Hi Murray,
This is a great topic,
I like you find these really difficult to identify and we often used a surface anatomy based approach to injections with the ultrasound used to give the correct depth.
The good news is my great friend Ke-Vin Chang is the master of such small truncal nerves.
I will upload some material onto the website from Ke-Vin.
It is great reading, not just for cluneal but also many other truncal nerves.
Happy scanning,
Steve.
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