Lumbarisation And Sacralisation

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:

  • Lower back pain along with buttock pain
  • Limited ipsilateral (same side of the body) flexion
  • Reduced mobility
  • Muscle spasms
  • Decreased coordination and flexibility
  • Sciatic or radicular pain patterns
  • Chronic back pain in adolescents
  • Chronic, can last for years

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:

  • Poor sitting posture that places stress on the affected joints
  • Twisting movements that can irritate nerve roots
  • Lifting heavy loads incorrectly
  • Sitting for prolonged periods
  • Low levels of physical activity

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.

    • Comprehensive Assessment: Our expert professionals conduct a thorough assessment, which includes:
      • Patient Symptom Evaluation: We listen attentively and patiently to understand your symptoms.
      • Posture Analysis: We assess your posture to identify potential issues.
      • Physical and Functional Assessment: A comprehensive evaluation of your physical health and functionality.
    • In-Depth Evaluation: To ensure a holistic understanding, we consider various factors, such as:
      • Radiological Findings: Incorporating X-Ray, MRI, CT scans, and clinical correlation.
      • Lab Reports: Analyzing laboratory test results for a complete picture.
      • Medication History: Documenting past and current medications.
      • Medical and Surgical History: Understanding your medical journey.
      • Lifestyle Factors: Exploring lifestyle, work patterns, and daily routines.
      • Nutritional Assessment: Evaluating diet and nutrition, emphasizing fibrous foods, minerals, and hydration.
    • Personalized Approach: We believe in patient-centric care, tailoring our assessments and recommendations to your specific needs:
      • Climate Considerations: Recognizing the impact of climate on health.
      • Family History: Considering hereditary factors.
      • Daily Activity: Analyzing your daily routine.
      • Metabolic Assessment: Understanding your metabolic activity.
      • Exercise Routine: Assessing your physical activity regimen.

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.

Himanshu Dagar

I have been visiting the clinic for the past two years and my experience has been great. Dr. Kant is very knowledgeable and he treats his patients with full dedication and patience. I underwent treatment for my neck and back pain and I got relief after just a few sessions of dry needling. So, I would recommend everyone to visit KALP HEALTH CARE for any kind of physiotherapy treatment.

Nithya Santhakumar

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!

Vivek Goyal

Dr. Kant and his clinic are excellent in treating muscular and spinal issues - it's very clean and hygienic. Dr. Kant has great understanding and knowledge, quickly reaching to the root of what's wrong and able to provide Relief within a few sessions. I found a solution to my spine problem after seeking treatment from Dr. Kant - I had tried all kinds of treatments before but hadn't been able to find any relief.

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Who is a Kalp Specialist?

Dr. K. K. Kant is the Founder of Kalp Health Care, located in the sub-city of Dwarka, New Delhi.

There are trial & success methods to treat pain but as a seasoned  professionals, we know when and bhow to combine clinical reasoning with manual therapy, modalities, and recent EBP to restore mobility & rejuvenate life.

Dr. K. K. Kant has a keen interest in Ortho – Sports – Spine – Pelvic Floor – Foot field and advanced manual therapy.

Frequently Asked Questions

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.

Treatment for Sacralization
  1. Lifestyle modifications to avoid or change activities that increase pain.
  2. Over the counter (OTC) pain medication, as directed.
  3. Physical therapy.
  4. Periodic treatment, such as steroid injections to reduce symptoms.