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The Nature of Fascia and the Role of Lower Extremity Fascia in Low Back Pain

Journal: The AAO Journal Date: 1995/09, 5(3):Pages: 15-19, type of study: article

Free full text   (https://www.academyofosteopathy.org/assets/aaoj/AAOJ_Fall1995.pdf)

Keywords:

article [2539]
fascia [298]
low back pain [500]
lower extremities [26]

Abstract:

This paper discusses the nature of fascia and proposes an intimate relationship between the fascia of the lower extremities and the low back. The fascia of the lower extremities supports and stabilizes the pelvis and lumbar spine. Dysfunction of the fascia of the lower extremities, unilaterally or bilaterally, chronic or acute, leads to a lack of stabilization of the low back resulting in dysfunction and potential pathology. Biomechanical alterations, both macroscopically and microscopically, can result in a clinical level of dysfunction and pain. The author suggests that dysfunctions occurring in the lower extremity are frequently subclinical and asymptomatic. Only when these dysfunctions result in low back pain does the patient seek therapeutic intervention. Treatment directed solely to the low back frequently does not offer total resolution of dysfunction. Attention to lower extremity dysfunction is necessary for the complete treatment of low back pain.


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