Thoraco lumbar junction pain (Maignes syndrome)

by Jeff

Maignes syndrome radiation.

Maignes syndrome radiation.

Thoraco lumbar junction (TLJ) pain (Maignes syndrome)

I just stumbled upon a page about TLJ Syndrome. And then I found your page.

I was reading the symptoms, and they are very, very similar sounding to what I have had now for several weeks - a lower back pain on only my right side, as well as low abdominal pain (bubbly intestines and stomach), and burning/numbness above my right hip and in my abdominal area below my stomach.

I am wondering...

1) Do most chiropractors know about this TLJ syndrome, or is it something that requires a specialist? I went to my chiropractor recently, and he did some adjustments, but did not find anything there.

2) It said that most patients report no pain in the TLJ area... however, I do have a pain there, or more like just a sensation... something feels "off" in that area, right in my middle back around where the ribs end. It is only on the right side, just by my spine. I also have trouble bending over completely and it strains right there when I do. Does this still mean that I could have TLJ syndrome (even though I can feel the pain there)?

I had been doing some flexibility stretches prior to this starting, and I am quite certain I took them way to far as all of this started shortly thereafter.

Please let me know what you think, as I am very interested in solving this. It has been going on for almost a month now.

Hello Jeff,
Whilst the Thoraco Lumbar junction syndrome of Maigne often causes no pain in that area, that is certainly not always the case.

First things, first. I'd get your appendix checked out. A burst appendix is not pretty and can certainly refer pain to the back. No constipation, no other bowel, bladder, prostate complaints?

T12 and L1 are particularly difficult for your chiropractor to adjust. At least, I find them difficult, so it may take several treatments.

Maignes syndrome often radiates to the buttock, side of the leg and groin.

Type "Maignes syndrome exercises" into the Search this site at Chiropractic Help. You can do these at home and they will certainly help too.

Good luck, let me know in a month how you are getting on.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

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