Can the thoracolumbar fascia cause or contribute to lower back pain and inflammation? Thoracolumbar Fascia Tissue behind the spinal column, positioned at both the lower back and mid-back levels, is connected to the thoracolumbar fascia, also called the lumbodorsal fascia or LF. The fascia is a thick connective tissue that covers and supports all the body's muscles, bones, tendons, ligaments, and organs. The fascia also contains nociceptive nerve endings, also known as free nerve endings, that arise from the central nervous system, i.e., the brain and spinal cord, which may be responsible for some forms of back pain and stiffness caused by injury or inflammation. Anatomy The thoracolumbar fascia is divided into three layers: Back or posterior layer. Middle layer Front or anterior layer. ( Willard, F. H. et al., 2012 ) Many of the back muscles attach to the thoracolumbar fascia. The erector spinae muscle group, known as the paraspinals, runs longitudinally down the spine. They are
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