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Re: High Hamstring Tendinopathy Rehab Protocol [eye3md]
I've been dealing with hip issues for years and HHT seems to be the last thing to fix, which seems to be on the way. First I had fix a Hyperactive SI Joint (which kept everything recurring), then Anterior Pelvic Tilt, Snapping Hip, Femoral Acetabular Impingement, Trendelberg Gait, and now this. When the hips start functioning improperly it just creates a crescendo of issues.

Everything I've read about High Hamstring Tendinopathy leads me to believe my issue (and some others on this thread) is the result of poor bio mechanics. Because of the above issues my left glutes completely shut down and the hamstring was doing that work, which in addition to being a major load isn't a movement the hamstring is designed to do. Some of the people that keep getting this may be following the protocols to fix it but they go back to running and cycling with their hamstrings instead of glutes and it comes back.

I've been focusing on glute activation exercises (bridges, band exercises, back kicks) and hamstring movement exercises to retrain it (curls while laying down, and practicing the natural hamstring movement all the time like golfers do with their swing). Its not really the strength I'm going for but to reeducate how they function. It also helps mentally focus and flex the glutes and hammies to gain better control. In the past I couldn't flex my glute at all now I can flex the minimus /medius, and max individually. It used to be my hamstrings would flex when my max flexed, now they're separate which seems to really help.

I have also changed my pedal stroke to focus on 2-4 o'clock which forces me to use the glutes. I can definitely feel the difference; cycling with the glutes feels like swinging a bat (natural) and using the hamstrings feels like a grind (unnatural). That being said after about 2 hours on the bike if I'm not focused on it my hamstrings will start taking over.

I don't run anymore but my guess would be shufflers who don't kick as much may have this same issue.

* I'll also end this with an important note that it is still a tendon injury so treat it as such. The only thing I'm suggesting is the type of hamstring use (i.e. replacing or helping the glute) is the cause.
Last edited by: furiousferret: Jul 30, 18 22:46

Edit Log:

  • Post edited by furiousferret (Dawson Saddle) on Jul 30, 18 22:46