Definition


The fascia is a fibrous connective tissue, thin but very strong, that envelops, supports, connects, and separates the various structures of the body (muscles, organs, vessels, nerves). It forms a continuous three-dimensional network throughout the body.

Anatomy


Several types of fascia can be distinguished:

  • Superficial fascia:

    • Located beneath the skin (in the hypodermis).

    • Composed of loose connective tissue and fat.

    • Contains blood vessels, lymphatic vessels, and nerves.



  • Deep fascia:

    • Surrounds muscles, bones, nerves, and vessels.

    • Denser, more resistant, and organized.

    • Forms partitions between muscle groups (e.g., septa, aponeuroses).



  • Visceral fascia (or splanchnic fascia):

    • Envelops internal organs.

    • Allows for their support, movement, and function.




Functions


Fasciae play several key roles:

  • Structural support: Maintains and organizes body tissues.

  • Force transmission: Participates in the transmission of muscular forces.

  • Gliding and mobility: Enables sliding between structures (muscles, organs, etc.).

  • Protection: Acts as a barrier against shocks and infections.

  • Communication: Contains sensory receptors (proprioception, pain, tension, etc.).

  • Immune and metabolic role: Especially for fasciae rich in immune cells (like the superficial fascia).

Post operative chronic pain