Effectiveness of Exercise and Local Steroid Injections for the Thoracolumbar Junction Syndrome (The Maigne’s Syndrome) Treatment

Kerem Alptekin*, Nurettin Irem Örnek, Tuğba Aydın, Mirsad Alkan, Mehmet Toprak, Leyla A. Balcı, Jülide Öncü Alptekin
Bahcesehir University, Health Sciences Faculty Department of Physiotherapy and Rehabilitation, Sahrayı Cedid Mahalesi Batman Sokak, Yenisahra/Kadıköy Istanbul, Turkey

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Creative Commons License
© 2017 Alptekin et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

# All authors have contributed to that study.* Address correspondence to this author at the Bahcesehir University Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Sahrayı Cedid Mahalesi Batman Sokak No: 66-68 Yenisahra, Kadıköy, Istanbul, Turkey; Tel: 90 506 239 24 26; E-mail:



Patients diagnosed as thoracolumbar junction syndrome were divided into 3 treatment groups and the results of each modality were compared.

Materials and Method:

30 Patients were included in the study with the definitive diagnosis of Maigne’s Syndrome. The first group received exercise therapy, the second group was treated with local steroid injections and the third group was the combination therapy group of both injection and exercise.


30 Patients were divided into 3 groups. Each group had 10 patients. The average age of the groups was detected to be 23.43 ± 3.75. A flattening was detected in 4 patients of the first group (40%), 6 patients of the second group (60%) and 4 patients of the third group (40%) during the lumbar lordosis. While the average difference of the VAS values was (2.80) as the lowest for the injection group before and after treatment at rest, the highest value (3.30) was observed in the combined treatment group. The results shown on the Oswestry scale of the first month difference (16.10), and the third month difference (22.40) were statistically better than the other groups in the combined treatment group.


As a result of this study, while in all three treatment groups in the Oswestry scale, VAS scores at rest or at movement during the regular controls before and after the treatment showed statistically significant difference; the best results were obtained in the group administered to the combined injection and exercise therapy.

Keywords: Maigne’s Syndrome, Corticosteroid injection, Exercise therapy, Back pain, Local anesthetic injection, Differential diagnosis.