Pain over the hips is frequently a result of dysfunction in the thoracolumbar junction. Kellgren (1939) first established that injection of the thoracolumbar interspinous ligaments in healthy volunteers resulted in pain over the hips. Later, McCall et al (1979) produced similar patterns by injecting the upper lumbar facet joints. Maigne syndrome is defined as dysfunction of the thoracolumbar junction marked by pain in the territory of the associated dermatomes of T11-L1 or 2. Background Anatomy The T12 and L1 ventral rami (subcostal & illiohypogastric nerves respectively) give rise to the...