Cluneal neuropathy: Background, diagnosis, and treatment. [Review]

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Citation: Pain Practice. 23(4):437-446, 2023 04.PMID: 36533873Institution: MedStar National Rehabilitation NetworkDepartment: Physical Medicine & Rehabilitation ResidencyForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Nerve Block | *Nerve Compression Syndromes | *Neuralgia | Buttocks/ir [Innervation] | Buttocks/su [Surgery] | Decompression, Surgical | Humans | Nerve Block/mt [Methods] | Nerve Compression Syndromes/co [Complications] | Neuralgia/su [Surgery] | Year: 2023ISSN:
  • 1530-7085
Name of journal: Pain practice : the official journal of World Institute of PainAbstract: BACKGROUND AND AIMS: Cluneal neuropathy is encompassed by three distinct clinical entities. Superior, middle, and inferior cluneal neuralgia make up the constellation of symptoms associated with cluneal neuropathy. Each has its own variable anatomy.DISCUSSION: Adjusted incidence rates of superior cluneal neuropathy are 1.6%-11.7%. Accurate diagnosis remains challenging due to the lack of standardized criteria and the aforementioned variability. Treatment may include therapeutic nerve blocks, ablative techniques, neuromodulation, and surgical decompression. Gaps including those related to true incidence and work up exist. Outcomes from interventional studies are limited and mixed due to significant population heterogeneity and non-standardized treatment approaches coupled with very small sample sizes. Copyright � 2022 World Institute of Pain.MATERIALS AND METHODS: We compiled a narrative review including a review of available literature. We conducted searches on PubMed/MEDLINE, Embase and Google Scholar on the topics of cluneal neuropathy and treatment therein.RESULTS: We collected source articles regarding original descriptions of the disease entities in addition to articles focused on treatment.All authors: Desai MJOriginally published: Pain Practice. 2022 Dec 19Original year of publication: 2022Fiscal year: FY2023Fiscal year of original publication: | FY2023 | | | Original title: Cluneal neuropathy: Background, diagnosis, and treatment. [Review]Digital Object Identifier: Date added to catalog:
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BACKGROUND AND AIMS: Cluneal neuropathy is encompassed by three distinct clinical entities. Superior, middle, and inferior cluneal neuralgia make up the constellation of symptoms associated with cluneal neuropathy. Each has its own variable anatomy.

DISCUSSION: Adjusted incidence rates of superior cluneal neuropathy are 1.6%-11.7%. Accurate diagnosis remains challenging due to the lack of standardized criteria and the aforementioned variability. Treatment may include therapeutic nerve blocks, ablative techniques, neuromodulation, and surgical decompression. Gaps including those related to true incidence and work up exist. Outcomes from interventional studies are limited and mixed due to significant population heterogeneity and non-standardized treatment approaches coupled with very small sample sizes. Copyright � 2022 World Institute of Pain.

MATERIALS AND METHODS: We compiled a narrative review including a review of available literature. We conducted searches on PubMed/MEDLINE, Embase and Google Scholar on the topics of cluneal neuropathy and treatment therein.

RESULTS: We collected source articles regarding original descriptions of the disease entities in addition to articles focused on treatment.

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