Article reviewed and approved by Dr. Ibtissama Boukas, physician specializing in family medicine
Lumbalization is a condition in which the first vertebrate sacred (S1) does not merge with the second, so that it seems to be part of the lumbar spine. This article explains this condition from the symptoms to the conservative and surgical treatment options.
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Definition and anatomy
Normally the Lumbar spine consists of five vertebrae (qualified from L1 to L5) separated from each other by a intervertebral disc between each level. The last vertebra (L5) is connected to the sacrum, a triangular bone formed by the fusion of 5 sacral vertebrae (named S1 to S5).
The lumbosacral region (between the lumbar and the sacrum) has an important role insofar as it supports the majority of the weight of the body, in addition to offering a protective role to the nerve roots coming from the spinal cord.
In some cases, the upper part of the sacrum, that is to say the S1 (or first sacral vertebra), can be separated from the rest of the sacrum instead of being welded to the S2 vertebra. It is then said to be part of the lumbar spine, and is sometimes referred to as the “L6 vertebra” or “transitional lumbar vertebra”. This phenomenon is known as lumbarization, and is present in approximately 2% Population.
Lumbar
Lumbarization is a congenital anomaly, that is, it is present in an individual from birth. As mentioned, the first sacral vertebra is not fused to the rest of the sacrum. Therefore, it seems that there are 6 lumbar vertebrae and only 4 sacral vertebrae.
This condition should not be confused with the sacralization lumbar. Sacralization is a type of birth defect in which the last lumbar vertebra (L5) is completely or partially fused with the sacrum (or hipbone in some cases). This fusion can occur on one side only (hemi sacralization) or on both sides.
Due to lumbar sacralization, the L5 vertebra appears more like a sacral vertebra. However, lumbarization rather concerns the first sacral vertebra (S1) which appears more like a lumbar vertebra.
Contrary to what many people may imagine, low back pain is not necessarily synonymous with back pain. Indeed, it can be asymptomatic in some cases, mainly due to the adaptability of the human body. Thus, the relationship between low back pain and low back pain is not definitive, and people diagnosed with this condition can live without experiencing pain.
The lumbarization of the spine may nevertheless cause clinical symptoms in some patients. Incapacitating lower back pain can appear and limit the quality of life, as well as the movements of the back.
From a biomechanical point of view, it must be understood that an “additional” vertebra modifies the functioning of the lumbar region and the sacrum. In particular, it affects trunk mobility, posture, the biomechanics of the upper and lower vertebrae, etc. This explains the pain and other associated disorders (muscle spasms, compensatory pain, nerve irritation, lumbar instability, etc.).
Diagnostic
Low back can be diagnosed with imaging tests, such as an x-ray of the spine. A front view and a side view of the lumbosacral spine allow an accurate diagnosis.
In some cases (such as in obese people), the x-ray will not allow the lumbarization to be clearly identified. A CT scan can then be used to clarify the diagnosis. Similarly, magnetic resonance imaging (MRI) will assess the integrity of the surrounding soft tissues, and determine if there is associated nerve damage.
Treatment
Since low back is a congenital condition, it is not possible to correct its cause with conservative treatment. Treatment will focus on relieving pain and improving quality of life. Among the available modalities are:
In addition to the treatments mentioned above, there are several products and accessories available on the market to relieve lower back pain related to lumbar sacralization. It should be remembered that these tools generally provide temporary relief, and should be used sparingly.
Among the products recommended by our professionals, we have:
【Multifunctional Physiotherapy】The acupressure kit set includes an acupressure mat and pillow, and 2 massage balls. You can use the acupressure set in different ways and on different parts of the body, such as lower back pain, insomnia, chronic stress, fatigue, tension, circulatory disorders, etc.
【Safe and Premium Material】The acupressure mat massager, cushion cover and storage bag are made of 100% cotton, the inside is 21D high-density eco-friendly sponge. The massage nail is made of non-toxic ABS plastic. 100% natural without side effects, hypoallergenic.
【Natural Ancient Indian Healing】 The acupressure mat has 230 massage nails, 6210 massage points, the pillow has 73 massage nails, 1971 massage points. Your weight is evenly distributed into thousands of small pieces to stimulate countless acupuncture points. Ideal for relaxation and promoting circulation. The size of the acupressure mat is 68*42cm, the size of the massage pillow is 37 x 15 x 10cm.
