{"id":14214,"date":"2019-03-14T19:31:08","date_gmt":"2019-03-14T11:31:08","guid":{"rendered":"https:\/\/excelmedicalgroup.com\/?p=14214"},"modified":"2022-03-17T18:45:41","modified_gmt":"2022-03-17T10:45:41","slug":"modic-grading-for-low-back-pain","status":"publish","type":"post","link":"https:\/\/www.excelmedicalgroup.com\/en\/case-sharing\/modic-grading-for-low-back-pain\/","title":{"rendered":"Modic Type For Low Back Pain"},"content":{"rendered":"

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Modic Type For Low Back Pain<\/h4>\n

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Many patients show me their MRI\u00a0report and asked me about the interpretation of the spine Modic change signal in the report. Now this article will guide the readers to understand\u00a0the impact\u00a0of Modic changes on\u00a0low back pain.<\/p>\n

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What Is Modic Variation?<\/h3>\n

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Modic variants often occur in the spine and intervertebral disc and can only be\u00a0seen\u00a0in\u00a0magnetic resonance\u00a0scans.\u00a0Dr. Michael Modic first analyzed and described Modic changes in the spine and intervertebral discs in 1988, these changes can be described in three types based on the condition of lower back pain.\u00a0Type I, Type II and Type III.<\/p>\n

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Modic type can be used as a key indicator for the diagnosis of low back pain<\/h4>\n

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Modic grading can be used as a key indicator for the diagnosis of low back pain.<\/p>\n

Low back pain\u00a0caused by Modic changes\u00a0is\u00a0one of the common causes of\u00a0spinal stenosis and\u00a0disc herniation.\u00a0Studies have shown that Modic changes\u00a0have a lot to do\u00a0with\u00a0low back pain\u00a0, especially in type I, patients will continue to have\u00a0low back pain in the\u00a0morning or evening\u00a0, or sometimes back pain prevent to sleep well.<\/p>\n

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Modic Type I<\/h3>\n

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From the\u00a0magnetic resonance\u00a0scan, the endplate has microvascular vessels, inflamed and edema on the lamina but with no significant bone marrow change.<\/p>\n

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Modic Type II<\/h3>\n

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From the\u00a0magnetic resonance\u00a0scan, the endplate began to lose its normal appearance as the bone marrow visceral fat is being penetrated into the endplates.<\/p>\n

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Modic Type III<\/h3>\n

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This is a very rare situation. In addition to the patient feeling low back pain, the\u00a0magnetic resonance\u00a0scan will show that the patient has laminar sclerosis and a small amount of fracture.<\/p>\n

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Modic type 1, 2 and 3 photo<\/p>\n\t <\/div>\n

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Modic type 1 (far left) \u2013 blood vessel grow inside vertebral bone Modic type 2 (middle) \u2013 fatty marrow inside vertebral bone Modic type 3 (far right) - laminar sclerosis and a small amount of fracture.<\/p>\n\t <\/div>\n<\/div><\/div><\/div>

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Patients with Modic variants tend to be of older age and have more severe disc disease. Studies have shown that suffering from Modic changes is associated with\u00a0 long-term severe\u00a0low back pain\u00a0.\u00a0Type I patients have more severe lumbar pain than type II patients, while type III patients are associated with\u00a0lower limb numbness. Magnetic resonance scanning reveals and refers to changes in the spine Modic and the shape and extent of the spine. It can be used as a key indicator for the diagnosis of lower back pain. The doctor can better understand\u00a0the cause and severity of\u00a0low back pain\u00a0in\u00a0individual patients\u00a0and set up treatment plans for the patient.<\/p>\n

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How to deal with Modic Lesions:<\/h3>\n

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In addition to the symptoms of lumbar pain of Modic Type I and Type II, the most important thing is to strengthen and stretch the lower back muscles to decrease the symptoms of lower back pain.<\/p>\n

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Author<\/strong><\/span><\/p>\n

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Dr. Matty F.Y. Wong<\/strong><\/p>\n

Doctor of Chiropractic, NCC, USA<\/span><\/p>\n

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\n\t\n\t\tMore\t<\/a>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[125],"tags":[],"class_list":["post-14214","post","type-post","status-publish","format-standard","hentry","category-case-sharing"],"_links":{"self":[{"href":"https:\/\/www.excelmedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/14214","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.excelmedicalgroup.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.excelmedicalgroup.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.excelmedicalgroup.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.excelmedicalgroup.com\/en\/wp-json\/wp\/v2\/comments?post=14214"}],"version-history":[{"count":8,"href":"https:\/\/www.excelmedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/14214\/revisions"}],"predecessor-version":[{"id":18859,"href":"https:\/\/www.excelmedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/14214\/revisions\/18859"}],"wp:attachment":[{"href":"https:\/\/www.excelmedicalgroup.com\/en\/wp-json\/wp\/v2\/media?parent=14214"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.excelmedicalgroup.com\/en\/wp-json\/wp\/v2\/categories?post=14214"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.excelmedicalgroup.com\/en\/wp-json\/wp\/v2\/tags?post=14214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}