What causes pain in our back?

There are many reasons, and most of them not even well understood by our doctors. But the main principle is simple: as long as the bones, the cartilage, the nerves and the muscles can work in the smooth interaction they were designed for, there will be no pain. Pain sets in when – but not necessarily at the exact point where – this smooth interaction is disturbed of even disrupted. And all the components in our back can cause pain.

The main reasons for back pain are most likely dislocations of or damages to the cartilage. The cartilage not only buffers the bones against each other, it also buffers the nerve roots, which exit the vertebral column through the cartilage. Nerve roots can be irritated or damaged by friction, and they will react with pain.

But even the assumption that in most cases of back pain the cartilage is involved recently is debated: countless studies have shown that people with severe cartilage damage do not suffer pain whereas other people without any physiologic findings complain about back pain.

If we take together the results of all the scientific studies about back pain, the perspective gets really frustrating – an endless number of proven, but often contradictory facts add up to little more than guesswork.

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