Cargando…

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

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Wilke, Jan, Schleip, Robert, Klingler, Werner, Stecco, Carla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5444000/
https://www.ncbi.nlm.nih.gov/pubmed/28584816
http://dx.doi.org/10.1155/2017/5349620
_version_ 1783238657886388224
author Wilke, Jan
Schleip, Robert
Klingler, Werner
Stecco, Carla
author_facet Wilke, Jan
Schleip, Robert
Klingler, Werner
Stecco, Carla
author_sort Wilke, Jan
collection PubMed
description 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.
format Online
Article
Text
id pubmed-5444000
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-54440002017-06-05 The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review Wilke, Jan Schleip, Robert Klingler, Werner Stecco, Carla Biomed Res Int Review Article 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. Hindawi 2017 2017-05-11 /pmc/articles/PMC5444000/ /pubmed/28584816 http://dx.doi.org/10.1155/2017/5349620 Text en Copyright © 2017 Jan Wilke et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Wilke, Jan
Schleip, Robert
Klingler, Werner
Stecco, Carla
The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review
title The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review
title_full The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review
title_fullStr The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review
title_full_unstemmed The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review
title_short The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review
title_sort lumbodorsal fascia as a potential source of low back pain: a narrative review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5444000/
https://www.ncbi.nlm.nih.gov/pubmed/28584816
http://dx.doi.org/10.1155/2017/5349620
work_keys_str_mv AT wilkejan thelumbodorsalfasciaasapotentialsourceoflowbackpainanarrativereview
AT schleiprobert thelumbodorsalfasciaasapotentialsourceoflowbackpainanarrativereview
AT klinglerwerner thelumbodorsalfasciaasapotentialsourceoflowbackpainanarrativereview
AT steccocarla thelumbodorsalfasciaasapotentialsourceoflowbackpainanarrativereview
AT wilkejan lumbodorsalfasciaasapotentialsourceoflowbackpainanarrativereview
AT schleiprobert lumbodorsalfasciaasapotentialsourceoflowbackpainanarrativereview
AT klinglerwerner lumbodorsalfasciaasapotentialsourceoflowbackpainanarrativereview
AT steccocarla lumbodorsalfasciaasapotentialsourceoflowbackpainanarrativereview