The precise origins and nature of his lifelong back pains still are uncertain based on the available medical records, but Kennedy appears to have been born with a slightly malformed and unstable back, which, according to private conversations Kennedy had with his Navy doctors, was strained by a 1938 car trip through rough roads in Europe and a 1940 tennis injury. These conditions periodically required him to wear back braces and crutches and eventually necessitated two spinal surgeries.

