Question: Greetings,
I had L1 and L2 kyphoplasties 1 month after sustaining compression fractures over 2 years ago. I have had almost constant burning pain and tightness that radiates to my R SI joint and R gluteal regions since the Kyphoplasties. Of note, I did develop a fairly large hematoma on the right side after the procedure, which spontaneously resolved. An MRI done 6 months later was read as essentially normal, but "with marrow changes at superior endplate of L1 and L2 suggesting mild central compression and Schmorl's node respectively," there were no abnormalities noted with discs or facets, and no foraminal stenosis. I have undergone dry needling to the R gluteal region with some relief, but the discomfort is always there. I do not take any medications for it (NSAID allergies). Any suggestions on what this is? Recommendations on where to get help? I have seen 2 different Physical Medicine Specialists and have gone through PT twice, and had a steroid injection to the SI joint (R). In XXXXXXX NC. Thanks for your time.

Dr. XXXXXXX
Thank You for your response.
The gluteal region is not the only region in pain. My back muscles burn, and are achy and tight only on the right side starting at the level of the base of my ribs radiating from my right posterior and lateral rib cage the R iliac crest, the R SI joint and the upper (deep) gluteal region on the right. The medial lumbar spine (over the spinous processes) and sacrum are unaffected as is the L side entirely. Gabapentin does not help. Is this possibly a be a myofascial nerve entrapment?

I had an EMG of BLEs in XXXXXXX of 2015 (sorry, I failed to mention this earlier). I quote directly: "abnormal but not diagnostic. There is isolated evidence of spontaneous activity in the right lumbar paraspinals, likely as a result trauma related her lumbar fractures. There is no clear evidence of a lumbar radiculopathy, lumbosacral plexopathy, or myopathy.
There is also evidence of diminished sensory amplitudes in bilateral lower extremities, possibly consistent with an underlying mild, generalized axon-loss type peripheral neuropathy; further testing would be necessary to make this diagnosis definitively."
Narcotics and tramadol make me sick to my stomach. I do occasionally take Tylenol. Any other suggestions?