Pseudo-Sciatica Pain Due to a Biceps Femoris Muscle Tear

Abstract

Hamstring injuries (HSIs) are common among athletes, particularly in high-speed sports, and are frequently associated with prolonged recovery periods and a high recurrence rate. This study presents a 36-year-old male with sciatica-like symptoms following an acute hamstring tear during an amateur football match. The patient experienced this pain two weeks after the injury, suggesting potential sciatic nerve involvement. Ultrasonographic imaging revealed a partial myotendinous rupture of the biceps femoris long head, adjacent to the sciatic nerve. The patient underwent a structured five-week rehabilitation program, resulting in significant improvement, including reduced pain, enhanced muscle strength, and improved flexibility. This case highlights the role of early intervention and targeted rehabilitation in preventing complications, such as hamstring syndrome (HSS), and emphasizes the importance of using ultrasonography for diagnosis. This study also addresses the limitations in diagnostic imaging and provides insights into the link between muscle injury and sciatic nerve irritation, contributing valuable knowledge to the limited literature on this subject.