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...
Autores principales: | , , , |
---|---|
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 |