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Tissues in the low back that can generate pain

Tissues in the low back that can generate pain
External Tissues
• Skin
• Subcutaneous tissue
• Fat
Joints
• Capsules of facet and sacroiliac joints
Ligaments
• Longitudinal spinal
• Posterior interspinous
• Sacroiliac
• Ligamentum flavum (minimal pain fiber innervation)
Periosteum
• Vertebral bodies and arches
Dura mater
Epidural fibro-adipose tissue
Annulus fibrosus
Arterioles
• Of spinal and sacroiliac joints
• Of vertebral cancellous bone
Veins
• Epidural
• Paravertebral
Paravertebral muscles
• Pain fibers in perivascular connective tissues
Back_pain_generating_tissue.htm
Courtesy of Kerry Levin, MD.
Graphic 76627 Version 1.0