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June 20, 1986

Persistent Low Back Pain and Ischiogluteal Bursitis-Reply

Author Affiliations

New Haven, Conn

JAMA. 1986;255(23):3251. doi:10.1001/jama.1986.03370230057029

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In Reply.—  The patient in question complained of "low back pain," with "exacerbation after sitting or standing." It is most unusual for the pain of ischiogluteal bursitis to be manifest anywhere but in the buttock and to be exacerbated, rather than relieved, by standing. Tenderness "over the sciatic nerve" is a nonspecific finding.My response suggested no immediate therapy but indicated one specific therapeutic approach, radiofrequency facetal branch denervation, should a specific test, local analgesic facetal branch block, prove the origin of symptoms.