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WEST PALM BEACH, FL

Superior Cluneal Neuralgia Treatment Without Surgery

Non surgical Superior Cluneal Neuralgia

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Superior Cluneal Neuralgia: Treatment in Palm Beach

Superior cluneal neuralgia is a frequently misdiagnosed cause of low back and buttock pain, caused by entrapment or irritation of the superior cluneal nerves as they cross the iliac crest from the lumbar region into the buttock. It is often confused with lumbar disc disease, facet pain, or SI joint dysfunction.

Accurate diagnosis of superior cluneal neuralgia is an important competency at Palm Beach Regenerative, where Dr. Ghattas’s comprehensive approach to back pain evaluation ensures this condition is not missed. Give us a call to Request a Consultation.

What Is Superior Cluneal Neuralgia?

The superior cluneal nerves are sensory nerves that originate from the lateral branches of the posterior rami at L1-L3 and travel over the iliac crest to supply sensation to the upper buttock and lower back. They can become entrapped as they pass through the osseofibrous tunnel at the iliac crest, producing a distinct pattern of localized low back and buttock pain.

Signs and Symptoms

  • Localized pain at the posterior iliac crest and upper buttock
  • A tender, often reproducible trigger point just below or at the posterior iliac crest
  • Pain that radiates into the buttock and may extend into the upper thigh
  • Symptoms that can mimic lumbar radiculopathy but without true leg radiation below the knee
  • Pain worsened by prolonged standing, walking, or lumbar extension

Common Causes and Risk Factors

  • Entrapment of the nerve at the iliac crest fascia
  • Prior lumbar or pelvic surgery
  • Weight gain or iliac crest prominence
  • Trauma to the posterior iliac region

How It Is Diagnosed

The diagnosis is confirmed by a positive response to a diagnostic nerve block at the point of nerve entrapment at the iliac crest, administered under ultrasound guidance.

A careful clinical examination identifies the characteristic tender point and differentiates this condition from lumbar disc, facet, and SI joint pathology.

Conventional Treatment Options

  • Diagnostic and therapeutic nerve block at the iliac crest entrapment point
  • Physical therapy for lumbar and hip flexor stretching
  • Nerve hydrodissection to release entrapment
  • Surgical nerve decompression in refractory cases

The Palm Beach Regenerative Approach

Dr. Ghattas uses real-time ultrasound guidance to identify the entrapment point of the superior cluneal nerves at the iliac crest and deliver targeted nerve hydrodissection with platelet preparations to reduce perineural inflammation and free the nerve from its constriction.

Accurately identifying and treating this condition when it is the true pain source avoids unnecessary lumbar procedures and provides targeted relief.

The BioMod Advantage: MLS Robotic Laser Therapy to the posterior iliac and lumbar region reduces neurogenic inflammation at the superior cluneal nerve entrapment site. Xymogen anti-inflammatory and nerve support protocols provide systemic support, helping the nerve recover from chronic compression.

Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.

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Consultations Are Usually Available Within 1 to 2 Weeks

Request a consultation or call (561) 501-3900.

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●PATIENT OUTCOMES

Patient Experiences

"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."

Dr Jorge A

"Dr. Ghattas offered me PRP treatments for my lower spine and Si joints. He was very measured in his approach and thorough in delivery. I can honestly say, it was the best decision I could have ever made. I’m now able to work out again and more importantly- live - without pain! Thank you, Dr. Ghattas!"

Jim C

"I had PRP in my neck and lower back, both spots had herniated disc’s, I’ve had really good results with both procedures. Palm Beach Regenerative sport and Spine gave me top quality care and were very informative, I’m glad I went this route instead of surgery. Paul Jones"

Paul J

"This is a genuine, heartfelt account of my experience—a rarity for me, but one I feel compelled to share when something truly stands out. I’ve dealt with chronic back issues for years. Three damaged discs, episodes of flare-ups every few months, followed by days of stiffness and discomfort before life resumes its usual rhythm...."

Seth R

These testimonials reflect the real-life experiences of patients with the Regenexx protocol but are not necessarily typical of what you or any other patient might experience. Individual results of the procedures using Regenexx lab processes will vary depending on a number of factors, including your diagnosis, the severity of your condition, your overall health, and others. To better understand what large numbers of patients experience on average, please visit the Patient Results page, and inquire with a physician within the licensed Regenexx network near you.

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