Lumbar Spine Visceral Referred Pain

Urogenital Tract:

Structure Segmental innervation Possible areas of pain referral
Uterus including uterine ligaments T10-L1, S2-S4 Lumbosacral junction
Sacral
Thoracolumbar
Ovaries T10-T11 Lower abdominal
Sacral
Testes T10-T11 Lower abdominal
Sacral
Kidney T10-L1 Lumbar spine (ipsilateral)
Lower abdominal
Upper abdominal
Ureter T11-L2, S2-S4 Groin
Upper abdominal
Suprapubic
Medial, proximal thigh
Thoracolumbar
Urinary bladder T11-L2, S2-S4 Sacral apex
Suprapubic
Thoracolumbar

 

Digestive Tract:

Structure Segmental innervation Possible areas of pain referral
Large intestine T11-L1 Lower abdominal
Middle lumbar spine
Sigmoid colon T11-T12 Upper sacral
Suprapubic
Left lower quadrant of abdomen

Study Reliability Sn Sp LR+ LR-
Boissonnault et al. (1990) NA NA NA NA NA