Proximal hamstring tendinopathy
| Proximal hamstring tendinopathy | |
|---|---|
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| Attachment site of the proximal hamstring to the ischial tuberosity of the pelvis | |
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| Differential diagnosis | Ischiofemoral impingement, piriformis syndrome, gluteal muscle tear, pelvic stress fracture, proximal hamstring rupture[1] |
Proximal hamstring tendinopathy (PHT), also known as yoga butt, is an irritation where the hamstring tendon attaches to the ischial tuberosity of the pelvis.[1] Symptoms generally include pain felt deep within the buttock which is long-term in nature.[1] Often an initial period of running improves symptoms, though they worsen afterwards.[1] Sitting on a hard surface may also worsen symptoms.[1] Complications may include sciatica.[1]
Those affected often include runners and hockey players.[1] Onset may be associated with increased training, lunges, or excessive stretching.[1] The underlying mechanism may involve flexing or bringing to midline the hip.[1] Diagnosis may be supported by greater symptoms with greater use of the hamstring and confirmed by MRI.[1]
Management may involve changing the running style to faster and smaller steps.[1] While low levels of pain during exercise may be tolerated as long as it last less then 24 hours, continuous pain should result in decreasing exercise.[1] Physiotherapy may involve gradually greater use of the hamstring.[1] A cushion to place weight on the thighs and stopping stretching of the hams may also help.[1]
References
- ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 Goom, TS; Malliaras, P; Reiman, MP; Purdam, CR (June 2016). "Proximal Hamstring Tendinopathy: Clinical Aspects of Assessment and Management". The Journal of orthopaedic and sports physical therapy. 46 (6): 483–93. doi:10.2519/jospt.2016.5986. PMID 27084841.