Sciatic Nerve Injury Caused by a Stretching Exercise in a Trained Dancer.
10.5535/arm.2013.37.6.886
- Author:
Ho Yong SHIM
1
;
Oh Kyung LIM
;
Keun Hwan BAE
;
Seok Min PARK
;
Ju Kang LEE
;
Ki Deok PARK
Author Information
1. Department of Rehabilitation Medicine, Michuhol Rehabilitation Center, Incheon, Korea. oklim0928@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Sciatic nerve lesion;
Lower extremity;
Muscle stretching exercise
- MeSH:
Adolescent;
Axons;
Female;
Follow-Up Studies;
Foot;
Humans;
Ischium;
Lower Extremity;
Magnetic Resonance Imaging;
Muscle Stretching Exercises;
Paresthesia;
Regeneration;
Rehabilitation;
Sciatic Nerve*;
Sciatic Neuropathy
- From:Annals of Rehabilitation Medicine
2013;37(6):886-890
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sciatic nerve injury after stretching exercise is uncommon. We report a case of an 18-year-old female trained dancer who developed sciatic neuropathy primarily involving the tibial division after routine stretching exercise. The patient presented with dysesthesia and weakness of the right foot during dorsiflexion and plantarflexion. The mechanism of sciatic nerve injury could be thought as hyperstretching alone, not caused by both hyperstretching and compression. Electrodiagnostic tests and magnetic resonance imaging revealed evidence of the right sciatic neuropathy from the gluteal fold to the distal tibial area, and partial tear of the left hamstring origin and fluid collection between the left hamstring and ischium without left sciatic nerve injury. Recovery of motor weakness was obtained by continuous rehabilitation therapy and some evidence of axonal regeneration was obtained by follow-up electrodiagnostic testing performed at 3, 5, and 12 months after injury.
