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Cluneal Nerve Entrapment

Chiropractic Evidence-based Management of Cluneal Nerve Entrapment

Pain near the sacroiliac joint is one of the most common presenting complaints in chiropractic clinics. Laslett defined the most sensitive and specific tests for diagnosing SI joint dysfunction:

Thigh Thrust

Sacroiliac Distraction

Sacroiliac Compression

Sacral Thrust

When any two of these four tests are positive, a diagnosis of SI joint dysfunction is very likely. (1) But what if the suspected diagnosis is not quite so concrete and your treatment fails? Your differential would probably include conditions like myofascial pain, lumbar scleratogenous referral, radiculopathy, hip degeneration/ pathology, inflammatory arthropathy, and (after today) cluneal nerve entrapment.

Check out the following 6-minute class where Dr. Steele discusses and demonstrates the evidence-based chiropractic assessment and management of cluneal nerve entrapment.

Do you enjoy this material?

If so, you would probably love attending an Orthopedic Diplomate class. The University of Bridgeport, in collaboration with various state associations, is offering the 50 hours of in-person education required to obtain a Diplomate of the Academy of Chiropractic Orthopedists. (The remaining 250 hours are available online.) Programs are currently scheduled in Chicago through the Illinois Chiropractic Society and in Las Vegas with the Nevada Chiropractic Association. Dr’s Steele and Bertelsman are proud to be presenters for the following classes:

Mastering the Assessment and Management of Shoulder and Upper Extremity Problems- Steele

Nov 11-12, 2017 Las Vegas, NV

March 10-11, 2018 Chicago, IL

Evidence-based Best Practices for Lower Back Pain- Bertelsman

Oct 7-8, 2017 Chicago, IL

Sept 23-24, 2017 Las Vegas, NV

Click on the links to register, and feel free to email Dr Steele or Dr Bertelsman for more information about these classes or to find out how you can schedule one of their presentations for your next state association or school conference.

Reference

  1. Laslett M. Evidence-Based Diagnosis and Treatment of the Painful Sacroiliac Joint J Man Manip Ther. 2008; 16(3): 142–152

About the Author

Dr. Brandon Steele

Dr. Brandon Steele

DC, DACO

Dr. Steele began his career at The Central Institute for Human Performance. Dr. Steele has trained with experts including Pavel Kolar, Stuart McGill, Brett Winchester, and Clayton Skaggs. He has been certified in Motion Palpation, DNS, ART, and McKenzie Therapy. Dr. Steele lectures extensively on clinical excellence and evidence-based musculoskeletal management. He currently practices in Swansea, IL and serves on the executive board of the ICS.

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