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The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review

Jan Wilke, Robert Schleip, Werner Klingler, Carla Stecco
Key takeaways
  1. 01The lumbodorsal fascia has pain-sensing nerve endings
  2. 02These nerves may be altered in people with chronic low back pain
  3. 03Stimulating this fascia can increase spinal cord neuron sensitivity
  4. 04Micro-injuries or inflammation in the fascia may be involved

The fascia of the lower back contains pain-sensing nerves and may be a significant source of chronic low back pain.

Abstract

Te lumbodorsal fascia (LF) has been proposed to represent a possible source of idiopathic low back pain. In fact, histological studies have demonstrated the presence of nociceptive free nerve endings within the LF, which, furthermore, appear to exhibit morphological changes in patients with chronic low back pain. However, it is unclear how these characteristics relate to the aetiology of the pain. In vivo elicitation of back pain via experimental stimulation of the LF suggests that dorsal horn neurons react by increasing their excitability. Such sensitization of fascia-related dorsal horn neurons, in turn, could be related to microinjuries and/or Inflammation in the LF. Despite available data point towards a signifcant role of the LF in low back pain, further studies are needed to better understand the involved neurophysiological dynamics.

Cite this study
APA
Jan Wilke, Robert Schleip, Werner Klingler, & Carla Stecco (2017). The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review. https://fasciaresearchdatabase.com/the-lumbodorsal-fascia-as-a-potential-source-of-low-back-pain-a-narrative-review/
MLA
Jan Wilke, et al. "The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review." 2017, https://fasciaresearchdatabase.com/the-lumbodorsal-fascia-as-a-potential-source-of-low-back-pain-a-narrative-review/.
Chicago
Jan Wilke et al. 2017. "The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review.". https://fasciaresearchdatabase.com/the-lumbodorsal-fascia-as-a-potential-source-of-low-back-pain-a-narrative-review/