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Lumbar Fat Herniation

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Lumbar Fat Herniation
Synonym Episacral lipoma, sacroiliac lipoma.
Tests Local anaesethetic injection


Fat can herniate through the thoracolumbar fascia in an extramuscular, subcutaneous location. The thoracolumbar fascia has fenestrations where cutaneous branches of the dorsal rami pass through. It isn't clear how fat herniation actually cause pain however. The diagnosis is supported by abolition of pain with infiltration of local anaesthetic.[1]

  1. ↑ >Bogduk, Nikolai. Clinical and radiological anatomy of the lumbar spine. Chapter 15. Edinburgh: Elsevier/Churchill Livingstone, 2012.
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