Vu Peter D, Robinson Christopher L, Kaye Alan D, Hasoon Jamal
Physical Medicine and Rehabilitation, University of Texas Health Science Center at Houston McGovern Medical School, Houston, USA.
Anesthesiology, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.
Cureus. 2024 Jan 9;16(1):e51952. doi: 10.7759/cureus.51952. eCollection 2024 Jan.
Low back pain (LBP) is a challenging clinical condition for both patients and physicians. It requires a comprehensive initial diagnosis to avoid missing potential causes. One less common cause is superior cluneal neuralgia (SCN), which can present with limited lumbar motion, LBP, buttock pain, or an antalgic gait. While conservative therapies are often first line for LBP, neuromodulation, such as peripheral nerve stimulation (PNS), can be considered for more refractory cases. This case report is unique in that SCN was treated with a temporary PNS system, which provided sustained analgesic benefits without the need for permanent implantation.
下背痛（LBP）对患者和医生来说都是一种具有挑战性的临床病症。它需要进行全面的初始诊断以避免遗漏潜在病因。一种不太常见的病因是臀上皮神经痛（SCN），其症状可能包括腰椎活动受限、下背痛、臀部疼痛或痛性步态。虽然保守治疗通常是下背痛的一线治疗方法，但对于更难治的病例，可以考虑神经调节，如周围神经刺激（PNS）。本病例报告的独特之处在于，SCN采用临时PNS系统进行治疗，该系统无需永久植入即可提供持续的镇痛效果。
