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The costovertebral angle (Latin: arcus costovertebralis) is the acute angle formed on either side of the human back between the twelfth rib and the vertebral column. [1] The kidney lies directly below this area, so is the place where, with percussion (Latin: sucussio renalis), pain is elicited when the person has kidney inflammation.
The CVA is an anatomic concept of the relationship of the 12th rib to the transverse processes of the lumbar vertebrae. [1] There is one CVA on each side of the spine. [2] The lateral part of the CVA is formed by the lower border of the 12th rib, and the medial part of the CVA is formed by the transverse processes of the lumbar vertebrae. [1]
The dorsal ramus of spinal nerve, posterior ramus of spinal nerve, or posterior primary division is the posterior division of a spinal nerve. The dorsal rami provide motor innervation to the deep (a.k.a. intrinsic or true) muscles of the back, and sensory innervation to the skin of the posterior portion of the head, neck and back. [1]
Maintain proper posture: In many cases poor posture (also called bad posture) is the root cause of back pain because of more stress on the disks and less back muscles activity. [1] [10] Most common bad posture samples are round back, sway back, forward head, excessive anterior and exterior pelvis tilts. [10]
Common infectious causes of back pain include osteomyelitis, septic discitis, paraspinal abscess and epidural abscess. [19] Infectious causes that lead to back pain involve various structures surrounding the spine. [27] Osteomyelitis is the bacterial infection of the bone. Vertebral osteomyelitis is most commonly caused by staphylococci. [19]
Looking directly at the front or back of the body, the 33 vertebrae in the spinal column should appear completely vertical. From a side view, the cervical (neck) region of the spine (C1–C7) is bent inward, the thoracic (upper back) region (T1–T12) bends outward, and the lumbar (lower back) region (L1–L5) bends inward.
The thoracolumbar fascia (lumbodorsal fascia or thoracodorsal fascia) is a complex, [1]: 1137 multilayer arrangement of fascial and aponeurotic layers forming a separation between the paraspinal muscles on one side, and the muscles of the posterior abdominal wall (quadratus lumborum, and psoas major [1]: 1137 ) on the other.
Symptoms include overuse muscle pain and fatigue along the back of the neck and reaching down to the mid-back, often starting with the upper trapezius muscle bellies between the shoulders and neck. Cervicogenic headache from the joints and muscle attachments at the top of the neck is common. [12] [13]