Potential Role of Fascia in Chronic Musculoskeletal Pain

  • Helene M. Langevin
Part of the Contemporary Pain Medicine book series (CPM)


Many empirically developed physical therapy techniques as well as alternative manual therapies (e.g., Rolfing, myofascial release) are aimed at treating fascia and other “unspecialized” connective tissues; however, compared with muscles, joints, and the nervous system, very little research has been devoted to the role of fascia in chronic musculoskeletal pain. One possible reason for this discrepancy is the lack of an integrative pathophysiological model linking connective tissue to known musculoskeletal pain mechanisms . This chapter examines the potential role of fascia in musculoskeletal pain, especially regarding how connective tissue remodeling may interact with other factors such as fear of movement, muscle activity patterns and central nervous system plasticity.

Key Words

pain musculoskeletal connective tissue fascia remodeling fibrosis movement plasticity fibroblasts 


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© Humana Press 2008

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  • Helene M. Langevin

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