Synopsis Proximal hamstring tendinopathy (PHT) typically manifests as deep buttock pain at the hamstring common origin. Both athletic and non-athletic populations are affected by PHT. Pain and dysfunction are often longstanding and limit sporting and daily functions. There is limited evidence regarding diagnosis, assessment and management, for example, there are no randomized controlled trials investigating rehabilitation of PHT. Some of the principles of management established in, for example, Achilles and patellar tendinopathy would appear to apply to PHT but are not as well documented. This narrative review and commentary will highlight clinical aspects of assessment and management of PHT, drawing on the available evidence and current principles of managing painful tendinopathy. The management outline presented aims to guide clinicians as well as future research. J Orthop Sports Phys Ther, Epub 15 Apr 2016. doi:10.2519/jospt.2016.5986.