Sensory innervation of the thoracolumbar fascia in rats and humans

Fascia–Current knowledge and future directions in physiatry: Narrative review

“…All of these changes could affect the normal functions of force transmission or sliding in the musculoskeletal system. This dysfunction could lead to pain or proprioceptive issues, considering that fascia has been shown to be innervated [41][42][43][44]. Thus, treatment of disorders affecting the musculoskeletal system may need to be focused on this fascial network.…”

“…Although Bednar et al found that thoracolumbar fascia was deficiently innervated [41], Yahia et al reported free nerve endings and mechanoreceptors [42]. Tesarz et al found that the thoracolumbar fascia and the overlying subcutaneous tissue are densely innervated, including nociceptive and sympathetic fibers [43]. There were also specific differences between the three layers of the thoracolumbar fascia.…”

Quadratus lumborum block (QLB)

“…Na fasciji postoje mehanoreceptori niske simpatičke aktivnosti, ali i visokopražni i niskopražni mehanoreceptori i receptori za bol, koji su osetljivi na dejstvo lokalnih anestetika i imaju ulogu u razvoju kako akutnog tako i hronič-nog bola. Blokadom pomenutih receptora lokalnim anestetikom, mogla bi da se objasni nastala analgezija 15,20 . U svakodnevnoj kliničkoj praksi se primenjuju različiti pristupi izvođenja bloka, a razlike u širi-ni anesteziranog polja i dužini trajanja analgezije su značajne.…”

Fascia as a Proprioceptive Organ and its Role in Chronic Pain - a Review of Current Literature

“…Especially the thoracolumbar fascia exhibits a high density of mechanoreceptors [1]. They are responsible for afferent proprioceptive information, i.e.…”