2022年1月10日 · The novel ultrasound-guided nerve block technique reliably anesthetizes the SCN, which supplies the skin posterior to the area innervated by the subcostal and iliohypogastric nerves.

There are three types: Superior Cluneal Nerves: Originate from the upper lumbar spine (L1-L3) and provide sensation to the upper buttocks. Middle Cluneal Nerves: Originate from the sacrum (S1-S3) and provide sensation to the mid-buttock region.

Superior cluneal nerve (SCN) entrapment has come to the attention of pain physicians as a cause of LBP. SCN block is the mainstay of treatment for LBP due to SCN entrapment. The aim of this narrative review is to summarize the approaches and …

2024年1月1日 · The only RCT (Nielsen et al. 2019) describes a novel ultrasound-guided superior cluneal nerve block technique for application in the management of postoperative pain after hip surgery as well as other clinical uses such as chronic lower back pain.

Low back pain is a prevalent public health issue caused by superior cluneal nerve (SCN) entrapment. This study aimed to explore the course of SCN branches, cross-sectional area (CSA) of the nerves, and effects of ultrasound-guided SCN hydrodissection.

2022年11月24日 · The superior cluneal nerves (SCN) are sensory nerves derived from the lateral branches of the dorsal rami of T12-L4. They innervate the skin and tissues over the lateral buttock and hip, and irritation of these nerves can lead to a pain pattern similar to SI joint pain, L5 radiculopathy, and lumbar facet arthropathy.

Superior cluneal neuralgia is typically experienced as pain in the gluteal and mid-lateral low back that may radiate to the upper leg. It is thought to occur via entrapment, most commonly as the nerve traverses the thoracolumbar fascia in the vicinity of the posterior iliac crest [1].

Superior Cluneal Nerve Block Josianna Henson, Justin Merkow, and Narayana Varhabhatla Essential Concepts • Superior cluneal nerve pain accounts for up to 14% of low back pain. It should be considered in the differential for patients who have not responded to other interventions for low back pain.

In this case report, we describe the use of ultrasound-guided SCN block technique for the management of chronic neuropathic post-herpetic pain located on lower back and gluteal region, refractory to initial pharmacological and topical treatment strategies.

2024年12月1日 · A cluneal nerve block involves injecting anesthetic medication, and sometimes corticosteroids, around the cluneal nerves to block pain signals. This procedure can provide significant relief for individuals experiencing lower back pain, especially when caused by cluneal nerve entrapment.