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

Figure 2

In a third scenario for fascia generated low back pain (3) irritation of other tissues—such as muscle fibers, facet joint capsules, spinal nerve roots, or the annulus fibrosus of the discs—could elicit an increased sensitivity in the LF innervated by the same segment of the spinal cord. The increased sensitivity of fascial nerve endings would then lead to nociceptive signalling, even in response to gentle stimulation. A combination with the pathways described in Figure 1 is also possible. Figure partially based on Langevin & Sherman [25].