Willem Kramer

In 1992 Yahia et al published a paper on the sensory innervation of the human thoracolumbar fascia (TLF). In 7 tissue samples, harvested from 7 subjects, they looked for afferent nerve fibers and their sensory endings.

The used procedure showed the presence of free nerve endings, Ruffini’s, and Pacini corpsules (both mechanoreceptors). Their conclusion, the TLF is well innervated. And, the presence of mechanoreceptors point toward a proprioceptive role of the TLF over the lumbar spine.

Theory to Practice
Yahia’s findings suggest that it might not be sufficient to address TLF related injuries only from a mechanical point of view. The presence of mechanoreceptors implies the necessity of a neurological or segmental approach as well.

REFERENCE
Yahia L, Rhalmi S, Newman N, Isler M. Sensory innervation of human thoracolumbar fascia. An immunohistochemical study. Acta Orthop Scand. 1992 Apr;63(2):195-7.

Please note that the purpose of this article is to link theory to practice. Actual soft tissue treatment suggestions are not made on this website.

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Gijs, our interior designer, added new furniture and color (to say the least) to make our treatment center an even more comfortable hangout for our clients.

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Last week I visited the Diamondbacks during their 3 game stand in Washington. It was great hanging out and catching up with them. My visit made me think of what we accomplished last year. I hope to see them make the postseason once more.

They have what it takes.

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