Spinecare Topics
Spinal Membranes
There
are three membranes referred to as meninges, which surround the spinal cord. They
provide protection and support to the spinal cord. The three membranes from most superficial to
deep are named the dura mater, arachnoid membrane and the pia mater. The primary function of these membranes is to
protect the spinal cord.
The dura mater, is the outer most layer of the spinal cord
meninges. It is a tough fibrous sheath
that provides an imposing physical barrier.
The dura mater has sensory nerve endings and therefore is pain
sensitive. The dura mater is highly pain
sensitive to numerous nerve endings and special nerve receptors in it. The dura mater can be a source of pain in the
presence of a disc bulge or protrusion, which effaces and deforms the adjacent
dura.
The next or
middle meningeal layer is referred is the arachnoid mater. It is nearly
contiguous with the inner surface of dura mater. Cerebrospinal fluid fills the subarachnoid
space providing biochemical and immunological support as well as protection to
the central nervous system. During spinal movements, pressure shifts in the CSF
and pulsation in the subarachnoid arteries contribute up and down flow of the
cerebrospinal fluid along the spine. The pia mater represents the inner most
meningeal membrane. It encases the small blood vessels on the cord
surface.