Condition Guide · Atlanta, GA

Deep pain at the sit bone that flares every time you sit down

High hamstring tendinopathy sits right where the hamstring attaches to the base of the pelvis — the "sit bone." It is the runner's and rower's ache that gets worse with sprinting, lunging, and, frustratingly, with sitting on a hard chair. When it becomes chronic, the tendon at that attachment has broken down rather than simply strained.

6
Atlanta specialists
~15 min
in-office procedure
Local
anesthesia only

Real Results

Told by Someone Who Had It

High hamstring tendinopathy is among the conditions TenJet addresses. This patient describes their own tendon procedure.

TenJet Patient Testimonial

Video courtesy of HydroCision, Inc., the maker of TenJet®. Individual results vary; this patient's experience is not a guarantee of outcome. Talk with a specialist about whether the procedure is appropriate for you.

Understanding The Condition

Where it hurts, and why sitting makes it worse

The proximal hamstring tendon anchors to the ischial tuberosity — the bone you sit on. Compression against that bone is part of why long drives and hard chairs aggravate it, and why it can be so slow to settle. Like other chronic tendon problems, it is a matter of disorganized, weakened tissue with limited blood supply, not ongoing inflammation.

A deep ache in the lower buttock, near the sit bone
Worse with sprinting, lunging, hill running, and prolonged sitting
Often mistaken for a lingering "pulled hamstring"
Ultrasound or MRI can confirm tendon degeneration at the attachment

Where TenJet Fits

Targeting the worn attachment directly

A progressive loading program is the backbone of treatment for high hamstring tendinopathy, and it resolves many cases. When the tendon stays symptomatic, TenJet — a HydroCision, Inc. device — offers a specialist a way to treat the degenerated tissue in the office, without an open surgical approach to a deep, awkward area.

Ultrasound guidance directs the specialist to the exact area of breakdown
A high-pressure saline stream emulsifies only the diseased tissue
Integrated suction clears the debris in the same pass
Healthy tendon around the treatment zone is preserved
A small incision, local anesthesia, about 15 minutes, home the same day
Reimbursed by Medicare and most private insurers
Read the technical details at hydrocision.com →

See The Procedure

TenJet® in Action

A general demonstration of how TenJet works from HydroCision, its maker, plus a look at how a chronically degenerated tendon differs from one that is simply inflamed. The same principle applies across the tendons TenJet is used to treat.

TenJet Patient Animation — How the Procedure Works

Healthy tendon fiber structure diagram
Healthy Tendon
Tendinitis inflamed tendon diagram
Tendinitis
Tendinosis degenerated tendon fiber diagram
Tendinosis (Chronic Degeneration)

Diagrams and video courtesy of HydroCision, Inc.

Common Questions

Frequently Asked Questions

What is high hamstring tendinopathy?

Degeneration of the hamstring tendons where they attach to the sitting bone. It typically produces deep buttock pain that is worse when sitting or during sprinting.

Why is sitting so uncomfortable?

Sitting compresses the tendon against the bone it attaches to. That compression pattern is characteristic and helps distinguish it from other causes of buttock pain.

Is it often mistaken for something else?

Frequently — for sciatica, piriformis syndrome or a lumbar problem, since the pain sits in a similar region. Imaging and examination are what separate them.

How is it treated?

Through the same percutaneous, ultrasound-guided approach used for other chronic tendinopathies: a small incision, local anesthetic and targeted removal of the degenerated tissue.

This information is general and is not medical advice. Whether any procedure is appropriate for you can only be determined by a physician who has examined you and reviewed your imaging.

Speak Directly With Each Physician's Office
Call the office below that matches the specialist you'd like to see about hamstring tendon pain.
CC
Sports Medicine & PM&R
Northside Hospital Orthopedic Institute
(770) 795-5620
MS
Non-Operative Orthopedics
Northside Hospital Orthopedic Institute
(770) 758-5059
KK
Dr. Kamal Kabakibou, MD
Interventional Pain Medicine
Center for Pain Management, Atlanta
(404) 882-9778
EO
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
OH
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
UN
PM&R & Spine
Resurgens Orthopaedics, Covington & Decatur
(404) 856-3706