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They carefully examined the condition of their spines and the arteries that lead to the spine

13,15; These findings helped explain something that had puzzled spine researchers for a long time: people with back pain tend to have characteristics that point to artery problems, similar to those in heart patients. Indeed, the Finnish researchers found that people who suffered from chronic back pain had clogged lumbar arteries much more often than people without back pain, and the greater the blockage, the worse the degeneration in the disk it supplied. Could the same kind of artery blockages that slow blood flow to the heart, leading to a heart attack, or to the brain, causing a stroke, actually encourage the degeneration of the disks and the back pain that results? Could it be that back pain begins not in the back muscles or the spine but in the arteries? Reduced blood flow also means that waste products accumulate in tissues and irritate sensitive nerve endings. The result, researchers believe, is that the disks start to degenerate. They resort to getting whatever oxygen and nutrients they can from smaller blood vessels passing by. Vertebrae and disks that would normally be nourished with every heartbeat become increasingly cut off from their normal supply line. You can predict the results. A favorite place for plaques to form is right at the opening of one of the lumbar arteries. Earlier studies had shown that children already have the beginnings of atherosclerosis in their abdominal arteries by age ten, and that advanced blockages are present in some people-perhaps as many as 10 percent-by age twenty. People who had not reported back pain had fewer blockages.

The average person with a history of back pain was found to have two arteries to the lower back completely blocked, and at least one more that was narrowed but not yet blocked. With surprising frequency, these arteries were blocked. Nerves passing by could get pinched. Or a disk can rupture, spilling its inner core material. At that point, if you pick up a box of books or move too vigorously, without a sturdy, resilient disk in place, vertebrae could begin to shift from their normal position.

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