Proximal hamstring tendinopathy is different in people who are very flexible - dancers, gymnasts etc. They're often injured in end-range (extreme outer range) positions, so you need to include these when they get to the appropriate place in their rehab journey 🤸🏻 Thread 🧵 1/4

I always start with low-level hamstring loading & progress ROM, velocity, eccentric requirements, stability, load etc. But once they're almost symptom-free & able to cope with all ADLs and most activity, they often complain of on-going pain & weakness with splits/high kicks 2/4

This is where these type of exercises can make all the difference. Taking the leg to just before it brings on symptoms and pushing very carefully into the edge of their discomfort... Make it as heavy as can be tolerated and work to fatigue, then do 3-4 sets of the exercise 3/4

You'll need rest days in between sessions to allow the tendon to recover and adapt before loading up again, so 3 times per week should be about right. Once they have full range again, load it up with a bit of speed and start high kicks/eccentrically controlled splits 4/4

@DrJN_SportsMed This is great @lizbayleyphysio . I have a young dancer with acute injury and keen to get back as there's a show mid March.

Super. Thanks 🙏🏼

Definitely