NIH-funded research R01 grant

How fat builds up in back muscles with chronic low back pain

Official title: Mechanistic structure-function relationships for paraspinal muscle fat infiltration in chronic low back pain patients

Funded at University of California, San Francisco · NIH-11306684 · Data updated 2026-11-12

Researchers will use advanced MRI plus movement and muscle tests to link patterns of fat in back muscles to symptoms in people with chronic low back pain.

More Low Back Pain research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of California, San Francisco
NIH-funded
Lab location1 site (San Francisco, United States)
Project startJune 1, 2023
Project endMarch 31, 2028
Funding year2026
Award (this year)$337,535
NIH project number5R01AR081324-04
Project IDNIH-11306684 on NIH RePORTER

Who could benefit from this research

Could help

Adults with chronic (long‑standing) low back pain who can undergo MRI scanning and movement testing are the ideal candidates.

Less likely to help

People with only short‑term (acute) back pain, primarily leg‑dominant nerve compression (radiculopathy), or those who cannot have an MRI may not directly benefit from this project.

What this research studies

This project uses advanced MRI to create detailed 3‑D 'fat maps' of the paraspinal (back) muscles alongside standard spine imaging. Participants will undergo movement testing and muscle‑activation measurements so researchers can compare fat distribution with how people move and use their back muscles. The team will examine whether disc degeneration or local inflammation relates to nearby muscle fat and functional changes. Findings aim to reveal patterns that could help tailor treatments or rehabilitation to individual patients.

Why it matters

Potential benefit: If successful, the work could help doctors personalize treatments by identifying which muscle or spinal problems contribute to a patient's chronic low back pain.

How similar studies have gone: Prior studies have found increased fat in back muscles in some people with chronic low back pain but results are inconsistent, and combining 3‑D fat mapping with movement and muscle‑activation testing is relatively new.

Where this research is happening

  • University of California, San Francisco
    San Francisco, United States
    Active

Researchers

  • Principal investigator: Bailey, Jeannie Fern — University of California, San Francisco
  • Study coordinator: Bailey, Jeannie Fern

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.