A common problem in distance runners and change-of-direction sports like football, soccer and hockey, proximal hamstring tendinopathy is a pain in the butt (literally)! Characterized by deep, localized pain over the ischial tuberosity (the large, bony protuberances/bumps on your bottom), this often gets worse with running, lunging, squatting and sitting (1). Often challenging to initially recognize, and located in an area with lots of potential pain generators, proximal hamstring tendinopathy can truly be a bear to manage and resolve. Luckily, there are lots of conservative management options, with therapeutic exercise prescription being a top choice. If it sounds like we're hitting the mark for what you're experiencing with a high hamstring injury, or you're just interested to learn about this common injury, you've come to the right place. Read on to learn more.