“…It is well-established that the intervertebral disc undergoes changes in composition and structure with age which result in a progression of degeneration [2,3,5,9,10,24,31,34,37,38] and an associated increase in the risk for injury and low back pain [1,5,14,30,37,39,42,43]. Over the last few decades, several studies have shown that changes in the mechanical environment of the disc can result in remodeling, breakdown, and reorganization of the extracellular matrix [ 1, 7,13,[18][19][20][21][22]29,32,33,35,41,44], leading in some cases to signs of accelerated disc degeneration.…”