• J Rheumatol · Dec 1996

    Case Reports

    A potentially underrecognized and treatable cause of chronic back pain: entrapment neuropathy of the cluneal nerves.

    • J M Berthelot, J Delecrin, Y Maugars, F Caillon, and A Prost.
    • Department of Rheumatology, Nantes University Hospital, France.
    • J Rheumatol. 1996 Dec 1; 23 (12): 2179-81.

    AbstractWe describe a case of longstanding low back pain related to entrapment neuropathy of the L1-L2 dorsal ramus over the iliac crest. As 3 local anesthetic pain blocks (at the trigger point, 7 cm left of the L5 spine process and just above the iliac crest) were successful for 3 weeks each, a surgical procedure was performed. This corrected patient stricture of a voluminous dorsal ramus within a rigid osteofibrous orifice between the upper rim of the iliac crest and the thoracolumbar fascia. Pain decreased dramatically the same day and disappeared completely within less than a week.

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