Modic changes are found with disc shock absorption failure. Without the cushioning effect of the disc, the bony endplates of the vertebra undergo more loading forces than they can withstand. This causes endplate fractures and fractures of the supporting trabecular bone (the reinforcement bony spicules that act like internal buttresses within the body of the vertebra). This condition can be quite painful causing lower back pain with loading, intolerance of vibration (a bumpy car ride or turbulence on an airplane). There are however patients with this condition that have no pain so Modic changes may or may not cause lower back pain.
The standard treatment is core strengthening exercises and medications but symptomatic patients with significant impairment may need a fusion surgery.
Dr. Corenman
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
