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Thoraco lumbar junction syndrome: a case report.

Deepak Sebastian1

  • 1Institute of Manual Physical Therapy, Alternative Rehab Inc., Livonia, MI 48152, USA. DrDeephysio@hotmail.com

Physiotherapy Theory and Practice
|April 1, 2006
PubMed
Summary

This case report highlights that thoracolumbar junction dysfunction, not just the lumbosacral junction, can cause persistent low back and gluteal pain. Manual therapy targeting the thoracolumbar area resolved symptoms, improving function.

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Area of Science:

  • Orthopedics
  • Manual Therapy
  • Spinal Biomechanics

Background:

  • Low back pain with radiating gluteal pain is a common clinical presentation.
  • Initial treatment often focuses on the lumbosacral junction for such symptoms.

Observation:

  • A 46-year-old female presented with persistent low back and right gluteal pain.
  • Symptoms initially improved with lumbosacral junction manual therapy but recurred.
  • Further examination identified non-neutral dysfunction at the thoracolumbar junction.

Findings:

  • Manual therapy addressing thoracolumbar facet restrictions and soft tissue dysfunction led to significant symptom relief.
  • The patient reported decreased gluteal pain and improved functional ability.
  • The thoracolumbar junction was identified as a primary contributor to the patient's symptomatology.

Implications:

  • This case underscores the importance of evaluating the thoracolumbar junction in cases of persistent low back and gluteal pain.
  • Manual therapy techniques targeting the thoracolumbar spine can be effective in managing complex spinal pain presentations.
  • Understanding the interconnectedness of spinal regions, like the thoracolumbar and lumbosacral junctions, is crucial for comprehensive patient care.

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