Abstract
The thoracolumbar junction (T11, T12, L1) may be the source of misleading, painful clinical manifestations. Low back pain is the most frequent, although the patient may also present hip pain or pseudovisceral pain that mimics gynecologic, urologic, testicular, or intestinal pain. These manifestations are unilateral. The patients never complain of pain at the level of the thoracolumbar junction, and radiographs are normal or show non-specific degenerative changes. The origin of the syndrome is a segmental dysfunction of T12 –; L1, and sometimes T11 - T12 or L1 - L2. The segment is painful to specific pressures, and palpation reveals soft tissue changes in the territory of the innervation of the corresponding rachidian nerve (T12, L1). These manifestations are highly treatable with manipulations, injections, and percutaneous rhizotomy.
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