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Chiropractic Solutions Calmly Considers MRIs Modic Changes

“There are some Modic changes on your MRI report.” Chiropractic Solutions says “Don’t panic too much.” Our San Jose back pain and neck pain patients are in good company when it comes to MRI reports reporting Modic changes. The research is evolving about just what Modic changes on MRI mean for a patient..and what they don’t mean. Chiropractic Solutions puts perspective around these common MRI findings.


“Modic changes” is a term used to describe the degenerative changes to the vertebral endplates. Modic type I changes are basically considered to be bone marrow edema and inflammation signifying acute degenerative changes.  Modic type II changes signify fatty degeneration of the bone marrow. Modic III changes signify the replacement of bone with bony sclerosis with minimal bone marrow remaining. (1) Chiropractic Solutions appreciates the opportunity to treat a painful back earlier in this cascade of change whenever possible. Chiropractic Solutions treats disc degeneration and spinal degenerative changes.


Modic changes are frequent findings on MRI. Modic changes on MRI are seen in spinal degenerative diseases and are strongly related to low back pain. (1) They are age-related degenerative findings that accompany disc degeneration. Greater Modic changes were tied to greater age, higher body mass index, and adjacent disc degeneration. (2) Lifestyle and occupational factors like cigarette smoking, regular exercise, and nonappearance of daily vehicle vibration appeared to have slight effects, if any, on the development of Modic changes in the lumbar spine. (3) Clearly, Chiropractic Solutions encourages proper lifestyle choices for optimal health!


What is unclear is the research about just what Modic changes suggest about back pain patients. New research showed that Modic changes were not understood to be negatively affiliated with long-term pain, disability, or sick leave. The research reported that low back pain patients who had Modic changes had much less disability and sick-leave at long-term follow-up. (4) This is hopeful info to our San Jose chiropractic back pain patients!

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Listen to this PODCAST with Dr. Robert Rudy on The Back Doctors’ Podcast with Dr. Michael Johnson who detailed his Cox® Technic treatment plan for their back pain relief to his patients so they understand.

Schedule your San Jose chiropractic appointment today. Bring any MRIs with you. Together, Chiropractic Solutions and you will study them for information and create a treatment plan for San Jose back pain relief that will keep us both from panicking!

Chiropractic Solutions sees many back pain and neck pain patients who bring their MRIs with them to the office. Modic changes are often noted.  
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."