Buffalo, NY Cervical Spine Pain: MRI-Seen Changes, & Plan for Care

Analyzing the cervical spine of neck pain sufferers with MRI imaging can be interesting, confusing, and/or (non)directive for treatment planning. Disc Centers Of America always views imaging through the lens of the clinical symptomatology and spinal examination. Buffalo, NY neck pain with imaging-revealed changes in the cervical spine will get a treatment plan based on both imaging (if/when available) and clinical exam findings.

MRI-SEEN CHANGES IN DISC AND VERTEBRA 

MRI is an amazing technology. It is used commonly to evaluate intervertebral disc degeneration. When spine pain continues without relief while undergoing care for an extended period of time, doing imaging is logical and follows today’s guidelines for back pain management. The imaging findings must be linked with the clinical symptomatology seen in the clinical exam to guide the care for optimal relief. Modic Changes – vertebral bone endplate and bone marrow changes - are commonly noted when radiologists read the MRI and classify the level of disc degeneration with level 1 being the least degenerated and level 3 being the most degenerated. In the lumbar spine, more studies have been performed to correlate back pain symptoms with imaging findings. In the cervical spine, the studies are fewer. A review of 14 research studies regarding the connection between neck pain and/or cervical spine disc degeneration to MRI-revealed Modic changes reported that cervical spine Modic changes were seen in 5% to 40% of the images. Patients whose MRIs revealed Modic changes described more neck pain and disability. Their imaging also demonstrated more cervical disc degeneration. (1) Recently, one MRI study of cervical spines of neck pain and shoulder stiffness patients stated that no system of classification of cervical disc degeneration showed any relationship to clinical symptoms. However, the researchers did explain that vertebral endplate changes may be linked to clinical symptom presentations. (2) Disc degeneration and vertebral changes causing pain can be addressed with chiropractic care.

TREATMENT PLANNING 

When [[companyname treats patients with MRI imaging presenting Modic changes, researchers and clinicians have been challenged to correlate effective non-surgical treatment options. Review of studies previously published about the treatment of Modic change associated back pain, in this case it was low back pain, revealed that spinal manipulation was advocated as an option. The review listed insufficient support for medication use and rigid lumbar brace wearing, controversial use of antibiotics, and exercise therapy’s use to lower back pain intensity as having low evidence support. (3) Do you see how imaging can be interesting, confusing, and/or (non)directive? One thing your Buffalo, NY chiropractor knowledgeably and safely delivers is spinal manipulation for neck pain and back pain relief often before and/or in spite of imaging. Disc Centers Of America stays the course with what we see helps our patients.

CONTACT Disc Centers Of America

Listen to the PODCAST with Dr. Matthew Scott on the Back Doctors Podcast with Dr. Michael Johnson as he describes the effectiveness and gentleness of the Cox® Technic System of Spinal Pain Management for his patient with cervical spine disc degeneration and herniation that allowed him to avoid spine surgery.

Schedule your next Buffalo, NY chiropractic appointment with Disc Centers Of America. MRIs and Modic changes will not confuse your chiropractor when it comes to setting up a neck pain relieving cervical spine treatment plan.

 
Disc Centers Of America considers MRI findings like Modic Changes when setting up a neck pain relieving treatment plan. 
« View All Spine Articles
"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."