ACL/MCL tear?
The pain doesn't have to be 100% gone but should usually only be like a niggle rather than proper pain. The important part is that your rehab should have built up to the point where you can actually do exercises and activities that are at an intensity and complexity similar to your sport.
Thank you for your response. I'm at the niggling part of recovery at the moment with my triad.
The tendons behind my knee are still stiff but the range of motion has increased to about 90% without pain. The stiffness always goes away after warming up. As I understood from your comment and video, I could focus on the exercises you presented along with other PT concentrating on soccer movements until the therapist feels I'm readyto go back to football, correct?
Incredible video, thank you so much for all the detailed information!
Our pleasure!
Thank you so much for this whole video.
You are welcome!
Great video - thank you very kindly for sharing your expertise.
You're welcome!
Thank you so much for this. Been running consistently without issue for over a year and a half and now I think I’ve gotten tendon pain in the lower hamstring. Stopped running for a few days to recover..
Woah we watched this for the first time at the same time,
Woah we watched this for the first time at the same time,
Trying the relative rest. Went for a short run 5km jog felt slight tightness but no pain. Waiting for a few hours now and there’s still no pain but a slight tightness returning not sure if that means if it’s too much. I’m gonna watch out for tomorrow.
You're welcome!
Looks like 24 hours later there’s no pain and tightness will increase mileage accordingly 😁
I have this from dancing, my thought happiness was gone , good to hear that I should continue with low load
Thank you so much! 😭 this is invaluable
You're welcome!
Absolutely fantastic video! I can't thank you enough!
I have flat feet with overpronation. I ran a 10k for the first time and my hamstrings started talking with all the symptoms described here. I already started very light deadlifts. This gave clarification and reassurance about my approach.
Excellent video. Thank you very much
You are welcome!
@@SportsInjuryPhysioreally informative. I want to get back to distance trail running. Did have a 75km ultra planned in 3 weeks but will probably not do it, or just walk it. Long cut offs, then plan to run it next year.
I love these videos. Its so nice how much work you put in it. Im just like at this state that im looking this videos rather to go to an doctor and get like elektrotherpaie or something eles. You helped me trough my osteitis pubis and now hopefully through my biceps femoris tendienopathie. Thank you and greetings from Germany !
You're welcome!
What do you think about Nordic harmstringcurls? After watching this video it should be a good exercise, because it also strengthen the eccentric of the tendon or am i wrong? Obv. It should be an exercise for the late state of the Rehab
Thank you very much, it helped a lot in the future. From 1500 km.
You're welcome!
Hello, I have been struggling with distal hamstring tendinopathy (bilaterally) on and off for months. I have tried deadlifts (>225lb), bridges (unweighted and weighted up to 135lb with barbell), hamstring curls (both with band and machine and eccentric movement) with only limited success. Maybe I will try shockwave or injections. Or request a consult with your clinic. This is the best video I have found on this subject. Thank you very much
Good luck with your recovery!
I have lower biceps femoris tendinitis that I got while recovering my knee post acl reconstruction. I'm really struggling to continue my recovery. I'm at 10 weeks post op and 8 weeks into physical recovery. I don't know where to go from where I am 😔 I'll show this video to my trainer. Thanks for this. Very informative!
You're welcome!
Fabulous video. Incredibly helpful.
So glad!
Brilliant clear and reassuring thank you
You're very welcome
great video thanks for the ideas and clear explanation.
You're welcome!
Thank you so much!
You're welcome!
LOVE THIS!! just what i needed!💯🙌🏼
amazing video worth every minute.
Wow, thanks!
Thank you for such an amazing video !
You are welcome!
It is very interesting about the squeeze, I like that and I will be doing this workout I need this very much
Really appreciate your work .
Thank you very much !
Welcome!
thankyou, best vid ive found
Hi, I’m not sure if you will see this comment. But I have a question if you wouldn’t mind answering.
First off thank you for such a detailed video and sharing your valuable knowledge.
In terms of beginning rehab after resting the tendon, should I avoid doing anything where I notice the tendon is under pressure/discomfort. Such as when I do hamstring curls I can feel discomfort in the tendon.
I have been doing exercise to the point where I can feel some discomfort but I don’t keep going when I feel pain.
