Sports & Performance
Hamstring Tendinopathy
Deep pain at the sitting bone, aggravated by sitting and by running uphill.
Also called: High hamstring tendinopathy, Proximal hamstring pain.
This tendon attaches at the sitting bone and is load-sensitive to activities like running, especially uphill, and to sustained hip flexion. It is often confused with buttock pain of spinal origin, so accurate assessment matters.
It tends to develop gradually, aggravated by specific activities rather than by a single injury event.
Why this matters
Prolonged sitting is the commonest aggravator, which makes desk work uncomfortable and can make daily activities as bothersome as sport itself.
Because it mimics other sources of buttock and hip pain, distinguishing it from spinal or nerve-related causes is an important part of the evaluation.
The brain & nervous-system connection
Where the nervous system fits in
Pelvic position and control influence the load carried at this tendon attachment, which is why hip and pelvic mechanics are assessed alongside the tendon itself.
Movement patterns that developed to avoid sitting discomfort can, over time, alter how the hip and pelvis move during activity as well.
What we look at
We look for patterns, not a single test
- Detailed health history and consultation
- NeuroInfiniti Stress Response Evaluation
- Posture and movement
- Balance and coordination testing
- Eye movement or neurological screening when appropriate
- Grip or motor-function testing when appropriate
- Palpation and spinal function
- Other examination procedures based on the individual
Not every person receives every test. What we perform depends on your history, your age and what the examination shows as we go.
Scope of care
What this does — and doesn't — mean
What we do
- • We evaluate chiropractic and musculoskeletal function.
- • We look at nervous-system-related functional findings that fall within our scope.
- • We assess movement, balance and coordination findings.
- • We measure stress-response patterns with the NeuroInfiniti evaluation.
- • We make individualized chiropractic care recommendations and re-measure over time.
What we don't claim
- • We do not diagnose, treat or cure diseases.
- • Chiropractic care is not a treatment for dementia, Alzheimer's disease or other neurological diseases.
- • Chiropractic care is not a replacement for medical care, testing or medication.
- • No outcome is promised. Results vary from person to person.
Common questions
- Will I be adjusted on the first visit?
- Generally no. The first visit is an evaluation visit. Dr. Geran reviews the findings and makes recommendations at the follow-up visit.
- Do I need imaging before I come in?
- Not usually. If your history or examination suggests imaging is needed, we will say so and help arrange the right next step.
When medical evaluation may be needed
Some symptoms need medical evaluation first. If anything in your history or examination suggests that, we will say so and help point you in the right direction.
Related at Foothills Chiropractic
- Joint Pain & Staying Active — Shoulders, hips, knees, ankles — extremity function matters as much as the spine.
- Achilles Tendinopathy — Pain and stiffness in the Achilles tendon, usually load-related.
- Ankle Pain — Pain or restriction at the ankle, often after an old injury.
- Ankle Sprain — Ligament injury from rolling or twisting the ankle.
Think Foothills Chiropractic might be right for you?
Start Here walks you through what the process looks like, so you can decide whether taking the next step makes sense for you.