Lateral hip, lumbosacral, and groin pain are often due to lumbar spine or hip joint dysfunction. However, the next time you see these symptoms, be sure to assess the thoracolumbar junction (TLJ). TLJ dysfunction, often described as Maigne Syndrome, may result in nerve irritation with referral to the lumbopelvic region. Proper assessment and treatment result in highly satisfied patients. In the next ten minutes, you will learn five tips about why Maigne syndrome should be on your shortlist of differential diagnoses.