European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research SocietyOct 7, 2026

How Sleep and Body Clock Rhythms Relate to Spine Disc Wear and Tear

Circadian Biology Weekly Brief ↗PubMed ↗DOI ↗

Updated Oct 8, 2026

Abstract

Intervertebral disc degeneration (IDD) is a significant factor in the global prevalence of low back pain.

Sleep abnormalities and circadian rhythm disorders are common and may be linked to IDD.
The bidirectional associations between sleep issues and IDD have not been fully understood.
Existing studies suggest a mutual regulatory relationship between sleep patterns and IDD.
Potential intervention strategies to address these associations are discussed.

Simplified

Low back pain is a globally prevalent disabling condition, with intervertebral disc degeneration (IDD) as a key inducer. Sleep abnormalities and circadian rhythm disorders are widespread, but their bidirectional associations with IDD and underlying pathophysiological mechanisms remain unclear. This narrative review synthesizes existing studies to clarify the mutual regulatory relationship and corresponding intervention strategies.

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How Sleep and Body Clock Rhythms Relate to Spine Disc Wear and Tear

Abstract

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