Koenig Syndrome

Koenig syndrome is a rare disease that was first described by German surgeon Werner Koenig in 1903.

The syndrome is characterized by damage to the so-called transverse ligament in the lumbar spine. This ligament connects two adjacent vertebrae and provides them with stability. When the ligament is damaged, instability occurs in the lumbar region, which leads to compression of the nerve roots and pain in the leg.

The main symptoms of Koenig syndrome are low back pain that radiates to the buttock, hamstrings and calf muscles. The pain intensifies when bending the torso forward and straightening the leg.

Diagnosis of the syndrome is based on medical history, clinical picture and MRI results of the lumbar spine.

Treatment in the acute phase consists of using painkillers, physiotherapy, and wearing a special corset. If conservative therapy is ineffective, surgical intervention may be required - removal of the damaged ligament.

The prognosis for Koenig syndrome is generally favorable. With timely treatment, lasting improvement occurs within several weeks.