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Entrapment of middle cluneal nerves as an unknown cause of low back pain

PainSci » bibliography » Aota 2016
Tags: etiology, neurology, muscle pain, back pain, case, pro, muscle, pain problems, spine

Seven articles on PainSci cite Aota 2016: 1. Massage Therapy for Low Back Pain (So Low That It’s Not In the Back)2. The Complete Guide to Trigger Points & Myofascial Pain3. How to Treat Sciatic Nerve Pain4. The Complete Guide to Low Back Pain5. Your Back Is Not Out of Alignment6. 38 Surprising Causes of Pain7. Does Fascia Matter?

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

Entrapment of middle cluneal nerves induces low back pain and leg symptoms. The middle cluneal nerves can become spontaneously entrapped where this nerve pass under the long posterior sacroiliac ligament. A case of severe low back pain, which was completely treated by release of the middle cluneal nerve, was presented. Entrapment of middle cluneal nerves is possibly underdiagnosed cause of low-back and/or leg symptoms. Spinal surgeons should be aware of this clinical entity and avoid unnecessary spinal surgeries and sacroiliac fusion. This paper is to draw attention by pain clinicians in this unrecognized etiology.

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