Carrolltown Cervical Spine Pain: MRI-Seen Changes, & Plan for Care
Analyzing the cervical spine of neck pain patients who have MRIs noting some changes in the spine can be interesting, confusing, and/or (non)directive for treatment planning. Gormish Chiropractic & Rehabilitation always considers imaging through the lens of the clinical symptomatology and spinal examination. Carrolltown 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 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, having imaging done 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 review the MRI and classify the level of disc degeneration with 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 revealed Modic changes stated 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 stated that no system of classification of cervical disc degeneration showed any relationship to clinical symptoms. However, the researchers did mention that vertebral endplate changes may be linked to clinical symptom presentations. (2) Chiropractic care can help pain due to disc degeneration and vertebral changes.
TREATMENT PLANNING
When it comes to chiropractic treatment of patients with MRI imaging showing 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 case it was low back pain, revealed that spinal manipulation was advocated as an option. The review recorded insufficient support for medication use and rigid lumbar brace wearing, antibiotics’ use as controversial, and low evidence for exercise therapy to lower pain intensity. (3) Do you see how imaging can be interesting, confusing, and/or (non)directive? One treatment your Carrolltown chiropractor proficiently and safely provides is spinal manipulation for neck pain and back pain relief often before and/or in spite of imaging. Gormish Chiropractic & Rehabilitation keeps doing what works for our patients.
CONTACT Gormish Chiropractic & Rehabilitation
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.
Make your next Carrolltown chiropractic appointment with Gormish Chiropractic & Rehabilitation. MRIs and Modic changes will not confuse your chiropractor when it comes to establishing a neck pain relieving cervical spine treatment plan.
