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Achilles tendon rupture and sciatica: a possible correlation

N Maffulli1, A S Irwin, M G Kenward

  • 1Department of Orthopaedic Surgery, University of Aberdeen Medical School, Foresterhill, Scotland, United Kingdom.

British Journal of Sports Medicine
|June 19, 1998
PubMed
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Patients with Achilles tendon rupture show a significantly higher incidence of prior sciatic pain compared to controls. This suggests a potential link between Achilles tendon injuries and sciatica, possibly due to underlying physiological factors.

Area of Science:

  • Orthopedics
  • Neurology
  • Genetics

Background:

  • Achilles tendon rupture is a common injury.
  • Sciatica is a debilitating condition affecting the sciatic nerve.
  • The relationship between these two conditions is not well understood.

Purpose of the Study:

  • To investigate the association between Achilles tendon rupture and a history of sciatica.
  • To explore potential underlying mechanisms linking these conditions.

Main Methods:

  • A questionnaire-based study was conducted.
  • 138 patients with Achilles tendon rupture and 102 matched controls participated.
  • Data collected included patient history of back and sciatic pain.

Main Results:

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  • 35% of patients with Achilles tendon rupture reported prior sciatic pain.
  • Only 12% of the control group reported similar pain (p < 0.001).
  • No significant difference in general back pain or work absence due to pain was observed between groups.

Conclusions:

  • A highly significant association exists between Achilles tendon rupture and sciatica.
  • Potential causes include impaired nerve signaling or shared collagen/vascular anomalies affecting the spine and tendon.