Individuals with a spinal cord injury can potentially live healthier and longer by reducing the incidence and mortality of bladder cancer. Study findings highlight the need to identify at risk groups and contributing factors for bladder cancer death, leading to the development of prevention, screening and management strategies.

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Discussion:We describe a complex case of radiating back pain that could not be attributed to radiculopathy alone. Given successful diagnostic injections, it is possible that patient had L4 and L5 radiculopathy. However, not all radicular pain is purely radiculopathy. An unfortunate sequence of injuries and lipoma impingement also predisposed this patient to cluneal nerve entrapment. This patient's symptoms and risk factors are consistent with those described in literature. Conclusions: Patients frequently have multiple superimposed causes of back pain. In presentations of predominantly unilateral back and buttock pain, cluneal nerve entrapment must be considered, especially in those with risk factors.