Let’s face it-for triathletes, any injury is a figurative pain in the behind! Some, though, are quite literally so-and high hamstring tendinopathy is one of them. Although not as prevalent as some more common tendinopathies in the leg (as in, the Achilles tendon, or patellar tendon in the knee), high hamstring tendinopathies are notoriously stubborn, and frustrating to athletes and treating practitioners alike-something I can personally attest to (more than I’d care to admit), having been on both sides of that equation as a triathlete and physical therapist. So, what exactly is high hamstring tendinopathy? What leads to this issue? What can we do about it?