[MAIGNE'S THORACOLUMBAR JUNCTION SYNDROME]

The characteristic of thoracolumbar junction syndrome (TLJS( described by Maigne are pain in the iliac crest and tenderness on palpation at the level of the junction between the lower dorsal and the upper lumbar vertebra. It is an often unrecognized and treatable cause of low back pain. TLJS is commonly associated with those who have low back pain, although it does not always present pain in this region. The source of the pain may be due to a disorder, which affects the nerves in the thoracolumbar junction of the spine, but presents usually in the lower abdomen, around the pelvic region, and in the groin. However, while the majority of the stress may be borne by the facet joints between T12 and L1, in reality, any spinal joints between T9 and L2 have the potential to develop lesions and nerve impingements, increasing the risk of referred pain. Lumbar vertebrae are not suited to rotation or twisting like the thoracic vertebrae, are making the site susceptible to problems. Patients with Maigne's syndrome generally respond well to manual techniques. In addition, therapeutic exercises for the spine, anti-inflammatory and analgesic drugs, and nerve block can improve functional outcome.