Paramus Medical & Sports Rehabilitation Center Calmly Considers MRIs Modic Changes

“Your MRI shows some Modic changes.” Paramus Medical & Sports Rehabilitation Center says “Do not fret too much.” Our Paramus back pain and neck pain patients have good company regarding MRI reports talking about Modic changes. The research is developing about just what MRI-documented Modic changes suggest for a patient..and what they do not. Paramus Medical & Sports Rehabilitation Center puts perspective around these usual MRI findings.


“Modic changes” is a term used to describe the degenerative changes to the vertebral endplates. Modic type I changes are essentially regarded as bone marrow edema and inflammation signifying acute degenerative changes.  Modic type II changes represent fatty degeneration of the bone marrow. Modic III changes describe the replacement of bone with bony sclerosis with little bone marrow remaining. (1) Paramus Medical & Sports Rehabilitation Center appreciates the chance to take care of a painful back as early in this flow of change as possible. Paramus Medical & Sports Rehabilitation Center treats disc degeneration and spinal degenerative changes.


Modic changes are common 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 come with 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 minor effects, if any, on the development of Modic changes in the lumbar spine. (3) Clearly, Paramus Medical & Sports Rehabilitation Center encourages proper lifestyle choices for overall good health!


What is unclear is the research regarding just what Modic changes imply for back pain patients. Recent research demonstrated that Modic changes were not found to be negatively affiliated with long-term pain, disability, or sick leave. The research stated that low back pain patients who had Modic changes had significantly less disability and sick-leave at long-term follow-up. (4) This is hopeful news to our Paramus chiropractic back pain patients!

CONTACT Paramus Medical & Sports Rehabilitation Center

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

Schedule your Paramus chiropractic appointment now. Bring any MRIs with you. Together, Paramus Medical & Sports Rehabilitation Center and you will look at them for information and create a treatment plan for Paramus back pain relief that will keep us both from panicking!

Paramus Medical & Sports Rehabilitation Center 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."