Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain

Koçak, Fatmanur Aybala

doi:10.14744/agri.2020.21703

Agri

2020

DOI: 10.14744/agri.2020.21703

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Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain

Fatmanur Aybala Koçak¹

Abstract: Superior kluneal sinir (SKS), alt torasik ve lomber sinir köklerinin dorsal ramusundan köken alan bir duyusal sinirdir. Bel ağrısının gözden kaçan nedenlerinden biri SKS Tuzaklanma Nöropatisidir (SKSTN). SKSTN, bel hareketleri ve paravertabral kas tonus artışı sebebiyle oluşan kötü vücut postürüne bağlı SKS gerilmesi ile de ilişkilendirilebilir. 59 yaşında bayan hasta sağ iliak kreste lokalize olan ve sağ kalça, kasık ve bacağa yayılan kronik bel ağrısı ile başvurdu. Hastanın lomber lordozu artmıştı ve anterio… Show more

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2024

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Cited by 2 publications

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Effect of exercise on cluneal nerve entrapment neuropathy: a case report

Özüberk,

Deniz,

Soyupek

2024

J Med Case Reports

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Background Low back pain is an important disability problem frequently encountered in the clinic. In the literature, it has been shown that neuropathic pain in chronic low back pain is quite common in patients. Although superior cluneal nerve entrapment syndrome is an underdiagnosed cause of low back and leg pain, differential diagnosis is very important anatomically and clinically. The superior cluneal nerves are pure sensory nerves that innervate the skin of the upper part of the buttocks. In the literature, methods such as surgery, nerve blockade, prolotherapy, and acupuncture have been used in the treatment of cluneal nerve entrapment syndrome, but there are no studies on exercise. In this case report, our aim is to explain the importance of differential diagnosis in cluneal nerve entrapment syndrome, which is one of the common causes of low back pain in the clinic, and the effects of exercise in this disease. Case presentation A 22-year-old, Turkish-ethnicity, male patient with complaints of low back pain, neck–back pain, and weakness did not use alcohol or cigarettes. In his family history, there was a history of diabetes in the mother and diabetes and heart failure in the father. He had a history of osteoporosis, epilepsy, asthma, sarcoidosis, and cardiac arrhythmia. The patient reported that he suffered from constipation three to four times a month. As a result of the detailed evaluation, the planned exercise prescription was taught to the patient, and after it was confirmed that the patient did the exercises correctly for 3 days, the exercise brochure was given and followed as a home exercise program for 8 weeks. Conclusions Lumbar stabilization exercises, gluteal muscle strengthening exercises, thoracolumbar fascia mobilization, and stretching exercises, which will be given in accordance with the clinical anatomy of the disease after the correct diagnosis in cluneal nerve entrapment syndrome, have been beneficial for the patient. However, we think that randomized controlled studies with a large sample will contribute to the literature.

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Effect of exercise on cluneal nerve entrapment neuropathy: a case report

Özüberk,

Deniz,

Soyupek

2024

J Med Case Reports

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Prevalence of Lower Cross Syndrome in Housemaids

Burile,

Phansopkar,

Deshmukh

2024

Cureus

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Introduction Lower cross syndrome, also known as pelvic crossed syndrome, occurs if there is inadequate muscle strength, leading to an imbalance in the lower extremities. This condition is characterized by the weakening and tightening of muscle groups on the anterior and posterior aspects of the body. Mostly, there is weakness in the abdominal muscles, gluteus maximus, and gluteus medius, while there is tightness in the hip flexor muscle groups. There are various studies investigating musculoskeletal disorders across different professions, but there is no research on the prevalence of lower cross syndrome among housemaids. Housemaids frequently report complaints of joint pain and exhibit specific postural changes such as anterior pelvic tilt, increased lumbar lordosis, and lower back pain. Therefore, this research aims to fill this gap by determining the prevalence of lower cross syndrome within the housemaid profession. The study aims to find out the prevalence of lower cross syndrome among housemaids. Methodology A total of 75 housemaids between the ages of 35 and 50 years complaining of pain in the lower back were included in the study, and the housemaids with recent surgical histories and cognitive impairments were excluded. The evaluation was done by measuring the strength and range of motion (ROM) of the affected muscles. Outcome measures include the length of the iliopsoas muscle, measurement of the spinal extensor muscle, and strength of the gluteus maximus muscle to identify which structures are tight or weak. Result Statistical changes were observed in the housemaids' population to check tight and weak structures using all outcome measures. According to the visual analogue scale (VAS), the pain was found to have a standard deviation of 5.39 ± 1.26 (3-8). The length of the iliopsoas muscle on the right and left sides had a t-value of 1.51 (p = 0.13), and the length of lumbar extensors had a standard deviation of 5.39 ± 1.26 (3-8). Conclusion In our study, the conclusion was found that housemaids who are working continuously for long periods without maintaining good ergonomics are prone to lower cross syndrome. It indicates a strong need for further research on the management of symptoms in such a population (housemaids) to prevent chronic musculoskeletal illness.

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Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain

Cited by 2 publications

References 26 publications

Effect of exercise on cluneal nerve entrapment neuropathy: a case report

Effect of exercise on cluneal nerve entrapment neuropathy: a case report

Prevalence of Lower Cross Syndrome in Housemaids

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