Chronic back pain after a car crash

Patient’s history

The middle-aged patient has been suffering from a strong lower back pain since a car accident  that took place six months earlier. The pain restricted mobility and interfered with normal functioning. MRI examination did not show any tissue injury and bone damage.

Previous treatment

Rehabilitation and anti-inflammatory drugs gave only mild temporary relief.

Treatment form Dr.Goczewski

During ultrasound examination it turned out that the pain focused on superior cluneal nerve  passing through the osteofibrous tunnel formed by the thoraco-lumbar fascia and the iliac crest . It is a common site of a nerve entrapment. Hydrodissection of a superior cluneal nerve and thoraco-lumbar fascia was done.

Outcome

The pain disappeared within a few days.

See also

Pseudo sciatica due to piriformis muscle hypertrophy Pseudo sciatica due to piriformis muscle hypertrophy
Chronic pain of the breastbone and the shoulder Chronic pain of the breastbone and the shoulder
Diabetic neuropathy resistant to treatment Diabetic neuropathy resistant to treatment
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