Osteopathy: Thoracolumbar fascia and low back pain

Low Back Pain: Nociceptive capacity of the thoracolumbar fascia

Schilder A.
Dept. Of Neurophysiology, CBTM, Medical Faculty Mannheim, University Heidelberg, Germany
10th Interdisciplinary World Congress on Low Back Pain and Pelvic Girdle Pain Antwerp October 2019.

In this study, funded by the Federal Ministry of Education and Research (Grant # 01EC1010B) the researcher found that short lasting high-frequency stimulation of deep soft tissue evokes intense pain and induces long-term potentiation effects when applied in the fascia of the low back.

The study suggests that the fascia of the low back could be an important structure in the genesis of low back pain because of:
• Its high-density innervation.
• Its high pain sensitivity to different stimuli.
• Substantial pain amplification after its stimulation.

It is suggested that a gradient in central pain amplification affects across tissue types: from skin to fascia to muscles.
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