Asian Pain Academy

Chronic pain has traditionally been classified into two major categories: nociceptive pain and neuropathic pain. While this framework has guided clinicians for decades, a significant number of patients continue to experience persistent pain that does not fit neatly into either category. These individuals often have widespread pain, fatigue, sensory hypersensitivity, sleep disturbances, and emotional distress despite minimal tissue injury or clear nerve damage. To address this

Buttock pain is a common yet diagnostically challenging complaint encountered in pain clinics, spine practices, and rehabilitation settings. While sacroiliac joint dysfunction, lumbar radiculopathy, piriformis syndrome, and facetogenic pain are frequently considered, cluneal nerve entrapment remains an under-recognized cause of chronic buttock and low back pain. Failure to identify cluneal neuralgia can lead to prolonged suffering, unnecessary imaging, failed spine interventi