Back anatomy 101: understanding your back for a healthy lifestyle


Back anatomy 101:  understanding your back for a healthy lifestyle

Written by: Liz Wullems-Griffioen, CMO Healactively

Reviewed by: Noah Köppel, Physiotherapist (Kantonsspital Winterthur, Switzerland) and Research Associate (Eastern Switzerland University of Applied Sciences - OST)


The back is an intricate structure that plays a critical role in our everyday movements, from sitting at a desk and caring for young children to engaging in active sports. Understanding the anatomy of your back is helpful in subsequently understanding how to maintain its health and preventing discomfort.

The Backbone of Your Body: The Spine

Central to the back's anatomy is the spine, a robust yet flexible column that supports the body's weight and allows for a wide range of movements. The spine is composed of 33 vertebrae, segmented into four regions:

- Cervical: The neck region, consisting of 7 vertebrae.

- Thoracic: The upper back, with 12 vertebrae connected to the ribcage.

-Lumbar: The lower back, comprising 5 vertebrae. This region bears the most weight and is where back pain is most frequently experienced.

- Sacral and Coccygeal: The pelvis and tailbone areas, with 9 vertebrae that are fused in adults.

Between each vertebra are intervertebral discs, which act as cushions and shock absorbers, allowing flexibility and movement while reducing the impact on the spine during activities.

Muscles and Ligaments: The Support Network

Surrounding the spine is a complex network of muscles and ligaments that stabilize the spine, support the body's weight, and facilitate movement. These include:

- Erector Spinae: A group of muscles running vertically along the spine that maintain posture and help in lifting objects.

- Latissimus Dorsi: Large muscles on the sides of the back that support arm movement and contribute to spinal stability.

- Trapezius: This muscle extends from the neck to the mid-back and shoulders, aiding in moving the shoulders and neck.

- Ligaments: Bands of fibrous tissue that connect vertebrae to each other, providing stability to the spine.

Core Muscles: The Hidden Heroes

Often overlooked in discussions about back anatomy are the core muscles, which play a pivotal role in maintaining spinal health. The core comprises the muscles around the trunk and pelvis, including the abdominals, obliques, and lower back muscles. A strong core supports the spine, reduces the load on the back, and minimizes the risk of injury.

Nerves: The Communication System

The spinal cord runs through the center of the vertebral column, protected by the bony structure of the spine. Nerves branch out from the spinal cord between the vertebrae and transmit signals between the brain and the rest of the body. These nerves are crucial for movement, sensation, and the functioning of internal organs. Compression or irritation of these nerves can lead to back pain or other neurological symptoms.

Maintaining a Healthy Back

The back's complex structure is designed to provide strength, flexibility, and support for everyday activities. By understanding the anatomy of your back, you can take proactive steps to protect and maintain its health, and to maintaining it for healthy longevity.

If you struggle with back pain, consider taking the Healactively self-assessment (see link below) for a personalized back wellness program designed to support your unique needs and lifestyle, helping you to stay active, pain-free, and healthy.