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Pain Syndromes Secondary to Cluneal Nerve Entrapment.
Current Pain and Headache Reports ( IF 3.7 ) Pub Date : 2020-08-21 , DOI: 10.1007/s11916-020-00891-7
Jay Karri 1 , Mani Singh 2 , Vwaire Orhurhu 3 , Mihir Joshi 4 , Alaa Abd-Elsayed 5
Affiliation  

Purpose of Review

The purpose of this review is to provide an overview of the cluneal nerves, present a summary of pain syndromes secondary to clunealgia, and evaluate current literature for diagnostic and treatment modalities.

Recent Findings

Multiple trials and studies have reported success with numerous modalities ranging from nerve blocks, neuroablation, and even peripheral neuromodulation with varying degrees of clinical benefit.

Summary

Cluneal nerve entrapment or chronic impingement can cause buttock pain or referred pain to nearby areas including the lower back, pelvic area, or even the lower extremities. Clunealgias and associated pain syndromes can often be challenging to diagnose and differentiate. An appreciation of the pathophysiology of clunealgias can assist with patient selection for interventional pain strategies targeted towards the cluneal nerves, including nerve blocks, neuroablation, and peripheral neuromodulation. More research is needed to better delineate the efficacy of these procedures for clunealgias.


中文翻译:

继发于阴囊神经夹带的疼痛综合征。

审查目的

这篇综述的目的是概述阴囊神经,概述继发于阴囊痛的疼痛综合征,并评估有关诊断和治疗方式的最新文献。

最近的发现

多项试验和研究已经报道了多种方法的成功,包括神经阻滞,神经消融,甚至周围神经调节,具有不同程度的临床获益。

概要

阴囊神经滞留或慢性撞击会导致臀部疼痛或附近区域(包括下背部,骨盆区域甚至下肢)的疼痛。阴唇痛和相关的疼痛综合征通常难以诊断和区分。对阴茎痛的病理生理的了解可以帮助患者选择针对阴茎神经的介入性疼痛策略,包括神经阻滞,神经消融和周围神经调节。需要进行更多的研究以更好地描述这些程序对阴痛的功效。
更新日期:2020-08-21
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