Lumbarization is a condition where the first sacral segment is at least partially mobile instead of being part of the fused mass of the sacrum. In other words, there is an extra lumbar vertebra, often referred to as L6.
Sacralization is a common irregularity of the spine. The fifth vertebra, known as L5, may fuse fully or partially on either side of the sacrum, or on both sides. This can cause pain and discomfort. However, there are treatments available that can help ease the pain and improve quality of life.
Lumbarisation and sacralisation are two conditions that may or may not cause back pain. In some cases, patients do not experience any symptoms at all. Bertolotti’s syndrome is a condition that results from lumbarisation and sacralisation, and it causes a sciatic type of pain in the lower back.
Some other potential signs that you may be experiencing lumbarisation or sacralisation include:
Lumbarisation and sacralisation are congenital conditions that can cause severe back pain. However, there are certain activities that can make the pain worse. If you have either of these conditions, it’s important to be careful with your activity level and to avoid anything that could aggravate your condition.
People with lumbarisation or sacralisation are more likely to experience back pain. This is because:
At Kalp Health Care, our wise and empathetic professionals take a transparent and innovative approach to ensure you receive the highest quality care, personalized to your unique health journey.
At Kalp Health Care, we believe in precision and personalization, our wise and empathetic approach ensures that your treatment is innovative, transparent, and, above all, centered around your unique needs and holistic health.That’s why:
Individualized Approach: Our expert team crafts unique treatment protocols for each patient.
Unique Needs: Even if two patients have a similar diagnosis, their treatments are tailored to their specific requirements.
Comprehensive Assessment: We consider not only the diagnosis but also your overall well-being, including physical, mental, emotional, and psychological health.
Holistic Care: Our patient-centric philosophy means that:
A 360-Degree View: We take into account every aspect of your health and life that may impact your well-being.
Emphasis on Well-being: Your treatment plan is designed to address not just physical pain but also your mental and emotional health.
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At the age of 53, a back problem is scary when a doctor tells you that you need 10 days of bed rest or surgery! I went to Kalp expecting the usual steps of physiotherapy, but I couldn't even stand up straight or get out of bed without shooting pain. This is an example of not judging a book by its cover. Dr. Kant is a simple man but a magician when it comes to his treatment. He is passionate and positive about his treatment and knows the human body like the back of his hand. A dedicated team with Dr. Monika and Dr. Rakesh got me on my feet in just 3 days. This is the best treatment I could have asked for!
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How is Lumbarization Treated? In the first instance, over-the-counter painkillers and non-steroidal anti-inflammatory drugs may be helpful. However, if they do not help, nerve block injections with the use of a local anesthetic may provide some temporary relief.
Even though many pain physicians use fluoroscopy to identify the segment of the lumbar vertebrae, an anatomical deformity in the lumbar spine, such as lumbosacral transitional vertebra (LSTV [lumbarization or sacralization]) is often observed, with a reported incidence of 9–30% [1–3].
Lumbarization may present as partial (incomplete separation of S1-S2 bodies and their neural arches) or complete separation of the S1 from the S2 segment in a sacrum. Separation of S1 entails alteration of the anatomy at the lumbosacral junction that affects load bearing at the region.
Sacralization is more common in males, meanwhile accessory L5-S1 articulations and lumbarization of S1 are more common in women. Cases of families with increased incidence of LSTV suggest a genetic component.