Each disk has a tough outer sheath that covers a soft inner core

Normally, pain nerves do not enter past the outer surface of the disk. The pain may come from nerves that have grown into the damaged disks like roots into soil. Sometimes people have pain without any signs of nerve compression or irritation. Parenting often leads to sore backs in both men and women, for reasons that are not mysterious. Backaches are a frequent symptom in pregnancy and postpartum, especially in mothers who are young, overweight, or who have had back problems in the past. Kids can sometimes cause backaches for their parents. Because some of these conditions require rapid treatment, children with back pain always need to be promptly evaluated by a physician. Back pain in children can result from muscle trauma, fractures, infections, tumors, or other conditions. Some cases of back pain are caused by fibromyalgia or by complications from previous surgery. see below for the principles of how foods affect arthritis, including that in the spine. (Ankylosing means stiffening; spondylitis means inflammation of the vertebrae.)

The changes of rheumatoid arthritis can occur in the spine, a condition called ankylosing spondylitis. But researchers examining specimens removed at surgery found that pain nerves sometimes grow into degenerated disks, following blood vessels that grow as part of the repair process. The disk's inner tissues can also spark an inflammatory reaction that irritates the nerves. If the outer shell breaks, the inner core can squeeze out and press against the nerves as they emerge from the spine. The disk's leathery outer shell covers a soft core. In a condition called spinal stenosis, a degenerated disk lets the vertebrae collapse toward each other, turning and twisting in such a way that they narrow the already small bony passageway for the nerves at the bottom of the spinal cord. Disk degeneration can also let the vertebrae crush against each other or shift out of line. About two-thirds of people with persistent back pain have pinched or irritated nerves.

A break in the disk can also stimulate inflammation, irritating the nerves and causing the back muscles to tighten up in response. The result is pain, numbness, or other nerve symptoms. If the sheath deteriorates, the interior tissues can herniate outward, pushing on a nerve root or even on the spinal cord itself. When back pain persists, it can often be traced to a problem in one of the disks, the leathery cushions that separate one vertebra from another.

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