Ultrasound-guided Perineural Dextrose Injection for Treatment of Superior Cluneal Nerve Entrapment: Serial Case Report

Yusak M. T. Siahaan1, 2, *, Jessica Herlambang2, Cynthia Putri2, Pamela Tiffani2
1 Department of Neurology, Siloam Hospitals Lippo Village, Siloam Street no. 6, Karawaci, Tangerang, 15811, Indonesia
2 Faculty of Medicine, University of Pelita Harapan, Boulevard Jendral Sudirman Street, Karawaci, Tangerang, 15811, Indonesia

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Creative Commons License
© 2021 Siahaan et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Neurology, Siloam Hospital Lippo Village, Karawaci, Tangerang, 15811, Indonesia; E-mails:,



Superior cluneal nerve entrapment is a neuropathic condition caused by the inclusion of the superior cluneal nerve that contributes to one of the causes of lower back pain leading to high morbidity. Several therapeutic modalities

are available for superior cluneal nerve entrapment, including medications, physiotherapy, perineural injection, and surgery. Perineural injection with 5% dextrose has become therapeutic alternative in many cases of neuropathy, but its long-term effectiveness is unknown.

Case Presentation:

This study described four patients with superior cluneal nerve entrapment with severe pain intensity treated with ultrasonography guided perineural 5% dextrose injection, resulting in significant clinical improvement during the 6-month evaluation.


Perineural injection can be considered as long-term therapy in patients with superior cluneal nerve entrapment who have failed other conventional therapies.

Keywords: 5% Dextrose, Perineural injection, Superior cluneal nerve entrapment, Ultrasonography, Numeric rating scale, Thoracolumbar fascia.