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 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.
Institute of Manual Physical Therapy, Alternative Rehab Inc., Livonia, MI 48152, USA. DrDeephysio@hotmail.com
Deepak
D
Sebastian
D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis* / Q000534:rehabilitation*; D008159:Lumbar Vertebrae; D020393:Manipulation, Spinal / Q000379:methods*; D008875:Middle Aged; D011379:Prognosis; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D012720:Severity of Illness Index; D013577:Syndrome; D013904:Thoracic Vertebrae; D013997:Time Factors; D016896:Treatment Outcome