CLUNEAL

 

 

WHAT IS A CLUNEAL NERVE INJECTION?

Cluneal Nerve Injections are a series of injections intended to relieve chronic back and buttock pain caused by impingement of the cluneal, the superior gluteal nerve and the iliohypogastric nerve.

The procedure involves the placement of small 25-gauge needles into the subcutaneous tissues overlying the gluteus maximus muscle adjacent the cluneal and iliohypogastric nerve and deep to the gluteus maximus muscle adjacent the superior gluteal nerve.

A single dose of Celestone mixed with 3 cc of Marcaine is injected into the subcutaneous tissues adjacent each of 3 superior cluneal nerves, the iliohypogastric nerve and the superior gluteal nerve as well as the trochanteric bursa for a total of 6 injections. Occasionally injections for also made into the subcutaneous tissues overlying the iliotibial band.

The injection procedure is usually somewhat painful for a few seconds at each injection site. This usually resolves quite quickly.

The benefits of the procedure are often significant reduction in back and buttock pain and increase in mobility. Good to excellent results are expected in up to 80% of cases.

Minor complications of the procedure may include, but are not limited to, injection site pain and minor bleeding from the needle puncture site. These are common complications.

Major complications may include, but are not limited to, inadvertent puncture of a nerve leading to neurapraxia (temporary pain at the nerve site), inadvertent puncture of a vessel leading to haematoma formation or puncture site infection. These are extremely rare complications.