What Are the Most Common Symptoms of a Pinched Hip Nerve?

The gluteal epithelial nerve is the lateral branch of the posterior branch of the 1st to 3rd lumbar nerves. The deep fascia is penetrated parallel to the condyle at the line between the femoral trochanter and the third lumbar intervertebral line, which is distributed on the hip skin and is generally not easy to touch. The gluteal epithelial nerve is easily damaged during labor due to long bending and trunk rotation from side to side, which causes severe waist and hip pain and produces a series of symptoms, which can be diagnosed as gluteal epithelial nerve injury.

Gluteal epithelial nerve injury

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The gluteal epithelial nerve is the lateral branch of the posterior branch of the 1st to 3rd lumbar nerves. The deep fascia is penetrated parallel to the condyle at the line between the femoral trochanter and the third lumbar intervertebral line, which is distributed on the hip skin and is generally not easy to touch. The gluteal epithelial nerve is easily damaged during labor due to long bending and trunk rotation from side to side, which causes severe waist and hip pain and produces a series of symptoms, which can be diagnosed as gluteal epithelial nerve injury.

Anatomy of the gluteal epithelial nerve has confirmed that there is no groove structure. When the back dermal muscles are strained for a long time, some nerves or fiber bundles running above the iliac crest are vulnerable to abrasion, edema and congestion, nerve enlargement, and aseptic inflammation of the surrounding soft tissues. , Congestion, swelling, causing pain, which is a pathological change of gluteal epithelial nerve injury.

The main symptoms of gluteal epithelial nerve injury are pain in the waist and hips on the affected side, which is tingling, painful, and tear-like pain. There may be drag pain above the knee behind the thigh, but not the knee. The pain in the acute stage is severe, the bending is limited, and the sitting up is difficult. When changing from the sitting position to the other person or object, the patient often complains that the pain area is deep, the area is blurred, and there is no obvious distribution boundary. During the examination, you can touch a "strand-like" hard object 2 to 3 cm inside the highest point of the palate, with obvious tenderness and numbness. The straight leg elevation test was positive, but no radicular symptoms appeared.

Gluteal epithelial nerve injury is mainly treated conservatively. The acute stage can be treated with closed pain points or local manipulative methods, and the effect is rapid. The local closure was closed with 12.5mg of pineapple 12.5mg strengthened with 2% procaine 4ml, once or twice a week, and three to four times as a course of treatment. The pain relief effect was good. Manual treatment is based on the surface projection point or tenderness point of the gluteal epithelial nerve. The patient is seated on a chair with both hands supporting his knees and his legs separated with shoulder width. After the doctor sits on the patient, he rolls or stands up with his thumb. The cable-like object, that is, the gluteal epithelial nerve, and then find the sulcus marks in situ, pull up the gluteal epithelial nerve with one hand, press it back in place with the other hand, and then press it a few times in a straight direction. If the pain is very serious, you can also combine closure with manual treatment, and then perform closure treatment before manual treatment. After treatment, patients should be advised not to do vigorous waist rotation activities within 3 to 5 days.

Gluteal epithelial nerve injury can usually be alleviated by conservative treatment, but in case of stubborn pain and long-term healing, surgery can also be taken to remove the gluteal epithelium nerve segment, and it can be cured.