{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:10:06Z","timestamp":1756368606413,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,9]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>A 64-year-old woman presented to an academic medical centre with postoperative left ischial pain following a left total hip replacement. Her pain was exacerbated by sitting down and with forward flexion of the spine, and the pain radiated from the left ischial tuberosity to the left perineum, groin and medial thigh. An ischial bursa injection was performed, but only resulted in 1\u2009day of excellent pain relief. A diagnosis of inferior cluneal neuralgia was then made. Subsequent inferior cluneal nerve radiofrequency ablation was performed, and provided sustained 50% relief in pain. The patient had a concomitant sensation of \u2018ball like\u2019 pressure at her rectum which was determined to be due to levator ani syndrome. She was prescribed pelvic floor physical therapy and botulinum toxin injection, which resulted in further notable improvement of her symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2021-246294","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T12:11:00Z","timestamp":1638274260000},"page":"e246294","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Inferior gluteal pain with sitting, unrelated to ischial bursitis"],"prefix":"10.1136","volume":"14","author":[{"given":"Chad","family":"Mears","sequence":"first","affiliation":[{"name":"Physical Medicine and Rehabilitation, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renuka","family":"Rudra","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology & Perioperative Medicine, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"John","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8267-2796","authenticated-orcid":false,"given":"Weibin","family":"Shi","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,30]]},"reference":[{"key":"2025082800570825000_14.11.e246294.1","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/s00256-015-2124-6","article-title":"Deep gluteal syndrome: anatomy, imaging, and management of sciatic nerve entrapments in the subgluteal space","volume":"44","author":"Hernando","year":"2015","journal-title":"Skeletal Radiol"},{"key":"2025082800570825000_14.11.e246294.2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199927040-00005"},{"key":"2025082800570825000_14.11.e246294.3","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1302\/0301-620X.102B5.BJJ-2019-1212.R1","article-title":"Deep gluteal syndrome as a cause of posterior hip pain and sciatica-like pain","volume":"102-B","author":"Park","year":"2020","journal-title":"Bone Joint J"},{"key":"2025082800570825000_14.11.e246294.4","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1002\/micr.22422","article-title":"Pain with sitting related to injury of the posterior femoral cutaneous nerve","volume":"35","author":"Dellon","year":"2015","journal-title":"Microsurgery"},{"key":"2025082800570825000_14.11.e246294.5","doi-asserted-by":"crossref","first-page":"332","DOI":"10.3171\/2008.11.JNS081248","article-title":"Surgical and anatomical landmarks for the perineal branch of the posterior femoral cutaneous nerve: implications in perineal pain syndromes. laboratory investigation","volume":"111","author":"Tubbs","year":"2009","journal-title":"J Neurosurg"},{"key":"2025082800570825000_14.11.e246294.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-008-0306-9"},{"key":"2025082800570825000_14.11.e246294.7","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1055\/s-0041-1726027","article-title":"Relief of sitting pain by Resecting posterior femoral cutaneous nerve, and elucidation of its anatomical branching pattern","volume":"37","author":"Kachniarz","year":"2021","journal-title":"J Reconstr Microsurg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-246294","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:57:14Z","timestamp":1756367834000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-246294"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":7,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,11,30]]},"published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1136\/bcr-2021-246294"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-246294","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}