Treatment of Upper Cluneal Nerve Entrapment Syndrome for Reduction of Low Back Pain

Istituto Ortopedico Rizzoli

Status

Completed

Conditions

Superior Cluneal Nerve Entrapment

Treatments

Procedure: injection

Study type

Interventional

Funder types

Other

Identifiers

NCT06059612

CLU-1

Details and patient eligibility

About

Superior cluneal nerve entrapment (SCN) is a painful symptomatic condition related to compression by the thoracolumbar and gluteal bands of nerve outcrop, above the iliac crest. This syndrome is not considered in the classical differential diagnosis of lumbosacral spine disorders and is almost unknown in Italy.

It is a neuropathic pain, acute, subacute, or chronic, evoked by mechanical stress at the level of the sensory territory corresponding to the superior cluneal nerve, easily found anatomically and evoked at a trigger point on the posterior iliac crest approximately 70mm from the midline and 45mm from the posterior superior iliac spine.

SCN entrapment syndrome represents a not so infrequent syndrome. It is easily framed and treatment is effective in most cases. Therefore, diagnosis and treatment of this syndrome represents an excellent option in all those patients with low back pain that cannot be otherwise framed and resolved.

Enrollment

41 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

patients with age between 18 and 99 years
male and female sex
superior cluneal nerve trigger point positivity at clinical evaluation
absence of urgent criteria for spinal surgery

Exclusion criteria

patients younger than 18 years old
patients who have not given consent to be included in the study
patients with negative upper cluneal nerve trigger point - emergency criteria for spine surgery
pregnant women - patients allergic to local anesthetic
patients with language barrier