Thoraco lumbar junction syndrome: A case report

This case report describes a 46-year-old female who experienced symptoms of low back pain with pain radiating into the right gluteal area. Initial intervention addressed mechanical dysfunction at the lumbosacral junction. Reduction in symptoms was observed following manual therapy procedures that ad...

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Bibliographic Details
Published in:Physiotherapy theory and practice 2006-01, Vol.22 (1), p.53-60
Main Author: Sebastian, Deepak
Format: Article
Language:English
Subjects:
Female
Humans
Low Back Pain - diagnosis
Low Back Pain - rehabilitation
Lumbar Vertebrae
Manipulation, Spinal - methods
Middle Aged
Prognosis
Range of Motion, Articular - physiology
Recovery of Function
Risk Assessment
Severity of Illness Index
Syndrome
Thoracic Vertebrae
Time Factors
Treatment Outcome
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Summary:This case report describes a 46-year-old female who experienced symptoms of low back pain with pain radiating into the right gluteal area. Initial intervention addressed mechanical dysfunction at the lumbosacral junction. Reduction in symptoms was observed following manual therapy procedures that addressed the lumbosacral junction; however, the right gluteal pain persisted with recurrence of back pain. Subsequent examination revealed non-neutral dysfunction at the thoracolumbar junction. Treatment was continued with manual therapy procedures that addressed facet restriction and soft tissue dysfunction in the thoracolumbar junction. A marked relief in symptoms was reported thereafter, with a decrease in right gluteal pain and improved functional ability. The anatomical and clinical relevance to this scenario is described. The thoracolumbar junction is described as a predominant contributor to the symptomatology. Its complementary role to the lumbosacral junction is enumerated.
ISSN:0959-3985
1532-5040
DOI:10.1080/09593980500422362