Journal of Anesthesiology and Pain

Abstract
Aims and Background: Maigne's or thoracolumbar syndrome is an almost common disease with simple diagnosis based on symptoms and corrects physical examination; besides there are very effective therapeutic methods available for this syndrome. However as there is no special radiologic sign and para-clinic data is normal in these patients, the diagnosis is usually challenging. Sometimes the patient's symptoms are very severe despite normal radiography and EMG-NCV findings; therefore early treatment prevents later complications.
Case report: A 47 year-old woman complaining of low Back pain, buttock pain, and anterolateral leg pain from a year ago was referred to pain clinic. After Maigne syndrome was diagnosed, Dorsal and Lateral rami  block of 11th and 12th thoracic nerves was performed for her and she had pain relief.
Conclusion: Maigne's syndrome is among illnesses which does not have any specific radiologic or labarotory sign despite specific pain symptoms in the areas mentioned, so pain physicians may become confused encountering such patients.