The nerve supply of the lumbar intervertebral disc.

Edgar M.A.

A review of the literature that explores the innervation of the lumbar intervertebral disc.It contains a clarification of the sensory pathways and explores the theory that the disc is mainly supplied by the sympathetic nervous system. The author discussed the findings of sensory nerve endings in a degenerative lumbar disc which penetrate  into the nucleus pulposus, normally insensitive in a standard disc.

The author considers the growing evidence to support a 'visceral pain' hypothesis for the nature and mechanism of discogenic pain. He suggests this mechanism is open to 'peripheral sensitisation' and possibly 'central sensitisation' as a potential cause of chronic back pain.

The Journal of bone and joint surgery. British volume.2007 Sep;89(9):1135-9.

Link to Abstract

Sensorimotor Impairment in Neck Pain

Join Chris Worsfold in this short online course to learn about the evaluation and rehabilitation of sensorimotor impairment in patients with neck pain.