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Smoking Side Effects: How smoking can affect spine health and cause back pain Times of India Neurotoxin in cigarette smoke worsens pain in spinal cord injuries Purdue University News Nicotine can shrink blood vessels, which restricts the flow of crucial nutrients. Over time, cells degenerate or die, which impacts spinal cushions and breaks down the vertebral discs. This process can lead Association Between Smoking and Back Pain in a Cross Section of Adult Americans PMC
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