Abstract:
Idiopathic lower back pain is affecting many patients and its causes are unknown so far. But there are two possibilities that are causing the idiopathic lower back pain, which are iliolumbar ligament anatomical variations or thoracolumbar fascia involvement. The iliolumbar ligament pass through it many spinal nerves, which could be compressed when the nerve passes through a narrow space in the iliolumbar ligament. Microtraumas to the iliolumbar ligament can cause the ligament to compress the passing spinal nerve through it. The thoracolumbar fascia can increase in thickness and show shear strain on ultrasound imaging. On a lateral X-ray, it will show a straight vertebral column due to fascia weakness and spasm of iliopsoas muscle.