How your back works

Vertebrae, discs, facet joints, curves and the muscles that hold them.

3 guides · updated 4 Oct 2026 · every claim sourced

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How your spine is built

How your spine is built: vertebrae, discs, joints, ligaments and muscles. What each part does, why the spine is strong, and why scans can mislead.

2 min read · Moderate evidence

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About this topic

Understanding how the back is built makes back pain less frightening. This section explains the anatomy of the spine in plain language: the neck, upper and lower back, the vertebrae, discs, joints, ligaments, nerves and the muscles that move and support them. It also covers how the spine changes with age, and why changes such as disc wear show up on scans of people with no pain at all. The theme throughout is that the spine is strong and adaptable, built to move and carry load in many positions, and that strength, movement and gradual loading keep it healthy.

  • Strong consistent results from trials and reviews
  • Moderate good studies, some gaps
  • Limited few or small studies

Coming soon

Guides we are writing for this topic.

Load tolerance: the idea behind everything hereThe lumbar spineThe thoracic spineCore muscles: what they actually areSpinal curves: lordosis and kyphosisThe intervertebral discDeep neck flexorsFacet jointsSpinal ligaments and tissue creepSpinal nerves and nerve rootsErector spinae

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