Clinical Professor and
Director of Hip Arthroscopy

Proximal Hamstring Injury

What are symptoms of a proximal hamstring injury?

A proximal hamstring injury is typically a chronic condition of the high hamstring tendon (proximal hamstring tendinopathy) which athletes sometimes experience pain when sitting, or deep pain in the buttocks or upper thigh. The pain usually gets worse during or after running, biking or prolonged sitting.


What causes a proximal hamstring injury?

Hamstring injuries can be caused by:

  • Muscle weakness
  • Lack of flexibility
  • Joint or muscle fatigue
  • Lack of appropriate warm-up

Proximal Hamstring Tendinopathy Treatment

Conservative approach to treatment is always attempted before more invasive procedures are sought out. Treatments of proximal hamstring tendinopathy often include:


  • Rest
  • Ice
  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Physical therapy

Minimally Invasive

  • Cortisone shots
  • Plasma-rich platelet (PRP) injections


  • Debridement
  • Complete tenotomy

It’s important to make sure the injury is treated correctly from the start as proximal hamstring injuries can take weeks to heal and often recur fairly easily.

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Dr. Srino Bharam

Dr. Srino Bharam
Board Certified orthopaedic surgeon, specializing in hip arthroscopy and hip preservation surgery.

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