Modic Changes: A Potential Predictor of Low Back Pain Recovery?

Modic Changes: A Potential Predictor of Low Back Pain Recovery?

What are modic changes?

Can Modic Changes PREDICT recovery from low back pain

When you get a MRI - you might see bone marrow lesions within a vertebral body - this can often be associated with low back pain

Modic changes are deems of the vertebral endplates and subchondral bone, which is caused by endplate cracks

This is accompanied by increased vascular density, increased number of nerve endings and increased levels of pro inflammatory biomechanical mediators

They concluded that in fact modic changes did NOT influence the clinical course of back pain and were NOT prognostic factors for recovery

Low back pain is defined as pain, muscle tension and-or stiffness localised BELOW the costal margin and above the inferior gluteal folds , with OR without leg pain radiating to the knee

MRIs are now being discouraged to determine low back pain issues because of HIGH prevalence of degenerative changes in ASYMPTOMATIC people

Side note - what they are saying here is that you could get 100 people off the street, all get them to have low back MRI’s and many will show a disc problem or degenerative change but actually have NO pain-

- Remember pain is the LAST symptom for many people

EVIDENCE DOES SHOW that function, depression and education are STRONG prognostic factors for recovery

So coming to the chiropractor to improve function, listening to education about lifestyle factors you may need to change and meditation could be effective in helping your low back recovery

Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic maybe costly and time consuming. This way if you cant make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure.

Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions

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REFERENCE

doi: 10.1007/s00586-011-1964-6

PMCID: PMC3296852PMID: 21837412

Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

Anne Keller,

1 Eleanor Boyle,2,3 Thomas A. Skog,5 J. David Cassidy,2,4 and Erik Bautz-Holter1

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