Baastrup’s diseaseis mostly suffered by the elder people. People who are in the ages of 60s have higher potential to have Baastrup syndrom.. Unlikely, he experiences the serious pain of his low back for the past of 5 years. This disease is called Baastrup’s Disease or kissing spine syndrome. He says that the pain is followed by inflammation on palpation, and in the mid-lumber region. He also explains that the pain will increase during leeway movement while releases during flexion. The inflammation which occurs around the tissue is caused by the L3 and L4 spine were kissing each other, and the interspinous space filled with the fluid.
What is Baastrup’s disease?
Kissing spine syndrome is also known as a low back pain syndrome. Performing of a CT and MRI can show the L3 and L4 spines are facing together and it causes the pain or the inflammation. The indication of this disease by the changes in the tissue between the head-to-head spines. The name of Baastrup syndrome is taken from the name of a radiologist, Christian Ingerslev Baastrup. This disease also has other terms such as interspinous bursitis (ISB) occurred on the interspinous region.
Back pain is one of indication of Baastrup’s disease. Back pain is the result of the adjacent interaction of spinous process. This may occur in the cervical region and lumbar, and the erosion of the spine can also be the result.
Kissing spines syndrome symptoms
Baastrup’s syndrome is a serious condition of a spinal or cervical region which causes a severe back pain. The unstable of the spinal process can occur other symptoms. The indications of Baastrup’s disease are:
- Patient may feel pain in spinal processes which may or may be referred
- Sometimes the patient feels impassiveness in order to an involvement of nerves
- lateral flexion of the spinous can be also contagious
- Lumbar extension may worsen the pain
What are the causes?
Actually, the cause of kissing spine syndrome is still unknown. However, the most believed theory says that loss of disc space which leads to erosion of the disc in an exchange between the spinous process can be the potential cause of the Baastrup’s disease. Some other causes of kissing spine syndrome may be the result of scoliosis or lordosis, incorrect postures, traumatic damages to the spines, obesity, and spondylolisthesis. This syndrome is actually mechanical which is a result of the close spinous process. It may worsen with hyperextension. The swimmers are quite common with this condition.
The way to diagnose Baastrup syndrome
If you have the symptoms which are caused by several this above. There are many ways of diagnosing this disease. You may detect the Bastrup’s disease by doing:
- A plain film and CT scan
This technique can show the close contact of the adjacent spinous process. The proximity may be extension, destruction, and sclerosis of the interspinous surfaces,
- MRI scan of lumbar spine
This result’s scan may show interspinous brusal fluid that causes bursitis. MRI is also able to indicate posterior-central epidural cyst.
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The treatment for kissing spine syndrome
You may get Baastrup’s disease and this disease may affect your life. Do not ignore this disease because of bringing the massive pain. It is time to treat and manage the disease:
Injection of corticosteroids is to treat the pain which is indicated as a micro-trauma. You will not allow doing lumbar spinal movements during the treatment procedure
If the patient does not respond from the injection. He may require taking surgery. This surgical protocol for the Baastrup syndrome includes excision of a spine, spinal fusion, and implant position between spine. However, the result of the surgery may not provide a satisfaction result.
- Physical therapy management
Thistreatmentcanhelptoimprovethemusclemoreflexibleandstronger.Some theories say the physical therapy management is considered as the high recommended action for the Baastrup’s disease.