Unlike a sudden hamstring strain, tendinopathy builds slowly from repeated stress. Research shows how stubborn this condition can be, but also how well the right treatments work.
In a study of 40 professional athletes with chronic hamstring tendinopathy, those who received shockwave therapy had much better results. 85% saw at least a 50% drop in pain within 3 months, compared to only 10% with traditional care.
At my clinic The Disc Chiropractic in Wheat Ridge, We specialize in the use of shockwave therapy, and more to restore healthy tendon function and help patients return to full activity.
What Is Hamstring Tendinopathy?
Hamstring tendinopathy is a condition that affects the tendons connecting the hamstring muscles at the back of the thigh to the pelvis and lower leg bones.
The problem most often occurs high up at the proximal hamstring tendon, which attaches to the pelvis at the ischial tuberosity, commonly called the “sit bone.”
In some cases, it develops lower down where the tendons connect behind the knee. When these leg muscles are repeatedly stressed, the tendon where they attach can become irritated and even lead to microscopic tears, thickening, and gradual weakening of the tendon.
Common Causes of Hamstring Tendinopathy We See in Wheat Ridge, CO
Ischial Bursitis
A fall, direct impact, or previous hip injury can inflame the ischial bursa (a fluid-filled sac near the sit bone) or create scar tissue around the tendon. This changes the way the tendon glides against surrounding tissue.
Leg Length Discrepancy
When one leg is shorter than the other, even by a small amount, the pelvis tilts unevenly during walking and running. The longer leg absorbs more force with each stride, placing extra strain on the hamstring tendon of that side.
Flat Feet (Pes Planus)
Flat feet or excessive inward rolling of the foot cause the knee and hip to rotate inward with each step. This rotation increases the stretch on the hamstring tendon during running and walking.
Hamstring Strains
A hamstring tear rarely heals with completely normal tissue. Scar tissue and thickening in the tendon reduce its ability to handle stretch and load.
This leaves the tendon vulnerable to reinjury, and repeated cycles of strain and incomplete healing eventually develop into tendinopathy.
How We Treat Hamstring Tendinopathy at The Disc Chiropractic
I usually recommend a combination of adjustments and treatment so we can calm the pain while also rebuilding the tendon for long-term strength.
Chiropractic Adjustments
I use precise and gentle thrust to the joints at the pelvis, lumbar spine, and hips to help correct load sharing evenly across the hip and pelvis. When these joints are misaligned, the hamstring tendon absorbs more strain with every step or stride.
Shockwave Therapy
For hamstring tendinopathy, shockwave therapy is often the most effective treatment I provide. The acoustic waves penetrate into the tendon, breaking up scar tissue and stimulating a strong healing response in an area that normally has poor blood supply.
This increase in circulation brings oxygen and nutrients directly to the damaged tendon fibers, helping them repair
Therapeutic Exercises
Once pain has been reduced through treatments like shockwave therapy and adjustments, I introduce targeted exercises to rebuild tendon strength.
I emphasize hamstring training, which conditions the tendon to handle stretch and force without breaking down again.
FAQs About Hamstring Tendinopathy
How do I know if my pain is hamstring tendinopathy or just a strain?
Hamstring tendinopathy usually causes a deep aching pain near the sit bone or in the back of the thigh that worsens when you run or sit for a long period of time. A hamstring strain, on the other hand, happens suddenly with a sharp pain, often followed by swelling, bruising, and difficulty walking.
Can chiropractic care help chronic hamstring injuries?
Yes. Chronic hamstring tendinopathy often involves abnormal tracking in the pelvis that keeps the tendon under constant stress. Chiropractic care can help by restoring normal joint movement in the pelvis, which reduces the strain placed on the hamstrings.
How long does it take to recover from hamstring tendinopathy?
Mild cases often improve within 6 to 8 weeks with continuous treatment, while chronic tendinopathy may take 3 to 6 months for full recovery.
Do I need to stop running or working out while receiving treatment?
Most patients reduce or modify high-stress activities like sprinting and heavy deadlifts during the first phase of treatment. Low-impact activities such as swimming are often safe to continue. Gradual return to running and sport is recommended once pain decreases and tendon strength improves.
What exercises help with hamstring tendon pain?
The most effective exercises are eccentric hamstring loading movements, such as Nordic hamstring curls, slow Romanian deadlifts, and single-leg bridges.
Don’t Let Your Hamstring Hold You Back
Hamstring tendinopathy doesn’t have to reach the point where it stops you from training or enjoying daily life. With focused, non-surgical care, you can reduce the pain, restore strength, and protect your tendon from breaking down further.
At The Disc Chiropractic in Wheat Ridge, I work with athletes and active adults who want real answers and lasting relief. The $97 New Patient Special is the first step to finding out what’s driving your pain and starting a treatment plan that works.