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Pseudo-Sciatica Pain Due to a Biceps Femoris Muscle Tear
Rodrigo Correia1, Guilherme Correia2, Sofia Meixedo1
1Physical Medicine and Rehabilitation, Centro de Reabilitação do Norte, Unidade Local de Saúde (ULS) Gaia/Espinho, Vila Nova de Gaia, PRT.
Cureus
|December 24, 2024
Summary
Athletes with hamstring injuries may experience sciatica-like symptoms due to sciatic nerve irritation. Early, targeted rehabilitation improved this patient's pain, strength, and flexibility.
Area of Science:
- Sports Medicine
- Orthopedic Surgery
- Diagnostic Imaging
Background:
- Hamstring injuries (HSIs) are prevalent in athletes, often leading to long recovery times and high re-injury rates.
- Sciatica-like symptoms can complicate hamstring tears, potentially indicating sciatic nerve involvement.
Observation:
- A 36-year-old male athlete presented with sciatica-like pain two weeks post-acute hamstring tear.
- Ultrasonography confirmed a partial biceps femoris long head rupture near the sciatic nerve.
Findings:
- A five-week structured rehabilitation program led to significant pain reduction, improved muscle strength, and enhanced flexibility.
- Early intervention and targeted rehabilitation appear crucial for preventing complications like hamstring syndrome (HSS).
Implications:
- Ultrasonography is vital for diagnosing hamstring injuries and assessing sciatic nerve proximity.
- This case underscores the link between hamstring muscle injury and sciatic nerve irritation, informing clinical practice and future research.
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