Maigne’s Syndrome. Lumbo-Pelvic Pain Part 1. William E. Morgan. It is natural to associate the site of pain as the source of pain. If the pain is over the sacroiliac. PDF | Thoracolumbar junction syndrome is defined as a result of a minor intervertebral dysfunction at the thoracolumbar junction and referred pain in the low. PDF | Thoracolumbar junction syndrome is characterized by referred pain which may originate at the thoracolumbar junction, which extends.

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Syndome online May Did you see a specialist? Maigne points out that sensory innervation of the flank, of the tissues over the lower lumbar spine and the pelvis, comes from the superior cluneal nerves, which originate between T10 and L2.

Thoracolumbar Junction or Superior Cluneal Nerve Entrapment Syndrome

Susan Robinson, You would need to find the help from your local medical authorities. Views Read Edit View history. This nerve irritation causes referred pain in a well described tri-branched pattern. The authors declare that they have no conflict of interest and no financial support either.

The trigger point in question is clearly just below the iliac crest, on the posterior side. I am confused as to whether this could be the Iliolumbar ligament or Dorsal Ramus. Since the facet joint injection was applied to the patients during our study, the local steroid injection was induced to the patients receiving the injection therapy in the thoracolumbar junction region; yet the manual therapy applications have not been applied.

Facet joint palpation is not an easy technique, because they are located cm below the skin. The most common levels TT12, TL1 which are usually considered as unilateral and sometimes as ysndrome can be defined as the TLS involvement showing that according to the Maigne minor vertebral disorders, and according to chiropractic subluxation and osteopathy, they are somatic [ 12 ].


It also syndome the multifidus muscle, one or two levels Distal Away from the trunk.

An interexaminer mainge study. The pinch-roll test is usually positive. After I read Maigne’s paper, the patient happened to come in and did show the classic trigger point, 7 cm lateral to midline in the upper gluteals.

The 12 th thoracic vertebra continues to be the focus of the transitional stress during the spinal movements. I have done all kinds of manual approaches to that spot as a muscular knot, including Graston technique, counterstrain and myofascial release. The musculoskeletal entities to consider for the cause of back pain include: Morgan It is natural to associate the site of pain as the source of pain.

Thoracolumbar Junction Syndrome Musculoskeletal providers frequently see patients with inguinal pain, sacroiliac and buttocks pain, and lateral hip pain, and it is common to focus on the region of pain rather than other possible sources of it. Besides, since the lower abdomen is affected while causing a pseudo visceral pain, the pain could be imitated with induced pains causing gynecological, gastroenterological and urological pains.

On the involved side, the skin overlying the buttock and iliac crest is found to be tender when compared to the opposite side. Table 4 SF scores before and after treatment. We did extensive trigger point and dynamic Graston to the gluteals, etc.

If you don’t mark this spot, you may not be able to go back to the exact spot. The clinical findings show that the back pain is the most common complain. As usual, when it comes to dysfunction of the human form, there is not one simple solution. The superior cluneal nerves leave the spine at the T-L junction and provide sensory supply to the lower lumbar and gluteal area. Programmierte Untersuchung Des Bewegungsapparates.


I have presented with severe “pubic bone” pain, hip joint pain, and sciatic pain since I started seeing him, and am always told the pubic pain is reffered pain, even though touching certain spots create severe sharp pain.

Posterior ramus syndrome

Thoracolumbar syndrome as a cause of low-back pain: According to the stories of the 6 month short-term patients complaining about the pain in the waist, hips and groin or the outer side region and according to the lumbar MRI results, the patients who were normal or having flattening in the lumbar lordosis only were excluded.

The fourth criterion clinches the diagnosis: If I have anything unique to offer on this topic, here it is. By using this form you agree with the storage and handling of your data by this website.

Spinal palpation for lumbar segmental mobility and magine provocation: Even if there is no cure, I will feel much better just knowing the pain which is chronic and at times so severe I can’t do anything but cry.

Foam roller, thoracic mobilization. Please review our privacy policy. Pain over the sacroiliac may be interpreted as originating in the sacroiliac joint, pain in the lateral thigh as Iliotibial band syndrome, and inguinal pain as psoas dysfunction. The patient was an active year-old female who, while ice skating, banged into the side of the rink, bruising her left flank clue one: Or, additionally, how many patients had been told for years they had a sacroiliac problem and had their SI adjusted ad nauseam, but received only limited relief.

I also love conditions that respond in a clear-cut way to manipulation.