Project Description

WORKSHOP 3:

A comprehensive fascial-oriented Treatment model for Thoracolumbar dysfunction in low back pain

Speakers:
Carla Stecco and Caterina Fede

Short description

This workshop explores an evidence-based, multimodal therapeutic model targeting the thoracolumbar fascia in patients with non-specific low back pain. By integrating manual therapy, movement-based interventions, and mechanobiological principles, the approach aims to restore fascial function, reduce nociceptive input, and improve global spine biomechanics.

Full description

This work presents an evidence-based, multimodal therapeutic model targeting the thoracolumbar fascia (TLF) as a key contributor to low back pain. The thoracolumbar fascia is a dense connective tissue structure composed of multiple aponeurotic layers rich in collagen fibers, fibroblasts, and mechanosensitive nerve endings. Histological studies have shown that chronic low back pain is often associated with increased fascial stiffness, altered fiber orientation and composition, enhanced immunity activity, increased inflammation, and local densification of the extracellular matrix, all of which may contribute to altered load transfer and persistent nociceptive signaling. The proposed approach incorporates Fascial Manipulation®, a manual therapy technique aimed at restoring fascial gliding, reducing densification, and normalizing tension. Complementing the manual component, fascial-focused exercises derived from the biomechanical framework of Fascial Manipulation® emphasize elastic recoil and multidirectional loading to enhance fascial adaptability and neuromuscular integration. Additionally, the model acknowledges the emerging role of fascial-focused injections with the aim of modulating local densification, improving fascial layer gliding, and reducing nociceptive input through biochemical and mechanical effects on the connective tissue matrix. When integrated within a broader multimodal framework, these strategies collectively aim to restore fascial function and improve global lumbopelvic biomechanics in individuals with low back pain.

Format and agenda