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Journal of the Korean Academy of Rehabilitation Medicine 2005;29(3):276-280.
The Effects of the Local Steroid Injection in the Patients with Medial Superior Cluneal Nerve Entrapment.
Jeong, Yong Seol , Ahn, Kyung Hoi , Kim, Hee Sang , Lee, Jong Ha , Kim, Dong Hwan , Kim, Hak Jun , Kim, Jin Sung
1Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea.
2Department of Rehabilitation Medicine, Kyung-Hee University College of Medicine, Korea. sunvill@naver.com
내측 상둔부신경 포획에서 국소 스테로이드 주사의 효과
정용설1, 안경회, 김희상, 이종하, 김동환, 김학준, 김진성
1연세대학교 의과대학 재활의학교실, 경희대학교 의과대학 재활의학교실
The aim of this study was to evaluate the efficacy of the local steroid injection in the patients with medial superior cluneal nerve entrapment.
The participants were 20 (13 men, 7 women) patients with medial superior cluneal nerve entrapment diagnosed by Maigne's criteria (unilateral buttock pain, tender point at iliac crest, and relieved pain by nerve block). All patients were injected with 1% lidocaine 1.75 ml and triamcinolone 10 mg at maximal tender point which was 7∼8 cm away from spinous process horizontally on the iliac crest. The visual analogue scale (VAS) and the modified Oswestry questionnaire (MOQ) were checked at before, 2 weeks and 4 weeks after injection. And the VAS waschecked 10 min after injection to determine the accuracy of injections.
The mean VAS scores of before injection, 10 min, 2 weeks, and 4 weeks after injection were 7.7, 2.8, 4.0, and 4.0 respectively. The mean MOQ of before injection, 2 weeks, 4 weeks after injection were 35.7, 23.8, and 23.8 respectively. Both VAS and MOQ were significantly different in before injection, 2 weeks and 4 weeks after injection (p<0.05).
The local steroid injection is an effective treatment of medial superior cluneal nerve entrapment. (J Korean Acad Rehab Med 2005; 29: 276-280)
Key Words: Superior cluneal nerve, Entrapment neuropathy, Low back pain, Corticosteroid


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