I guess what I’m asking is if there is a way to recognise what level of discomfort/pain is good to work through and when to know when to stop.
Thanks again.
The rule with rehab and exercise is usually that it is OK to do as long as:
1. It only causes a slight discomfort while doing it, AND
2. It does not cause an increase in your pain and swelling that lasts for more than 24 hours
So check how your pain responds in the day after and that will tell you if a session is OK or not.
Awesome explanation, thank u!
You are welcome!
My symptoms included aggressive muscle spasms. Has anyone experienced this. Still not sure what exactly the injury diagnosis is. But behind my leg hurts and spasm if I put my heel completely down. I need help. MRI soon.
A very informative video 👏🏻 I’ve got a hip impingement, and then recently in the last week have felt the symptoms you have mentioned. Due to tight hips and also hamstrings previously. Due to this have done quite a lot of Hamstring work stretching and strengthening to try help so I can continue to play football training 2/3 times a week with a match at the weekend, they have now been possibly overworked to much? Now I am icing and resting to wait for an improvement. 🤕
It is likely that you've just overdone it on the exercise side - it should calm down nicely if you allow it a bit of a break and then observe how different exercises and stretches affect it when you go back.
@@SportsInjuryPhysio Thank you for your advice, and for the video 😊
Thank you. Very well done!! 💪🏼
Our pleasure!
Thank you for such an informal video. I was stretching my hamstrings a couple weeks ago (sitting on the floor with my legs spread out and leaning forward), and i felt a strain in my Semimembranosus. Do you think this was an acute tendinitis? I didn’t have any swelling but it’s been bothering me ever since. Some days worse than others.
My question is about instability. I had a hockey injury in college that led to lateral knee arthritis. Had a lateral knee replacement 2 years ago. 5 weeks ago while playing hockey (I don’t learn, do I) I did something to injure the knee. Middle of the night I had extreme pain in region of biceps tendon, and significant swelling of the entire knee. Could hardly straighten my leg. When I tried to walk, my knee kept buckling. It was BAD. Extreme pain, my femur seemed to shift forward and my tibia backward. Also, my patella seemed to luxate laterally. Completely unstable. Surgeon said what they always say: “Well, the implant is fine!”
If this is a hamstring tendon problem, why the instability?
It’s been 5 weeks, it’s better but I have to be sooo careful.
It doesn't sound like a hamstring injury - the amount of swelling you are describing sounds like you injured something inside the joint. Did the surgeon check your ligaments?
If you wanted help with your rehab and an exercise plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com
Based on my couch research and my latest PT assessment, I've had this since a run I did in May (not in the moment, felt it the morning after on the inside behind my knee). Since then I've found little issue with swimming (occasionally when kicking), biking (I may feel it during hard interval sessions) and I feel it within 3 minutes when running. Is this consistent with DHT? Thanks so much for this video, learned a lot!
Excellent presentation ,clear and informative.May I ask if you talk about myofascial pain syndrome physio?
I am not aware that I mentioned a myofascial pain syndrome physio - if you let me know at what point in the video I can check and clarify
Thank you
Welcome!
Great video👌
Thanks 👍
What a brilliant video! Thank you so much. If I can ask:
Should a 'load' day during rehab include a form of bridge, curl and deadlift? Or is this typically too much?
Totally depends on how sensitive yours is and where you are in your rehab - I usually start my patient on bridges - then add in light curls and lastly deadlifts - so they can eventually do all in one session but start really light and build over time.
@@SportsInjuryPhysio Thank you for the reply.
Great video, thanks a lot.
You are welcome!
What a great video and thank you very much!!! Would this hamstring tendinopathy cause swelling of the knee? And difficulties of going upstairs? Felt sharp pain around the area where you are describing in your video while playing soccer. If i rested, i felt better. So went out and played and then came home with (or the day after) with a swollen knee. After several repeats of this i finally gave up. No progress after 8 PT sessions. My therapist has been working on my glutes. Very frustrating!! Perhaps I will try your exercises. Thanks again.
It might cause a bit of puffiness around the tendons but not a lot of swelling in the knee itself. If you felt a sharp pain when you injured it the first time, it may be that you've torn something actually.
If you want help with your rehab, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/