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2015, Number 1

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Revista Cubana de Ortopedia y Traumatología 2015; 29 (1)

Relationship between disc degeneration, lumbar pain and stability: pain

Tabares NH, Díaz QJM

Language: Spanish
References: 45
Page: 74-87
PDF size: 670.81 Kb.


ABSTRACT

Introduction: LBP ranks as one of the most common musculoskeletal disorders, degeneration of the intervertebral disc is accepted as the major cause of pain, the pathophysiology knowledge of intervertebral disc degeneration and pain associated therewith, represent a of the highest priorities of biomedical research.
Objective: review and discuss the direct and indirect mechanisms relating to this degeneration, which can cause back pain.
Method: a review was performed on the mechanisms through which the degeneration of the intervertebral disc can cause pain, by analyzing those that mechanical or anatomical indirectly act; and those that can directly cause pain through biological and biochemical changes.
Results: indirectly, disc degeneration can cause pain by affecting nearby innervated structures anatomically and functionally. it is unclear that disc degeneration causes instability. Biological and biochemical changes occur with release of inflammation mediators leading to pain and disc neo-innervation within the pathological disc.
Conclusions: the pain from disc degeneration occurs by direct and indirect mechanisms. Disc degeneration is not proved to cause instability. Within the disc nociceptive nerve growth occurs explaining direct discogenic pain.


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