The facets – so-called because of their smooth surface, like that of a cut gem – form joints (facet joints) with those of the vertebrae above and below. Each joint is surrounded by synovial membrane, which secretes a lubricating fluid (synovial fluid). The joint surfaces are covered with a smooth cartilage that facilitates the moving of one vertebra on the other. When this fluid dries up it creates stiffness and pain. Some simple back pain relief treatments work on enhancing the fluidity in these joints.

Intervertebral discs

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Spinal ligaments

The spine is supported by strong fibers called ligaments. They hold the bones together and give strength to all the joints. In addition, they limit movement and so help to prevent damage.

Spinal tendons

Attaching muscles to the spinal bones are fibrous bands called tendons. When your back muscles contract, they pull on tendons, which then move your spine.

Interestingly, since both tendons and ligaments are subjected to a great deal of pulling, they do not have a very rich blood and nerve supply. They therefore depend on surrounding tissues for much of their oxygen and nutrients. This partly explains why they take a long time to heal when injured.

Sacrum and Pelvis

At the juncture where the sacrum and coccyx meet the hip bones are the sacroiliac joints. They are part of the pelvis (pelvic ring or pelvic girdle).

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