Tissues in the low back that can generate pain

External Tissues

• Skin

• Subcutaneous tissue

• Fat

Joints

• Capsules of facet and sacroiliac joints

Ligaments

• Longitudinal spinal

• Posterior interspinous

• Sacroiliac

• Ligamentum flavum (minimal pain fiber innervation)

Periosteum

• Vertebral bodies and arches

Dura mater

Epidural fibro-adipose tissue

Annulus fibrosus

Arterioles

• Of spinal and sacroiliac joints

• Of vertebral cancellous bone

Veins

• Epidural

• Paravertebral

Paravertebral muscles

• Pain fibers in perivascular connective tissues

Back_pain_generating_tissue.htm

Courtesy of Kerry Levin, MD.

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