It is easily overlooked by clinicians because there is no nerve root compression, no change in muscle strength or reflexes, and the leg pain does not go beyond the knee. The superior gluteal nerve originates from the posterior lateral branch of the lumbar 1 to 3 nerves, and when it crosses the iliac crest into the buttock, it is fixed by the bony fiber canal between the lumbar dorsal fascia and the iliac crest, and the deformation or narrowing of this canal or lumbar sprain can cause damage to the superior gluteal nerve. It is not easy to distinguish gluteal epicutaneous nerve syndrome from other causes of low back pain such as lumbar disc herniation and lumbar muscle strain. The pain is characterized by pain in the buttocks and thighs, mostly not exceeding the knee joint, with no signs of nerve root involvement; (2) a painful mass of several millimeters in diameter and several centimeters in length can be palpated in the buttocks; (3) the pain is relieved after local closure of the strip; (4) imaging of the lumbar spine excludes lumbar spine disorders. Clinical data From September 1997 to September 2000, a total of 43 cases of gluteal epiglottic nerve syndrome were treated, including 7 cases with bilateral symptoms, 27 men and 16 women. The duration of the disease ranged from 6 d to 4 years and 5 months, with a mean of 2 years and 8 months; the age ranged from 21 to 58 years, with a mean of 35 years; the follow-up ranged from 6 months to 3 years, with a mean of 1 year and 8 months. Treatment: Non-surgical treatment: 2 ml of 2% lidocaine and 30 mg of prednisolone acetate were extracted from a 10-gauge needle, and the puncture points were located within 2 cm of the intersection of the superior iliac crest and the outer edge of the sacral crest muscle, and the most obvious pressure point was disinfected. Every 3 weeks as a course of treatment, a total of 4 times closed. For patients whose pain could not be relieved by non-surgical treatment, supragluteal nerve release was performed; in this procedure, an incision of about 5 cm in length was made at the most obvious pressure point, and each layer was incised in turn until the superficial fascia and deep fascia were located, and the supragluteal nerve was released. Results: excellent: complete relief of pain; good: basic relief of pain; acceptable: partial relief of pain; poor: no relief of pain. The results of non-operative treatment: excellent in 22 cases (26 sides), accounting for 52%; good in 11 cases (12 sides), accounting for 24%; acceptable in 6 cases (7 sides), accounting for 14%; poor in 4 cases, accounting for 8%. The results of surgical treatment: for the 9 patients with acceptable and poor non-surgical treatment, 7 patients had nerve release and 2 patients had nerve dissection, of which 8 cases were excellent and 1 case was good. Another patient with bilateral gluteal epiglottic nerve syndrome refused surgical treatment. Forty-three patients (50 sides) were treated by both methods, and 42 patients (48 sides) were treated with excellent results, with an excellent rate of 96%. The superior gluteal nerve syndrome is also known as gluteal epiglottic nerve impingement syndrome or gluteal epiglottic neuritis. The gluteal epicutaneous nerve originates from the posterior lateral aspect of the lumbar nerve, crosses the bony fiber canal formed by the iliac crest and the lumbodorsal fascia, and then travels a short distance in the deep fascial interlayer of the buttocks before reaching the subcutis. Therefore, the superior gluteal cutaneous nerve is more fixed in this section of the stroke and has less cushion. In acute sprains, chronic strains, perineural fascial and fatty growths, the superior gluteal nerve is susceptible to compression or injury, and symptoms may occur. The supragluteal nerve syndrome is characterized by pain in the hip and thigh, usually not exceeding the knee joint, without radiation and not closely related to the position, without nerve root involvement; there are fixed pressure points in the upper part of the hip, and after local closure, the pain is relieved. In terms of treatment, local closure has certain efficacy in the near term, but the long-term efficacy is often poor because it cannot release the nerve compression. The authors used the method of subcutaneous picking + local closure with a 10-gauge injection needle, which facilitates the release of the perineural nerve around the gluteal epiglottis and improves the efficacy compared with the method of simple closure. In cases where non-surgical treatment is unsatisfactory, surgical release or nerve dissection can be used.