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Volume 03
Spine 2019
October 16-17, 2019
Journal of Neurology and Clinical Neuroscience
October 16-17, 2019 | Rome, Italy
SPINE AND SPINAL DISORDERS
5
th
World Congress on
J Neurol Clin Neurosci, Volume 03
Cluneal Nerve Trigger Point Entrapment Syndrome and Radiofrequency Treatment
Martin Knight
1
, Indu Karangoda
2,3
, Rahim Nadeem Ahmed
4
and
James Inklebarger
5
1
The Spinal Foundation, UK
2
Dartford and Gravesham NHS Trust, UK
3
Darent Valley Hospital, UK
4
Croydon University Hospital NHS Trust, UK
5
The London College of Osteopathic Medicine, UK
Statement of the Problem
: Cluneal Nerve Trigger Point Irritation (CNTPI) symptomatology and aetiology are poorly recognized
and too often treated with open surgery where conservative measures fail. The purpose of this study is to describe the distribution
of symptoms shown in Figure 1, which can mimic sciatica and to present a diagnostic and treatment pathway and outcomes
thereto.
Methodology & Theoretical Orientation
: A prospective study of the treatment outcomes based upon the proposed diagnostic
protocol deployed in 33 consecutive patients with CNTPI was independently analyzed 2-5 years following treatment shown in
Figure 2.
Conclusion & Significance
: The diagnostic pathway differentiates the pain from CNTPI from spinal disorders, facet joint or
sacro-iliac joint pain and provides a promising treatment alternative to that of open surgery. The proposed treatment is based upon
correction of pelvic attitude and radiofrequency ablation of the “trigger points” and offers encouraging outcomes.
e
:
mknight@spinal-foundation.orgFigure 1 CNTPI Symptom distribution
Figure 2 Clinical Demographics & Outcomes