Back and buttock pain that persists despite standard imaging and conservative therapy often leaves patients and clinicians searching for an underlying explanation. One frequently overlooked cause involves injury or entrapment of the cluneal nerves—three distinct sensory nerve groups that supply the skin over the lower back, sacrum, and buttocks. When compressed or inflamed, these nerves can generate pain syndromes that closely resemble lumbar radiculopathy, sacroiliac dysfunc