The tissue origin of low back pain and sciatica: a report of pain response to tissue stimulation during operations on the lumbar spine using local anesthesia

Orthop Clin North Am. 1991 Apr;22(2):181-7.


In an effort to define the origin of low back pain and sciatica, 193 patients were carefully studied using progressive local anesthesia. These patients had surgery for herniated discs, spinal stenoses, or both. Various tissues were stimulated during the performance of these lumbar spinal operations. This article discusses our observations and the results of that study.

MeSH terms

  • Anesthesia, Local
  • Back Pain / physiopathology*
  • Fascia / physiology
  • Humans
  • Intervertebral Disc Displacement / surgery
  • Ligaments, Articular / physiology
  • Lumbar Vertebrae / surgery
  • Muscles / physiology
  • Nerve Compression Syndromes / physiopathology
  • Pain Measurement / methods*
  • Physical Stimulation
  • Sciatica / physiopathology*
  • Spinal Nerve Roots / physiology
  • Spinal Stenosis / surgery