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November 12, 1938

FASCIAL ADHESIONS IN PAIN LOW IN THE BACK AND ARTHRITIS

Author Affiliations

NEW YORK

From the Department of Surgery, Division of Orthopedics, New York Post-Graduate Medical School and Hospital, Columbia University, and New York City Hospital.

JAMA. 1938;111(20):1813-1818. doi:10.1001/jama.1938.02790460007002
Abstract

Fascial planes function as joints synchronizing motion between muscles, groups of muscles, nerves and blood vessels. Traumatic and inflammatory lesions may involve these planes, resulting in myosynovitis or fascial adhesions. These are believed to be competent producing causes of muscular pain by involvement of the nerves and of limitation of the normal range of motion in the joint by retardation of the gliding mechanism of the muscles. A diminished power of repair of lesions involving the lower part of the back may be caused by arthritis if this term applies to the fascial as well as to the osseous joints. This paper deals with lesions involving primarily the soft tissues, and lesions involving the spinal column and its contents are therefore presumed to be excluded.

Biomechanical studies of fibrous tissues have been coordinated with gross and histologic studies of anatomy, with roentgenograms and finally with histologic sections. The therapeutic application

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