Rami communicans fibers in discogenic low back pain: The controversies
Intervertebral disc innervation and mechanism of discogenic low back pain is a subject of debate. There is no controversy regarding innervation of anterior and lateral annuli. Nociception from this part is carried by sympathetic pathway. Sinuvertebral nerves innervate posterior annulus, but there ar...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Journal of Pain |
| Subjects: | |
| Online Access: | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2018;volume=32;issue=2;spage=60;epage=62;aulast=Das |
| _version_ | 1818564641918287872 |
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| author | Gautam Das Chinmoy Roy |
| author_facet | Gautam Das Chinmoy Roy |
| author_sort | Gautam Das |
| collection | DOAJ |
| description | Intervertebral disc innervation and mechanism of discogenic low back pain is a subject of debate. There is no controversy regarding innervation of anterior and lateral annuli. Nociception from this part is carried by sympathetic pathway. Sinuvertebral nerves innervate posterior annulus, but there are controversies about nociceptive pathway from posterior annulus. It can be mixed somatic and sympathetic or can be completely sympathetic pathway through rami communicans fibers. Local anesthetic block of rami communicans fibers with or without steroid gives very good results in discogenic low back pain. But radio frequency ablation of rami communicans fibers do not give consistent result. This article has tried to find the literature about disc innervation, role of rami communicans nerves in transmission of discogenic back pain, and role of rami communicans nerve block in management of discogenic back pain. |
| first_indexed | 2024-12-14T01:31:27Z |
| format | Article |
| id | doaj.art-44917563702e49fd8648c97e771a8999 |
| institution | Directory Open Access Journal |
| issn | 0970-5333 |
| language | English |
| last_indexed | 2024-12-14T01:31:27Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pain |
| spelling | doaj.art-44917563702e49fd8648c97e771a89992022-12-21T23:22:02ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332018-01-01322606210.4103/ijpn.ijpn_48_18Rami communicans fibers in discogenic low back pain: The controversiesGautam DasChinmoy RoyIntervertebral disc innervation and mechanism of discogenic low back pain is a subject of debate. There is no controversy regarding innervation of anterior and lateral annuli. Nociception from this part is carried by sympathetic pathway. Sinuvertebral nerves innervate posterior annulus, but there are controversies about nociceptive pathway from posterior annulus. It can be mixed somatic and sympathetic or can be completely sympathetic pathway through rami communicans fibers. Local anesthetic block of rami communicans fibers with or without steroid gives very good results in discogenic low back pain. But radio frequency ablation of rami communicans fibers do not give consistent result. This article has tried to find the literature about disc innervation, role of rami communicans nerves in transmission of discogenic back pain, and role of rami communicans nerve block in management of discogenic back pain.http://www.indianjpain.org/article.asp?issn=0970-5333;year=2018;volume=32;issue=2;spage=60;epage=62;aulast=DasDiscogenic back painrami communicans blockrami communicanssinuvertebral nerve |
| spellingShingle | Gautam Das Chinmoy Roy Rami communicans fibers in discogenic low back pain: The controversies Indian Journal of Pain Discogenic back pain rami communicans block rami communicans sinuvertebral nerve |
| title | Rami communicans fibers in discogenic low back pain: The controversies |
| title_full | Rami communicans fibers in discogenic low back pain: The controversies |
| title_fullStr | Rami communicans fibers in discogenic low back pain: The controversies |
| title_full_unstemmed | Rami communicans fibers in discogenic low back pain: The controversies |
| title_short | Rami communicans fibers in discogenic low back pain: The controversies |
| title_sort | rami communicans fibers in discogenic low back pain the controversies |
| topic | Discogenic back pain rami communicans block rami communicans sinuvertebral nerve |
| url | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2018;volume=32;issue=2;spage=60;epage=62;aulast=Das |
| work_keys_str_mv | AT gautamdas ramicommunicansfibersindiscogeniclowbackpainthecontroversies AT chinmoyroy ramicommunicansfibersindiscogeniclowbackpainthecontroversies |