Gluteal epithelial nerve dryness
Introduction
Brief introduction of gluteal epithelial neuralgia It is very common in clinical practice, and it is often found in cold areas and manual workers. The incidence of tunnel operators is particularly high. The gluteal epithelium is a group of skin branches consisting of the lateral branches of the posterior branch of the spinal 1, 2, and 3 spinal nerves. When it passes through the fascia of the lower back, it reaches the subcutaneous, and under the skin, it spans the middle of the iliac crest and reaches the buttocks. It is distributed on the outer side of the buttocks and the skin of the large trochanter. basic knowledge The proportion of illness: 0.03% Susceptible people: no specific population Mode of infection: non-infectious Complications: femoral nerve dryness sciatica
Cause
The cause of gluteal epithelial neuralgia
Causes:
More common in trauma, cold areas and manual workers. When the soft tissue of the lower back and the hip is acute or chronic, or when the external wind is cold, the nerve is often affected at the same time. Acute injury can cause nerve congestion, edema and even bleeding, if not treated in time, can become a chronic injury. The gluteal epithelial nerve has been confirmed by anatomy without a groove structure. When the back cutaneous muscle is tight for a long time, some nerves or fiber bundles that run above the iliac crest are prone to wear and tear, resulting in edema congestion, degeneration of axons and myelin, nerves. The bundle is fusiform and the surrounding tissue undergoes aseptic inflammation, resulting in chronic neuralgia.
Pathogenesis:
1. Hip fibrositis When the gluteal epithelial nerve trunk passes through the tough thick back fascia, if there is fibrositis, which causes local fibrosis, it is susceptible to compression and causes symptoms.
2. Traumatic lumbosacral acute or chronic trauma is easy to cause edema of the gluteal epithelium, congestion, congestion or hemorrhage, resulting in loss of function, or compression due to late fibrosis (including surrounding soft tissue involvement).
Prevention
Hip epithelial nerve dry pain prevention
In order to avoid pulling the upper gluteal nerve to relieve pain, patients often have some special pain-reducing postures. For example, when sleeping, they like to sleep on the healthy side, and the hips and knees of the lower limbs of the diseased side are slightly flexed. When you sit down, focus on the buttocks on the healthy side. When standing, the center of gravity shifts to the healthy side. When you bend over and pick up the object, the knees of the affected limb are flexed. After a long time, the scoliosis is caused, and most of them bend to the side of the lesion.
Complication
Complications of gluteal epithelial neuralgia Complications, femoral neuralgia, sciatica
The disease may be complicated by sciatica, femoral nerve dry pain and other pain symptoms.
Symptom
Symptoms of gluteal epithelial nerve dryness Symptoms Common symptoms of waist and hip pain... Deep sensory sensation, shallow sensation, or lack of gluteal sulcus, like a clip... Hip radiation pain, gluteal sulcus, gait, gait, hip, lightning, pain, gluteal Flat and drooping gluteal muscle paralysis gait
Pain
It is characterized by extensive pain in the lower back and hips. It is usually from the middle of the sputum and radiates downwards to the posterior lateral thigh.
2. Closed test
In the middle of the middle of the sputum, 1% procaine 5 to 10 ml was injected, and the symptom relief was positive.
Examine
Examination of gluteal epithelial nerve pain
1. The pain manifests as extensive pain in the buttocks and hips. It usually rises from the middle of the sputum and radiates downward to reach the posterior lateral thigh.
2. The closed test was performed by injecting 1% procaine 5 to 10 ml in the middle of the middle of the sputum. The symptom relief was positive.
According to the history of the disease, the clinical manifestations are extensive pain in the lower back and hip, and the radiation is downward, and the closure test is positive, and a diagnosis can be established.
Diagnosis
Diagnosis and differentiation of gluteal epithelial nerve pain
According to the history of the disease, the clinical manifestations are extensive pain in the lower back and hip, and the radiation is downward, and the closure test is positive, and a diagnosis can be established.
The subgluteal nerve and the sciatic nerve are accompanied by a large hole in the pelvic ischial bone. The symptoms caused by it are easily confused with the disease. It is difficult to identify clinically. In fact, both of them are involved at the same time. Therefore, the section of the inferior gluteal nerve trunk is not listed here.
