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Idiopathic Cluneal Neuralgia Successfully Treated With Radiofrequency Nerve Ablation

A Case Report

Zheng, Danielle, MD, PhD; Lamer, Tim J., MD

doi: 10.1213/XAA.0000000000000922
Case Reports

Middle cluneal nerve entrapment neuropathy/neuralgia (MCN-EN) is a rare and potentially underdiagnosed etiology for chronic low back pain. Symptoms include pain in the buttock and posterior superior iliac spine area that is increased by activity and direct pressure over the area, and is “neuropathic” in nature. Previous case reports describe successful treatment of MCN-EN with nerve block and/or surgical decompression of the MCN. We present a case report detailing the first successful use of radiofrequency nerve ablation in treating MCN-EN.

From the Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, Minnesota.

Accepted for publication September 25, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Danielle Zheng, MD, PhD, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN 55905. Address e-mail to

© 2019 International Anesthesia Research Society
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