Smokers are also more prone to back pain than nonsmokers because nicotine restricts the flow of blood to the discs that cushion your vertebrae and increases the rate of degenerative change. Smokers also have double the risk of an osteoporotic fracture than nonsmokers because cigarette smoking reduces calcium absorption and prevents new bone growth. If you are a smoker, quitting smoking can benefit your health in many different ways and will reduce your risk of future back pain.