Pain medicine case reports · 2026
Bilateral S2 Dorsal Root Ganglion Stimulation Improves Urine Retention in a Patient With Pelvic Pain: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Abd-Elsayed Alaa
Аннотация
BACKGROUND: Chronic low back pain is notoriously challenging to diagnose and manage, especially when imaging fails to reveal a cause. Superior cluneal nerve entrapment is an increasingly recognized, but often overlooked, source of pain that can mimic lumbosacral radiculopathy.
CASE REPORT: We describe a 43-year-old woman with longstanding chronic low back pain unresponsive to physical therapy, extracorporeal shockwave therapy, and targeted sacroiliac joint injections. A physical examination revealed focal tenderness along the posterior iliac crest, a positive Tinel sign, and pain over the iliac crest. Lumbar magnetic resonance imaging was unremarkable. She underwent fluoroscopic and ultrasound-guided superior cluneal nerve blocks in separate sessions; each block produced immediate and complete pain resolution.
CONCLUSION: Superior cluneal nerve entrapment should be considered when a patient has axial low back pain with negative imaging. Ultrasound-guided superior cluneal nerve blocks are a safe and effective alternative to fluoroscopic guidance, offering real-time visualization without radiation exposure.
CASE REPORT: We describe a 43-year-old woman with longstanding chronic low back pain unresponsive to physical therapy, extracorporeal shockwave therapy, and targeted sacroiliac joint injections. A physical examination revealed focal tenderness along the posterior iliac crest, a positive Tinel sign, and pain over the iliac crest. Lumbar magnetic resonance imaging was unremarkable. She underwent fluoroscopic and ultrasound-guided superior cluneal nerve blocks in separate sessions; each block produced immediate and complete pain resolution.
CONCLUSION: Superior cluneal nerve entrapment should be considered when a patient has axial low back pain with negative imaging. Ultrasound-guided superior cluneal nerve blocks are a safe and effective alternative to fluoroscopic guidance, offering real-time visualization without radiation exposure.