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Slide show

Slide show: Causes of back pain

By Mayo Clinic staff
 

Illustration of normal and herniated spinal disk

Herniated disk

A crack in one of the spinal disks — rubbery cushions between the vertebrae — may cause back pain or play a role in the development of back pain. Spinal disks protect the stacked vertebrae from rubbing against each other. The outer layer (annulus) of each disk is normally tough and pliable. The inner layer (nucleus) is soft.

A spinal disk can gradually develop aging-related changes that cause or contribute to back pain. There's less water within the annulus, so it's not as stretchy, and it may crack (herniate). If it does, the nucleus may bulge out, press on nerves and cause back pain.

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References
  1. Barbano RL. Mechanical and other lesions of the spine, nerve roots and spinal cord. In: Goldman L, et al. Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed March 14, 2012.
  2. Patel M, et al. Back: Cervical and thoracolumbar spine. In: Rakel RE. Textbook of Family Medicine. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191205553-4/0/1481/0.html#. Accessed March 14, 2012.   
  3. Handout on health: Back pain. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Back_Pain/default.asp. Accessed March 14, 2012.
  4. Osteoporosis overview. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Bone/Osteoporosis/default.asp. Accessed March 14, 2012.
DS00536 April 4, 2012

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