Third Lumbar Transverse Process Syndrome

Third lumbar transverse process syndrome (L3-TP syndrome) is myofascial pain at L3 transverse process from traction/irritation of attached muscles/lumbar dorsal ramus. Clinical: localized low back pain at L3, tenderness, referred pain to buttock/thigh, no radiculopathy. Diagnosis: clinical; imaging rules out other causes. Treatment: PT (stretching, massage, ultrasound), NSAIDs, muscle relaxants, local anesthetic/steroid injection at L3 TP; activity modification; follow-up orthopedics/PT/pain clinic.

Common Symptoms

L3-localized low back pain; tenderness; referred buttock/thigh pain

Causes and Pathogenesis

Long L3 TP traction on attached muscles/nerves causes myofascial pain.

Treatment

PT/NSAIDs; local injection; activity modification

Preventive Measures

Core strengthening; posture; avoid overuse.

Department to Visit

It is recommended to visit the Orthopedics/Physical-therapy/Pain clinic department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.