Painful bursa like spot above the iliac crest

[gcoe]

I have recently had a patient with this area and I understand there is a limited descriptive literature called "back mice". I wouldn't have described it as a bursa - not that large so not sure if this is the same as your patient. In my patient's case these were exquisitely tender nodules that are quite small and highly localised. and gave rise to frequent severe episodes of severe pain that would then settle. They are relatively superficial and are associated with the posterior ligament of the SIJ and the caudal thoracolumbar fascia. Have a look at this and see what you think:
Treatment for Back Mice - Painful Lumps in Low Back - Back Pain Forum - eHealthForum
Treatment of Low Back Pain Associated with "Back Mice" A Cas... : JCR: Journal of Clinical Rheumatology


My patient responded to localised massage - I used neuro-dermal modulation which is a relatively comfortable manual therapy for symptomatic relief and stability exercises seemed to reduce recurrence of episodes.

[RyvBoy]

I have recently had a patient with this area and I understand there is a limited descriptive literature called "back mice". I wouldn't have described it as a bursa - not that large so not sure if this is the same as your patient. In my patient's case these were exquisitely tender nodules that are quite small and highly localised. and gave rise to frequent severe episodes of severe pain that would then settle. They are relatively superficial and are associated with the posterior ligament of the SIJ and the caudal thoracolumbar fascia. Have a look at this and see what you think:
Treatment for Back Mice - Painful Lumps in Low Back - Back Pain Forum - eHealthForum
Treatment of Low Back Pain Associated with "Back Mice" A Cas... : JCR: Journal of Clinical Rheumatology


My patient responded to localised massage - I used neuro-dermal modulation which is a relatively comfortable manual therapy for symptomatic relief and stability exercises seemed to reduce recurrence of episodes.

Thank you so much gcoe! I noticed in my patients that this "back mice" did respond quite well working "around it" (not on it).