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Biomed Res Int. 2017;2017:5349620. doi: 10.1155/2017/5349620. Epub 2017 May 11.

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

Author information

1
Department of Sports Medicine, Goethe University Frankfurt, Frankfurt am Main, Germany.
2
Fascia Research Group, Neurosurgical Clinic Guenzburg, Ulm University, Ulm, Germany.
3
Department of Molecular Medicine, Institute of Human Anatomy, University of Padova, Padova, Italy.

Abstract

The 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 significant role of the LF in low back pain, further studies are needed to better understand the involved neurophysiological dynamics.

PMID:
28584816
PMCID:
PMC5444000
DOI:
10.1155/2017/5349620
[Indexed for MEDLINE]
Free PMC Article

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