Turkish Journal of Physical Medicine and Rehabilitation

Easy to treat when the diagnosis is made: Three cases of clunealgia and the advantage of ultrasonography

Damla Yürük 1 ,Ömer Taylan Akkaya 1 ,Özgür Emre Polat 1 ,Hüseyin Alp Alptekin 1 ,Selin Köse Güven 1
1 Department of Algology, Health Sciences University, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey DOI : 10.5606/tftrd.2022.6550 In this article, we present three cases of clunealgia admitted with low back pain. Their pain relieved with superior cluneal nerve block. The posterior side of the iliac crest, which is the location where the superior cluneal nerve passes, was identified using a high-frequency linear transducer. The drug injected separates the erector spinae muscle and thoracolumbar fascia and accumulates between these two structures. All patients were discharged with a complete pain relief. This report highlights the fact that superior cluneal nerve entrapment should be kept in mind in patients with low back pain and that ultrasound guidance can correctly identify the infiltration and eliminate anesthetization of other surrounding structures. Keywords : Buttock pain, entrapment neuropathy, superior cluneal nerve, ultrasound