Proximal Hamstring Tendinopathy and Sciatica | Episode 58

How come proximal hamstring tendinopathy and sciatica frequently occur together?

If we look at the anatomy at the proximal hamstring, it sheds some light onto the possible mechanism. The semimembranosus tendon is close in proximity to the sciatic nerve. If the semimembranosus tendon becomes swollen or thickened, which is common in proximal hamstring tendinopathy, this can lead to compression and irritation of the sciatic nerve.

However, this anatomical relationship doesn't necessarily explain why some people with proximal hamstring tendinopathy experience sciatica and others do not.

One possible reason is due to the sensitivity of the sciatic nerve and nervous system. A more sensitive sciatica nerve would be less tolerant to compression, leading to sciatica symptoms. Another possible reason could anatomical variation of the hamstrings and sciatic nerve.

While there appears to be a anatomical explanation of why those with proximal hamstring tendinopathy may experience sciatica, more research is needed to determine the mechanism.

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I'm a chiropractor with an interest in rehabilitation, tendinopathy, and chronic pain. I graduated from the University of Washington with a Bachelor's in Science and from Palmer Chiropractic College West with a Doctorate in Chiropractic.

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