{
  "abstract": "For decades, the intervertebral disc (IVD) has been framed in clinical and research narratives as a structure that inevitably degrades, a biomechanical victim of ageing and axial stress.1 This portrayal, rooted in cautious orthopaedic tradition and a conservative interpretation of spinal loading, has often overshadowed what recent evidence increasingly suggests: the disc is not passive, nor is it irreversibly degenerative.2 Rather, it is a living, mechanoresponsive tissue capable of positive structural and metabolic adaptation. The implications of this shift are profound. If the disc is responsive to stress, then physical activity, long known to benefit musculoskeletal health, could be reframed not as a risk, but as a critical determinant of spinal resilience.",
  "authors": [
    {
      "affiliations": [
        "Department of Physiotherapy, Faculty of Medicine, University of Prishtina, Prishtina, Kosovo, Albania",
        "Innovation, Implementation & Clinical Translation (IIMPACT) in Health, University of South Australia, Adelaide, South Australia, Australia"
      ],
      "name": "Rilind Shala"
    }
  ],
  "title": "Rethinking the disc: from degenerative narrative to adaptive potential",
  "uid": "a54e1e47-00c0-5793-af97-befa59117019"
}