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What is the KISS syndrome in adults?

Published in Spinal Condition 2 mins read

KISS syndrome in adults most likely refers to Kissing Spine Syndrome, also known as Baastrup's syndrome, Baastrup's disease, or interspinous bursitis.

Understanding Kissing Spine Syndrome

This condition arises when the spinous processes (bony projections extending from the back of the vertebrae) in the lower back move too close together and touch or "kiss." This close proximity can lead to:

  • Pain: Direct contact between the bones can cause pain, especially during movement.
  • Inflammation: The rubbing of the bones can irritate the surrounding tissues, leading to inflammation.
  • Bursitis: Inflammation of the bursa (a fluid-filled sac that cushions bones and tendons) between the spinous processes.

Symptoms of Kissing Spine Syndrome

Common symptoms include:

  • Lower back pain, often made worse by bending backward or prolonged standing.
  • Tenderness when pressing on the affected area of the spine.
  • Stiffness in the lower back.
  • Pain radiating into the buttocks or legs (less common).

Diagnosis of Kissing Spine Syndrome

Diagnosis typically involves:

  • Physical Exam: A doctor will assess your range of motion and identify areas of tenderness.
  • Imaging Tests: X-rays, MRI, or CT scans can help visualize the spinous processes and identify any abnormalities or inflammation.

Treatment for Kissing Spine Syndrome

Treatment options vary depending on the severity of the condition and may include:

  • Conservative Treatment:
    • Pain medication: Over-the-counter or prescription pain relievers to reduce pain and inflammation.
    • Physical therapy: Exercises to strengthen back muscles, improve posture, and increase flexibility.
    • Injections: Corticosteroid injections into the affected area to reduce inflammation and pain.
  • Surgical Treatment:
    • In severe cases, surgery may be necessary to remove part of the spinous processes to create more space and prevent them from touching.
Aspect Description
Cause Spinous processes moving too close and touching.
Symptoms Lower back pain, tenderness, stiffness.
Diagnosis Physical exam, X-rays, MRI, CT scans.
Treatment (Non-Surgical) Pain medication, physical therapy, injections.
Treatment (Surgical) Removal of part of the spinous processes.

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