What is dural tightness?

What is dural tightness?

When certain muscles become too tight, or the cranial bones are not moving properly (with respiration), then dural tension increases. Falling on the tailbone may also cause a compaction injury (see earlier post) and increase tension by not allowing the tailbone to move correctly.

What is dural pain?

The mechanism of dural pain is dual. The original concept was quite simple: a subluxated (but of itself painless) component of the disc impinges on the dura or the dural sleeves of the nerve roots. These pain-sensitive structures translate the anatomical changes into back pain or root pain, respectively (Fig. 33.1).

What is the dural?

The dura mater often gets referred to as merely the dura. It is one of the layers of connective tissue that make up the meninges of the brain (pia, arachnoid, and dura, from inside to outside). It is the outermost layer of the three meninges that surround and protect the brain and spinal cord.

What is dural tissue?

9592. Anatomical terminology. Dura mater is a thick membrane made of dense irregular connective tissue that surrounds the brain and spinal cord. It is the outermost of the three layers of membrane called the meninges that protect the central nervous system.

Where does dura attach to spine?

vertebral canal
The spinal dura is anchored within the vertebral canal by connective tissue in the epidural space as well as the spinal roots. Inadvertent disruption of these dural attachments may lead to durotomy and cerebrospinal fluid (CSF) leaks.

Is the dura mater fascia?

The dura mater has the same embryological origin than the fascial system, and we can strongly suggest that this cranial structure is very malleable and able to receive the osteopathic treatment. It contains several fibroblasts, which allow the dura mater to be a flexible structure [1].

What causes dural ectasia?

Causes. The etiology of dural ectasia is unknown, but it has been suggested that is due to increased hydrostatic pressure, general weakened connective tissue or as a result of the pulsatile flow of cerebrospinal fluid on weakened spinal dura.

Are there nerves in the dura mater?

The cerebral dura mater is richly innervated by afferent nerve fibers, most of which originate in the ipsilateral trigeminal ganglion, and by sympathetic fibers predominantly arising from the ipsilateral superior cervical ganglion 3,4.

Where is CSF produced?

ventricles
CSF is produced mainly by the choroid plexus epithelium and ependymal cells of the ventricles and flows into interconnecting chambers; namely, the cisterns and the subarachnoid spaces.

Why is dura mater important?

The dura provides the brain and spinal cord with an extra protective layer, helps to keep the CNS from being jostled around by fastening it to the skull or vertebral column, and supplies a complex system of veinous drainage through which blood can leave the brain.

What is a dural tension sign?

Dural signs in the lumbar spine are. The patient performs a flexion in standing and produces some back pain (central, unilateral or bilateral) or gluteal pain ; he stays in the flexed position and an accessory neck flexion makes this lumbar or gluteal pain worse or better.

What causes dural thickening?

A thickened dura can be caused by many conditions including inflammatory/infective conditions (tuberculous meningitis, sarcoidosis, lyme disease , syphilis), neoplastic disorders (carcinomatous meningitis, meningioma en plaque), collagen vascular disorders (rheumatoid arthritis, Wegener’s granulomatosis, mixed connective tissue disease), and other

What is dural tension?

Dural tension is intimately involved with disc pain. When a disc bulges posteriorly, it can compress the dura directly. The dura, another mesodermally derived fascial structure, responds and adapts to all of the biomechanical changes in the surrounding tissues.

What is dura mater?

Dura mater is the outermost layer of the meninges. It has its vascular supply. The dura mater’s meningeal layer bends towards the inner direction of itself to form 4 structural forms, called the dural reflections. These are Diaphagma sellae, Falx cerebri, Tentorium cerebelli, and Falx cerebelli.