Last updated on 2024-04-25 / Affiliate links / Images from the Amazon Partners API
🔥BODY WARMING – The heating pillow lumbar consists of a built-in heating pad that heats up quickly to provide warmth to treat symptoms, menstrual cramps and stomach ailments, arthritis, leg pain and more.
🔥Vibration Massage - The back massager is integrated with 4 powerful massage motors to deliver a soothing vibrating massage. It helps reduce tension and strain in the neck and shoulders, lower back, lumbar region, thighs and legs.
🔥Customizable massage - This back pain wrap has 3 massage modes, 2 adjustable vibration intensities and 2 heating levels. Allows you to customize a setting for yourself to achieve the ultimate comfort. The heating pad is equipped with overheat protection and automatic shut-off functions to ensure safe use.
Last updated on 2024-04-26 / Affiliate links / Images from the Amazon Partners API
POSTURE CORRECTION & MUSCLE ACTIVATION: Patented Neuroband technology activates back and shoulder muscles, reminding your body to align your back and shoulders while providing comfort and freedom of movement.
PAIN AND TENSION REDUCTION: Supports and stabilizes tight muscles in the neck, back and shoulders helping to relieve pain and tension without restricting the muscles.
INJURY PREVENTION: Helps prevent shoulder and back problems by providing support and preventing harmful movements. Recommended for everyday situations including sedentary or physical work, sports activities, housework, etc. The product promotes beneficial working positions by stabilizing weak muscles and aiding alignment, neutralizing the gap between joints.
Last updated on 2024-04-26 / Affiliate links / Images from the Amazon Partners API
Improve unsupportive chairs: The comfort cushion in memory foam material uses body heat to adapt to the curves of the back and provide the lumbar support that is sorely lacking in office chairs
Against back pain: Most chairs do not support the back, which causes tension. The ergonomic cushion supports the upper, middle and lower back, for complete comfort
Breathable Cover: The chair cushion features a breathable mesh cover that allows air to circulate, preventing heat build-up. Finally enjoy a perfectly fresh seat all day long
Last updated on 2024-04-26 / Affiliate links / Images from the Amazon Partners API
30 LEVELS Massage Gun：ALDOM massage gun Choose the speed and massage heads that best suit your needs can quickly eliminate lactic acid produced after exercise, and for everyday relieve muscle pain, back and neck aches and stiffness, greatly reducing the time muscle recovery.
Long Battery Life: Equipped with high quality battery, the muscle massager can keep working about 6-8 hours after charging, while the cooling system can effectively remove excess heat, if the battery is low, there will be a red prompt.
Less than 45 dB Ultra Low Noise: ALDOM muscle massager gun which features high performance and low noise. features advanced technology and high-torque non-brushed electric motor, Featuring the high-precision mold which tightly connects the machine head and the body, The high-torque motor rotates 1800-4800 times per minute and achieves your tissue to loosen the fascia (connective tissue)
Last updated on 2024-04-26 / Affiliate links / Images from the Amazon Partners API
LUMBA +: Uses the neurovertebral decompression technique recognized by INSERM, practiced in osteopathy practices and recognized by the Association of Exclusive Osteopaths. Spinal neurodecompression is a surgical or non-surgical procedure that aims to release pressure on the spinal cord or spinal nerves
Neurovertebral decompression is a key element in the treatment of back pain such as herniated discs, bulging discs, sciatic pain, disc degeneration and osteoarthritis. Vertebral decompression is a principle increasingly used in the treatment of back pain (nerve sciatica stuck, disc pinching, scoliosis, compression of the vertebrae or low back pain).
Let's discover the technique of spinal decompression and see together its effects by stretching against sciatica. Principle of vertebral decompression Vertebral (or neurovertebral) decompression is a gentle treatment used in the event of sciatic nerve stuck, of herniated disc or in case of disc pinching.
Last updated on 2024-04-26 / Affiliate links / Images from the Amazon Partners API
BACK MASSAGE ROLLER TO RELIEVE YOUR MUSCLE PAIN: relieve your muscle pain and tension with the Core Balance pimpled foam roller. Roll the muscle massage roller placed under your muscles to break up soft tissue adhesions and target painful trigger points (muscle knots).
