Pathomechanisms Discogenic Pain

Sinuvertebral nerve

Pathomechanisms discogenic pain have been discussed in many pockets of research.

Accepted by The Spine Journal this month, researchers titled the manuscript Pathomechanisms of discogenic low back pain in humans and animal models and came up with some pretty interesting findings and conclusions. Their paper discusses how prevalent low back pain is in the public. They then move onto topics that include the distribution of sensory nerves in the intervertebral discs, inflammation, and the aspects of hypermobility.

One of the important topics they discuss is the nerve ingrowth into the intervertebral disc. Many people now believe that it is the sinuvertebral nerves that contribute the most in the development of low back pain. The outer third of the annulus fibrosus is thought to house the nerves of the disc but when the discs get damaged, these nerves grow into the inner two thirds of the annulus–making them more pain sensitive.

These researchers concluded that the best way to prevent low back pain is to prevent sensitization of these sinuvertebral nerves as well as prevent IVD hypermobility.

ddd produces models that demonstrate the sinuvertebral nerves as well as neoinnervation within radial tears. Because of the their dynamic disc, spine professionals can show the innervation of the disc while at the same time demonstrate hypermobility.

1 reply
  1. Cameron M. Brown, DC, PSP
    Cameron M. Brown, DC, PSP says:

    There is a wealth of misinformation amongst both health care providers and the lay public regarding spine related disorders. As a clinician who practices as a Primary Spine Practitioner, my patient population is almost entirely comprised of neck and low back complaints. Contemporary evidence-based management of these patients requires the adoption of a biopsychosocial model of care. In turn, many of the psychosocial risk factors associated with poor clinical outcomes have become potentially modifiable targets for treatment. Fortunately for clinicians, their most powerful and influential tool for managing the aforementioned risk factors, is their ability to effectively communicate with their patients. Having an accurate and interactive model available to help convey pathomechanical and pathophysiological concepts is therefor extremely valuable. I believe the ddd models enable me to quickly and effectively educate my patients, allowing me to better manage inappropriate attitudes and beliefs concerning their diagnosis, treatment options, and subsequent prognosis.

    Cameron M. Brown, DC, PSP
    Chiropractic Physician
    Primary Spine Practitioner
    Khalsa Chiropractic Office, P.C.
    At Harvard Vanguard Medical Associates


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