Review Article

The Alterations in the Brain Corresponding to Low Back Pain: Recent Insights and Advances

Table 2

Structural alterations of grey matters in back pain patients.

SubjectsAssessed indicesMain findingsReference

17 patients with nonspecific LBPWhole brain volumeVentrolateral prefrontal cortical regions↑[20]
124 CBP patientsGM cortical thicknessLeft PCC and right rostral middle frontal gyrus cortical thickness ↑[21]
90 CLBP patientsGM volumeLeft ACC volume↑, no significant difference in cortical thickness or surface area of the ACC.[22]
14 CLBP patientsWhole brain volumeNo significant clusters of thinning or thickening[23]
40 SBP patients, 28 CBP patientsGM limbic volumeNAc volume ↓[24]
103 CLBP patientsGM volumePrimary somatosensory cortex volume↑[25]
58 LBP patientsGM densityDorsal paracingulate cortex density↓[26]
111 CLBP patientsGM densityPFC and the anterior INS density↓[27]
14 CLBP patientsTotal GM volume, total, partial GM volume, GM densityTotal grey matter volume ↓, grey matter density in ROI (the PFC and the thalamus) ↓[28]
18 CLBP patients, 14 of them with 6 months treatmentGM cortical thicknessLeft dlPFC cortical thickness before treatment ↓, left dlPFC cortical thickness after treatment ↑[29]

ACC, anterior cingulate cortex; CBP, chronic back pain; CLBP, chronic low back pain; dlPFC, dorsolateral prefrontal cortex; GM, grey matter; INS, insula; LBP, low back pain; NAc, nucleus accumbens; PCC, posterior cingulate cortex; PFC, prefrontal cortex; ROI, regions of interest; SBP, subacute back pain.