DEEPER MYOFASCIAL RELEASE: Our back massage roller features a hollow plastic body with a nubbed foam exterior for deeper myofascial release. The nubs on this back roller act like the hands and fingers of a massager to target, relax and release tight muscle knots much more effectively.
IMPROVE YOUR PERFORMANCE: Rolling the back roller over your muscles releases toxins, and increases the flow of blood and oxygen to the target area. Massage your muscles with our fitness roller before or after a workout to boost your performance, speed up your recovery time and protect you from injury.
Last updated on 2024-04-26 / Affiliate links / Images from the Amazon Partners API
The partner of your sports preparation, allowing you to prevent injuries, recover better but also relieve your pain.
4 independent channels allowing you to work 2 muscle groups simultaneously.
Last updated on 2024-04-25 / Affiliate links / Images from the Amazon Partners API
As a last resort, surgery can be considered to correct the lower back. The most common surgical option is fusion of the first sacral vertebra (arthrodesis). However, success rates vary, and the decision to operate will have to be assessed on a case-by-case basis.
What about natural remedies?
Although they are not supported by solid scientific evidence, several natural products and home remedies are used to treat various body pains, especially for their anti-inflammatory power.
Here is a non-exhaustive list of plants and essential oils that are effective in controlling pain and inflammation:
Turmeric : Thanks to its antioxidant and anti-inflammatory powers very powerful, turmeric is one of the most used plants in a culinary and therapeutic context. The composition of turmeric is essentially made of essential oils, vitamins (B1, B2, B6, C, E, K) and trace elements. But it is to its composition rich in curcumin and curcuminoids that we owe them and calm skin of this spice.
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Last updated on 2024-04-25 / Affiliate links / Images from the Amazon Partners API
Ginger : In addition to the special flavor it brings to the kitchen and its aphrodisiac properties, ginger is a root well known for its anti-inflammatory powers. THE gingerol gives it its anti-inflammatory action. It is an active component acting on the inflammatory pain related to chronic joint inflammatory diseases, including rheumatoid arthritis, lupus, rheumatic diseases, etc. It has been proven that this active element is also effective in acting on the inflammation linked to arthritis and sciatica. Ginger also has other benefits thanks to its high potassium content and its richness in trace elements (calcium, magnesium, phosphorus, sodium) and vitamins (provitamin and vitamin B9).
【Ginger Anti Swelling Detox Patch】: Ginger Detox Patches are natural,…
【Removes Body Toxins】: Ginger Foot Patches helps reduce the buildup of…
Last updated on 2024-04-25 / Affiliate links / Images from the Amazon Partners API
Omega-3s : Omega-3 are polyunsaturated fatty acids that play a very important role in the functioning of our body. They are provided by food in three natural forms: docosahexaenoic acid (DHA), alpha linolenic acid (ALA) and eicosapentaenoic acid (EPA). Beyond their action on the brain and the cardiovascular system, omega-3s prove very effective against inflammation. Indeed, they have the ability to act on the inflammatory mechanisms in osteoarthritis by slowing down cartilage destruction, thus they reduce the intensity of osteoarthritis pain. Since sciatica is most often linked to inflammation secondary to a herniated disc, it can also respond to omega-3s if you consume them regularly.
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Lemon eucalyptus: Eucalyptus is a plant most often used in the form of herbal tea or essential oil. She would have anti-inflammatory effects which give it the ability to act on the bone and joint pain in general and the pain of sciatica in particular.
Last updated on 2024-04-25 / Affiliate links / Images from the Amazon Partners API
wintergreen : Wintergreen is a shrub from which a very interesting essential oil is extracted. It is one of the most used essential oils in aromatherapy. This oil extracted from the shrub bearing the same name, is used in massage to relieve sciatica and act like a analgesic. Indeed, it provides a heating effect thanks to its ability toactivate blood circulation locally.
DIRECTIONS FOR USE: Refer to the instructions or ask your pharmacist for advice, This…
PURESSENTIEL DNA: A range of 55 essential oils essential for well-being in the…
Last updated on 2024-04-25 / Affiliate links / Images from the Amazon Partners API
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Anas Boukas( Physiotherapist, physiotherapist, consultant )
My name is Anas Boukas and I am a physiotherapist. My mission ? Helping people who are suffering before their pain worsens and becomes chronic. I am also of the opinion that an educated patient greatly increases their chances of recovery. This is why I created Healthforall Group, a network of medical sites, in association with several health professionals.
