Analyzing the cervical spine of neck pain patients with MRI imaging can be interesting, confusing, and/or (non)directive for treatment planning. Lombardy Chiropractic Clinic always considers imaging through the lens of the clinical symptomatology and spinal exam. Augusta 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 persists even with care for an extended period of time, performing 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 direct the care for optimal relief. Modic Changes – vertebral bone endplate and bone marrow changes - are typically noted when radiologists read the MRI and classify the level of disc degeneration: level 1 being the least degenerated and level 3 being the most degenerated. More lumbar spine studies have been done to correlate back pain symptoms with imaging findings. In the cervical spine, the studies are scarcer. A review of 14 research studies regarding the connection between neck pain and/or cervical spine disc degeneration to MRI-revealed Modic changes described that cervical spine Modic changes were seen in 5% to 40% of the images. Patients whose MRIs showed Modic changes described more neck pain and disability. Their imaging also showed more cervical disc degeneration. (1) Recently, one MRI study of cervical spines of neck pain and shoulder stiffness patients reported that no classification system of cervical disc degeneration showed any relationship to clinical symptoms. However, the researchers did mention that vertebral endplate changes may be connected to clinical symptom presentations. (2) Chiropractic care can help pain due to disc degeneration and vertebral changes.
When [[companyname treats patients with MRI imaging presenting Modic changes, researchers and clinicians have faced correlating effective non-surgical treatment options. Review of studies already published about the care of Modic change associated back pain, in this review it was low back pain, revealed that spinal manipulation was proposed as an option. The review listed insufficient support for medication use and rigid lumbar brace wearing, antibiotics’ use as controversial, 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 Augusta chiropractor competently and safely delivers is spinal manipulation for neck pain and back pain relief often before and/or despite imaging. Lombardy Chiropractic Clinic stays the course with what our experience tells us helps our patients.
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Listen to the PODCAST with Dr. Matthew Scott on the Back Doctors Podcast with Dr. Michael Johnson as he explains the effective, gentle treatment with 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 Augusta chiropractic appointment with Lombardy Chiropractic Clinic. MRIs and Modic changes will not confuse your chiropractor when it comes to setting up a neck pain relieving treatment plan for your cervical spine issues.