Maigne's Syndrome

by Jenna
(New York, NY, US)

Maigne's syndrome on X-ray.

Maigne's syndrome on X-ray.

Hi Dr. Lewis,


I really appreciated your posts about Maigne's Syndrome. I've had pain on my right side below my ribs and wrapping around my psoas area for years and am hoping to get evaluated for Maigne's syndrome as past treatment has not yielded long-term relief. Do you know of any providers in New York City who are knowledgeable on this syndrome?

Thank you.

Hello Jenna,
I fear not, I live on the other side of the planet. Follow the usual rule when looking for a new dentist, chiropractor or architect. Talk to friends, acquaintances and family.

If you have a short leg there will often be an apex at the lumbosacral junction. Have someone kneel behind you with hands on the iliac crests and then have you bend forwards. Are they level and is there a curvature?

The Maigne's syndrome exercises are particuarly good. Every morning in bed before arising.

EVERY morning.

Let me know how you get on.

Dr B.R. Lewis DC

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Apr 24, 2020
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by: Jenna

Hi Dr. Lewis,

Yes I definitely have a leg length discrepancy though I'm not sure if it's functional or structural. Is that a sign of Maigne's Syndrome?

It's not a sign of, but definitely a contributory factor. I know it is a pain to wear a lift in your shoes, but really it should be done anyway.

A short leg is one of the causes of hip, knee and spinal arthritis; there is simply extra wear and tear from the lop-sided gait; lots of research.

On the positive side you will have less back pain.

However, deciding whether the lift should go simply under the heel, the whole sole and if greater than 10mm a completely built up shoe is not straight forward; nor how thick it should be.

It does not need to be expensive; you can simply experiment with different thicknesses and placements. Really you should have professional advice but they may push you into very pricey orthotics.

Good luck; it is a big part of my understanding of well-being is that we should be prepared to take responsibility and put plenty of energy and thinking into the solutions. After all we are the ones who gain the benefits.

Let me know how you get on.

Dr B.R. Lewis DC

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