Cutting the Pain, not the Power: Posterior Femoral Cutaneous Nerve Block Restores Competitive Performance (P7-14.012)

The posterior femoral cutaneous nerve (PFCN) is a purely sensory nerve from the sacral plexus that supplies the posterior thigh, gluteal fold, and upper medial thigh. Isolated PFCN mononeuropathies are rare, underrecognized, and present with neuropathic pain without motor deficits. Posterior thigh pain is frequently misattributed to sciatic, pudendal pathology or musculoskeletal strain, leading to misdiagnosis. Although peripheral nerve blocks are increasingly used in pain management, selective ultrasound-guided blockade of the PFCN is rarely reported.