MAIGNE SYNDROME PDF

I have noticed and I suspect you have, too that the thoracolumbar T-L junction is almost always tight in lower back pain patients. I used to think this was a compensation, something to be noted and maybe treated, but not a key restriction; not a source of lumbar and pelvic pain. In hindsight, I was wrong; dysfunction at the thoracolumbar junction is critical and can be the direct source of lower back pain. The sensory cutaneous nerves the superior cluneal nerves can get irritated and cause a referred pain far from the nerve origin. Let's learn more about the condition, including how to assess and treat it. This is another in my "most missed" series.

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The Maignes syndrome also called Thoracolumbar Junction Syndrome TLJ , sometimes described as lumbodorsal syndrome, or Posterior Ramus Syndrome, is a common spinal disorder that is often overlooked. Due to the subjective nature of the 4 primary diagnostic criteria, some clinicians refuse to accept that the condition even exists. The reason TLJ syndrome is so commonly missed by healthcare professionals is because the pain associated with the syndrome rarely presents at the source of the disorder and as such is primarily referred elsewhere.

Lower back pain in the region of the sacroiliac joint SI is perhaps the most common site of pain reported by those suffering from the condition. Consequently it is often assumed that it is the SI joint itself that is dysfunctional, and not the thoracolumbar junction between the 12 th thoracic and the 1 st lumbar vertebrae. In fewer cases, the dysfunction actually occurs between the 11 th and 12 th thoracic vertebrae.

The TLJ is the transition site between the thoracic and lumbar regions of the spine and as such it is the point at which the fluidity of movement between these two spinal segments most often breaks down. The structure and function of these adjacent spinal regions does differ somewhat; the lumbar spine for example has almost no rotational ability, while the thoracic spine is able to rotate because the facet joints in this segment are aligned in the frontal plane, as opposed to those in the lumbar spine, which are aligned sagittally.

The 11 th , 12 th thoracic, and the 1 st lumbar vertebrae are the most common sites for spinal trauma. When the rotational force torque from the thoracic spine passes through into the lumbar vertebrae, as would be the case during many twisting and turning actions, the surrounding tissues must absorb this force to protect the lumbar spine from also twisting or rotating.

The more times these motions are repeated, especially under load, the greater the risk of irritation and inflammation in the surrounding spinal structures. Additionally, sufferers of the syndrome almost never complain of pain affecting the TLJ itself. The pattern of pain usually radiated along the pathway of the nerves that leave the spine at the TLJ.

The primary groups of nerves exiting the TLJ include the anterior ramus, posterior ramus and the perforating lateral cutaneous branch of the plexus lumbalis. Maignes Syndrome: Thoracolumbar Junction Syndrome. Skip to content. Maignes Syndrome. Buttock pain On the side of the hip trochanteric bursitis [1] Painful areas: Kirwan.

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Maignes Syndrome

For more information about HFE's response to the coronavirus, please click here. He has a passion for all things exercise, with his key specialisms being strength and performance-based training. Read more. Low back pain is a complex and widespread medical condition that afflicts millions of people worldwide, especially in developed and developing countries where sedentary lifestyles are rife. While it may sound ludicrous, how many people do you think would accept a diagnosis of non-specific chest or stomach pain without challenging it? Analgesics painkillers and non-steroidal anti-inflammatory medication NSAIDs will not fix your problem, they will only mask your symptoms for the duration that you are taking them.

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Posterior ramus syndrome

The Maignes syndrome also called Thoracolumbar Junction Syndrome TLJ , sometimes described as lumbodorsal syndrome, or Posterior Ramus Syndrome, is a common spinal disorder that is often overlooked. Due to the subjective nature of the 4 primary diagnostic criteria, some clinicians refuse to accept that the condition even exists. The reason TLJ syndrome is so commonly missed by healthcare professionals is because the pain associated with the syndrome rarely presents at the source of the disorder and as such is primarily referred elsewhere. Lower back pain in the region of the sacroiliac joint SI is perhaps the most common site of pain reported by those suffering from the condition. Consequently it is often assumed that it is the SI joint itself that is dysfunctional, and not the thoracolumbar junction between the 12 th thoracic and the 1 st lumbar vertebrae.

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Maigne’s Syndrome

Lateral hip, lumbosacral, and groin pain are often due to lumbar spine or hip joint dysfunction. However, the next time you see these symptoms, be sure to assess the thoracolumbar junction TLJ. TLJ dysfunction, often described as Maigne Syndrome, may result in nerve irritation with referral to the lumbopelvic region. Proper assessment and treatment result in highly satisfied patients. In the next ten minutes, you will learn five tips about why Maigne syndrome should be on your shortlist of differential diagnoses.

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Maigne Syndrome: Sciatica of the Thoraco-Lumbar Junction

William E. Morgan, DC. Available Now for Immediate Download:. It is natural to associate the site of pain as the source of pain. If the pain is over the sacroiliac joint, it is a sacroiliac problem. If there is lateral thigh pain, it is probably a tensor fascia lata TFL syndrome.

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