Causes and risk factors
The disease occurs due to degeneration of spinous process and interspinous soft tissue. There is enlargement of the posterior spinous projections of the lumbar spine. It can be caused also due to repetitive stress and trauma.
Clinical presentation
Patient presents with gradually progressing low back pain. The pain is worse on extension of the spine and is relieved on flexion [bending]. The patient cannot bear contact with the affected part and is unwilling to bend.
Investigations
Medical history by the patient and clinical examination by the doctor helps in diagnosis. X-ray of spine is done. Articulation of spinous process, ‘kissing spine’ is diagnostic. MRI scan is recommended.
Treatment
Treatment consists of conservative management such as administration of analgesics and muscle relaxants. Physiotherapy helps in managing the condition. Nerve block injections may be required. Intralesional steroid injection, bursal excision, and decompressive laminectomy in severe conditions will also help in managing kissing spine.
Other Modes of treatment
The other modes of treatment can also be effective in treating kissing spine. Homoeopathy is a science which deals with individualization and considers the person in a holistic way. This science can be helpful in combating the symptoms. Similarly, the Ayurvedic system of medicine which uses herbal medicine and synthetic derivates is also found to be effective in treating kissing spine.
Complications
Complications such as inability to move, bend, and stiffness in back may occur.
When to Contact a Doctor
One must consult a doctor if constant low back pain is present.
Systems involved
Musculoskeletal system
Organs involved
Spine, vertebrae
