Lumbarization of the spine is a painful condition that has numerous treatment options. Given it is a congenital condition, it can be diagnosed early and treatments can be pursued before it is too late.
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What are the Clinical Symptoms? How is Lumbarization of the Spine Diagnosed? How is Lumbarization Treated? Conclusion Lumbarization of the spine is a painful condition that has numerous treatment options. Connect with us on social media. Study results have been mixed. A review of medical studies of lower back pain found that the number of people with lower back pain who also had sacralization ranged from 6 to 37 percent.
A study suggested that people with lower back pain who have sacralization may have more severe pain. Sacralization has several forms, classified according to whether the fusion seen on an X-ray is partial or total, and whether the fusion is on only one side unilateral or both bilateral.
The commonly used Castellvi classification is:. It occurs during embryonic development, when the vertebrae begin to ossify, in about the eighth week. There may be a genetic predisposition involved. Estimates of the incidence of sacralization in the general population vary widely, from 4 to 36 percent. The wide range of estimates is attributed to differences of diagnostic methods and definition. Among people under 30, an estimated A review suggests that the incidence of sacralization may vary with race.
This review cites studies showing an incidence ranging from a low of 4 percent in China to To diagnose this condition, your doctor will first examine you and ask about your medical history and any pain you may have.
A sacralization diagnosis also requires X-rays of the lumbar spine. You may have flexion-extension X-rays, so that the doctor can view the lumbar region in different positions. Your doctor may also order MRI imaging. To confirm a diagnosis, your doctor may use diagnostic injections of anesthetics or steroids in the area. Treatment depends on the type and degree of sacralization and what your symptoms are. The conservative treatment given for pain associated with sacralization is the same as for other lower back pain.
A study reports that the Alexander technique of muscle retraining helps with posture and neuromuscular coordination. The same study notes that the Pilates method may be more effective than other physical therapy or exercise in strengthening the pelvic-lumbar region.
Chiropractic techniques are also reported to provide relief, by spinal manipulation, soft tissue work, stretching, and exercise. As we discussed in our article on the lumbar region, there is significant variation in the the anatomy of the coccyx. While it is typically made up of three to five vertebrae, these vertebrae may be fused at different locations.
In addition, the curvature and angle of the coccyx varies from individual to individual. The coccyx can be fractured, otherwise known as a broken tailbone. In addition, there are several tumors that involve the coccyx. Coccygectomy is a procedure which involves the surgical removal of the coccyx and may be used as treatment for an injured coccyx or a tumor in this region. We're hard at work and will be revealing our new ADA compliant website soon.
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