Cluneal Neuralgia (Pseudo-Sciatic Pain)

Unlike true sciatic pain, which stems from compression of the sciatic nerve in the spine, cluneal neuralgia involves small cutaneous nerves closer to the surface of the skin. The result is localized pain that may radiate across the lower back or buttocks without extending down the entire leg.

Common symptoms include:

• Burning, aching, or stabbing pain in the lower back or upper buttock region
• Tenderness over the iliac crest (the top of the hip bone)
• Pain that worsens when sitting, standing, or bending
• Relief when lying down or changing position
• Localized sensitivity that differs from classic sciatic pain

Common Causes

Cluneal neuralgia typically results from entrapment, irritation, or stretching of the cluneal nerves. Contributing factors may include:

• Repetitive strain or trauma to the lower back
• Scar tissue or tight fascia compressing the nerve
• Muscle tension from prolonged sitting or poor posture
• Post-surgical scarring or lower back procedures
• Degenerative spinal changes increasing local pressure on nerve pathways

How Cryoneurolysis Helps

At Barcelona Cryo Center, we use ultrasound-guided cryoneurolysis to precisely target the affected cluneal nerves. By applying controlled cold energy, the treatment temporarily deactivates overactive pain fibers without damaging surrounding tissues or motor function. This provides lasting pain relief while maintaining normal movement and sensation elsewhere.

Key Benefits:

• Minimally invasive: In-office procedure performed with real-time imaging
• Safe and reversible: Nerve function gradually returns over time
• Highly targeted: Treats specific sensory branches contributing to pain
• Non-destructive: Preserves muscle strength and coordination
• Long-lasting relief: Reduces pain for several months and can be repeated as needed

Ideal Candidates

You may benefit from cryoneurolysis if you:

• Have persistent pain in the lower back, buttocks, or upper thigh area
• Have been told you have “sciatica,” but imaging shows no spinal cause
• Experience pain that worsens with sitting or standing but improves when lying down
• Want a minimally invasive, drug-free treatment option

Find Relief from Pseudo-Sciatic Pain

Cluneal neuralgia can cause deep, frustrating pain that limits mobility and quality of life. Cryoneurolysis offers a modern, precise treatment to calm nerve activity, reduce discomfort, and help you move freely again—without surgery or long recovery.

Book your consultation with Barcelona Cryo Center today.

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