Spine, Back and Neck

Baastrup Syndrome Physiotherapy in Indirapuram

Baastrup syndrome, sometimes called kissing spine, happens when the bony bumps at the back of neighbouring vertebrae touch and rub. The pain is usually central, local and worse when you arch backward.

Why the bones start touching

The spinous processes are the bumps you can feel down the middle of your back. Normally there's a small gap between them. With disc height loss, an increased inward curve of the lower back, or repeated arching in sport, that gap can close. The bones then contact each other and the ligament between them gets pinched. Over time a small bursa can form there.

It's most common in older adults and in people with a pronounced lumbar curve. Gymnasts and dancers can develop it earlier.

Recognising it

The pain sits right in the middle of the lower back, directly over the spine, and is tender to press. Arching backward or standing for long periods makes it worse. Bending forward or sitting often feels better. There's usually no leg pain, which helps separate it from disc or nerve problems.

Physiotherapy approach

Treatment aims to reduce how much the lower back arches under load. Tight hip flexors pull the pelvis forward and increase that curve, so we stretch and mobilise them. Weak glutes and abdominals allow the pelvis to tip forward, so we strengthen them. Thoracic mobility helps too, because a stiff upper back makes people extend more through the lumbar spine.

Local ultrasound and IFT can ease pain in the early phase. We also coach standing posture and how to reach overhead without overarching. If pain persists despite this, your doctor may consider an injection into the affected space.

Exercises often used for Baastrup Syndrome

These are exercises our physiotherapists commonly include. Which ones suit you, how many and in what order depends on your assessment and stage of recovery.

All back and spine exercises

Medical note

This page is general information, not a diagnosis. Treatment is planned after an in-person assessment by a physiotherapist, and we refer you to a doctor where symptoms need medical review first. If you have sudden weakness, loss of bladder or bowel control, chest pain or severe unexplained pain, seek emergency care.

Frequently asked questions

Is Baastrup syndrome serious?
Not usually. It's a mechanical cause of back pain and responds to posture and strength work in most people.
Why is standing worse than sitting?
Standing increases the lumbar curve, bringing the bones closer. Sitting opens the gap slightly.
Can I keep doing yoga?
Yes, but deep backbends may need to be reduced or modified until symptoms settle.
What is Baastrup Syndrome?

Baastrup syndrome, or kissing spine, is when the bony spinous processes at the back of the spine touch and rub, causing pain in the lower back.

What causes Baastrup Syndrome?

Common causes include loss of disc height with age, an increased lower back curve and repetitive arching movements.

What are the common symptoms of Baastrup Syndrome?

Common symptoms include central lower back pain that worsens when arching backwards and eases when bending forward.

How is Baastrup Syndrome diagnosed?

Clinical examination with X-ray, CT or MRI showing contact between spinous processes.

Can physiotherapy help with Baastrup Syndrome?

Yes. Flexion-based exercise, core strengthening and posture correction usually reduce pain. Our lower back pain physiotherapy programme is built around this.

What are the goals of physiotherapy for Baastrup Syndrome?

To reduce pain, decrease excessive arching, strengthen the deep core and improve posture.

What treatments may be used for Baastrup Syndrome?

Treatment usually combines exercises such as cat cow stretch and knee to chest stretch with ultrasound therapy, interferential therapy (IFT) and heat therapy (thermotherapy). Hands-on treatment, education and activity advice are added as needed, and the plan changes as you progress.

Ready to feel better?

Book an assessment at our Indirapuram clinic or ask for a home visit. Call +91-9999973681 or send a WhatsApp message and we will confirm your slot.