In this episode of Chronic Pain Tips for Patients, Dr. Yuri Martins discusses superior cluneal neuralgia, an often-overlooked cause of chronic low back and upper buttock pain. This small sensory nerve problem can sometimes mimic sciatica, sacroiliac joint pain, or arthritis in the spine, which is why the diagnosis may be missed.

Dr. Martins explains where the superior cluneal nerves are located, how they can become irritated or trapped near the iliac crest, what symptoms patients may notice, and why imaging studies do not always reveal the true source of pain. He also reviews how this condition is diagnosed, including the role of a focused physical examination and diagnostic nerve block.

The episode also covers treatment options such as superior cluneal nerve blocks, radiofrequency ablation, peripheral nerve stimulation, and, in selected cases, surgical decompression. Dr. Martins discusses the potential risks of these procedures and why identifying the correct pain generator is essential for creating a more precise treatment plan.

If you have chronic low back or upper buttock pain that has not improved with standard treatments, this episode may help you understand whether superior cluneal neuralgia is worth discussing with your pain physician.

To learn more about chronic pain conditions and available treatment options, visit www.ycmartins.com or call Dr. Martins’ clinic to schedule an evaluation.