Sometimes whole disks are destroyed and vertebrae end up crushing against each other

A pair of lumbar arteries carries blood to each vertebra. The news came when researchers looked at why the disks and vertebrae degenerated. This was not a surprise; we have long known that degenerated disks can lead to pinched nerves. When the disk's tough outer layer disintegrates, its soft interior tissues can squeeze out and pinch a nerve. They have found that the leathery disks that are supposed to act as cushions between the bony vertebrae have often degenerated. But it also forced us to get another question that might be even more important: Can we reopen blocked arteries and restore blood flow to an aching spine? Mter all, we have learned a lot about how to stop arteries from becoming blocked elsewhere in the body, and there is no reason that we cannot do so in the back. But this discovery opened up a fascinating possibility: perhaps improved circulation could prevent back pain.

No one-not even orthopedic surgeons-knew much about what was causing disks to degenerate until quite recently. If this is all new to you, do not be surprised. It turns out that one in ten people in Western countries has an advanced blockage in one or more of these arteries by age twenty. The autopsy studies clearly showed that the greater the artery blockage, the worse the degeneration of the disks, making it more likely that vertebrae would shift, disks would rupture, and nerves would get pinched, causing chronic pain. When the lumbar arteries are blocked, the oxygen and nutrients that are essential for helping the spine recover from wear and tear are cut off, and the waste products that cells produce begin to build up, irritating sensitive nerves. In fact, they had exactly the same kind of blockages that clog the arteries to the heart, causing heart attacks, or to the brain, causing strokes. But surprisingly often, these arteries were clogged with plaque. Like every other part of your body-your heart, your brain, your joints, and every other organ and tissue-your back needs a good blood supply in order to heal from the traumas of day-to-day life. When these arteries are wide open, they carry oxygen and nutrients to the hardworking backbone.

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