Maigne’s Syndrome and Lower Backpain

At Kinesio Care Center, we help many people suffering with lower backpain in our Sioux Falls, SD clinic. The source of back pain may be due to a condition called Maigne’s syndrome, which affects the nerves in the thoracolumbar junction of the spine. Difficult to properly diagnose, Maigne’s syndrome is often confused with lumbosacral or sacroiliac joint dysfunction. The following is based on information provided to us by our friends at ChiroUp.

What Causes Maigne’s Syndrome?

Essentially, what occurs in Maigne’s syndrome is that movement is reduced in the transition area of the spine, where the first lumbar vertebra and last thoracic vertebra are connected. Lumbar vertebrae aren’t suited to rotation or twisting like the thoracic vertebrae are, making the site susceptible to problems. Spinal instability or joint degeneration may be contributing factors in the development of Maigne’s syndrome.

Maigne’s is Often Misdiagnosed

Because the nerves in the thoracolumbar junction feed the flank, hip and groin, Maigne’s syndrome typically presents itself with pain in the lower back or spine, which may radiate across the lumbar region and into the hip. When peripheral cluneal nerve entrapment occurs, persistent standing and/or walking may aggravate symptoms, which are often mistaken for lumbar stenosis.


While Maigne’s syndrome can be difficult to diagnose for healthcare professionals who aren’t familiar with it, most chiropractors are able to pinpoint and treat the issue. The proposed treatment plan will depend on whether the problem is due to instability (hypermobility) or degeneration (hypomobility) in the area. Hypermobility strategies will focus on gaining stability, while hypomobility issues may require treatment that opens the intravertebral foramen.

If you are experiencing lower backpain or have sought treatment elsewhere with no improvement, Kinesio Care Center would be happy to assess your situation and provide you with a treatment plan that may include spinal adjustments, exercises and education. Please call our office today to schedule an appointment!