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11 Possible Causes for Flank Pain, Iliac Crest Tenderness

  • Ilioinguinal Nerve Entrapment

    […] neurectomies through an inguinal approach and (2) genital nerve neurectomy through a flank approach.[] If I am successful, when I am done, the previously tender iliac crest points will be substantially diminished.[] Background The recommended surgical treatment for chronic neuropathic pain after herniorrhaphy has been a 2-stage operation including: (1) ilioinguinal and iliohypogastric[]

  • Appendicitis

    Flank pain, ...[] […] from iliac crest.[] McBurney sign ) pelvic pain, diarrhea and tenesmus (pelvic appendix) flank pain (retrocaecal appendix) groin pain - appendix within an inguinal hernia ( Amyand hernia ) or[]

  • Quadratus Lumborum Syndrome

    The quadratus lumborum should be examined in patients presenting with flank pain as well as low back, buttock and lateral hip pain.[] crest to the 12 th rib Can be unilateral or bilateral depending on mechanism of injury Tenderness along origin, insertion, and line of muscle Pain over muscle that radiates[] Pain from the quadratus lumborum may be distinguished from pain caused by iliolumbar ligament injury because of the absence of pain around the area of the flank with iliolumbar[]

  • Ankylosing Spondylitis

    Bony tenderness, likely due to enthesitis, is common at sites such as costosternal junctions, spinous processes, iliac crests, greater trochanters, ischial tuberosities, tibial[]

  • Entrapment Neuropathy

    She started having pain in the left lower back and left gluteal region. I tried everything (and she was a motivated exerciser).[] One particular gluteal tender point, 7-10 cm lateral to the midline, is right below the iliac crest.[] The patient was an active 60-year-old female who, while ice skating, banged into the side of the rink, bruising her left flank (clue one: injury to T-L area).[]

  • Spondylitic Aortitis

    Symptoms: “abdominal, back and/or flank pain, oliguria and uremia, constipation, claudication and edema of lower limbs and testicular disorders” (453); “Constitutional symptoms[] Plantar fasciitis, Achilles tendinitis and tenderness over bony prominences such as the iliac crest and greater trochanter may all occur, reflecting inflammation at the sites[] This enthesopathy is associated with pain, tenderness and swelling. It can also occur at the iliac crests, ischial tuberosities and greater trochanters.[]

  • Ewing's Sarcoma

    The patient was a young woman, and she presented with sudden right flank pain clinically.[] Following admission, she was found to be febrile with a flexion deformity of her right-hip, and tenderness over the iliac crest and posterior pelvis.[] A 15-year-old girl presented with a 2-month history of non-specific right hip pain associated with pain in the back, right flank and foot.[]

  • Spinal Epidural Abscess

    Failure to Diagnose Spinal Epidural Abscess SEA often presents with a complaint of neck pain radiating to the abdomen, or flank pain.[] No tenderness. Lumbar area exhibits tenderness (drawing of low back with arrow pointing to just above the iliac crest). Neuro: Alert, no cranial nerve deficit.[] If a paraspinal abscess is present, the patient may experience flank pain, abdominal pain or a limp.[]

  • Sacroiliac Pain

    The nerve pain from irritation of these peripheral sensory nerves, felt in the flank and gluteal area, creates inhibition of the stabilizing muscles, reinforcing the vicious[] Look for tender points (Maigne's points), found lateral to the SI joint and inferior to iliac crest.[] These knots represent referred peripheral nerve pain points from the TL or upper lumbar.[]

  • Abdominal Hernia

    […] superior (Grynfeltt-Lesshaft) triangle than through the inferior (Petit); not prone to incarceration Obturator hernia - Intermittent, acute, and severe hyperesthesia or pain[] Two patients sustained muscle avulsion from the iliac crest which was likely a result of obesity and high riding seatbelts.[] Symptoms of gastrointestinal (GI) obstruction or symptoms resembling a urinary tract infection Lumbar hernia - Vague flank discomfort combined with an enlarging mass in the flank[]

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