Superior and Middle Cluneal Nerves

The cluneal nerves can cause a lot of acute and chronic low back pain, yet barely anyone talks about them. I’m still baffled as to why, but I’ll still continue to push this message out.

If you’re new to my channel, my name is Dr. Drew Timmermans, ND, RMSK. I’m the founder of Regenerative Performance in Gilbert, AZ, specializing in interventional orthobiologics, which is just a fancy way of saying we help people reclaim their life from chronic pain without steroids or surgery. We challenge the conventional pain management approaches by addressing the root causes of chronic pain.

How I got here…

22 yrs old: Graduated with a Bachelor of Science in Kinesiology from the University of Western Ontario.
23 yrs old: Competed as a long sprinter, anchoring the 4x400m relay to a silver medal at the Canadian national championships, contributing to Western's first national title in men's track and field.
23 yrs old: Started working as a personal trainer for GoodLife Fitness in Canada, quickly becoming one of the Top 10 Personal Trainers nationwide.
23 yrs old: Herniated two discs in my lower back, ending my track and field career and sending me into a multi-year battle with chronic pain.
24 yrs old: Enrolled at the Southwest College of Naturopathic Medicine (now Sonoran University of Health Sciences) after discovering my passion for naturopathic medicine.
26 yrs old: Still battling chronic back pain, I finally became pain-free through a platelet-rich plasma injection.
28 yrs old: Graduated and become a licensed naturopathic doctor.
29 yrs old: Completed the first-ever residency in regenerative medicine and integrative pain management at the Neil Riordan Center for Regenerative Medicine.
29 yrs old: Co-founded Regenerative Performance to help people with chronic pain just as I had been helped.

Today: We help people who have chronic joint pain reclaim their life with cutting edge treatments like platelet rich plasma, and stem cell therapy.

To everyone battling chronic pain, remember that your story is still being written.

Never give up.

Dr. Drew Timmermans, ND, RMSK
FULL DISCLOSURE: I create content to share my expertise and help as many people as possible. My goal is to build trust and provide valuable information to those seeking alternative solutions for chronic pain management and bring in new patients into our practice.

[jamesjarmam]

pain physician here. I see a lot of chronic middle/ superior cluneal neuropathy. Usually localised tenderness over iliac crest (superior) or inf to PSIS (middle). I usually test for altered sensation to ice (keep a few 10ml saline amps in freezer) and if it maps to the skin distribution (often a subtle loss of cold sensation or takes longer to get cold) it supports it. Block and pulsed RF. Middle cluneal can be hard to differentiate from SIJ pain.

[Robin_x]

Three or four lesions in the area of the MCN trigger point. 2 cycles after sensory and motor stimulation. Usually works well, but it does not destroy the nerve permanently.

[Robin_x]

Doc myself. I do cryo to reconfirm diagnosis. Then pulsed rf, dextrose never worked, neither did PRP. Out of Asia we get some report of surgical release of the nerves. Anyone any experience?

[tkt]

Superior anb middle nevre pain...or si joint pain...how can I diagnose it.The si joint injection don't help me...