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Hollstrom & Associates Inc Calmly Considers MRIs Modic Changes

“Your MRI shows some Modic changes.” Hollstrom & Associates Inc says “Do not fret too much.” Our Largo back pain and neck pain patients are in good company regarding MRI reports reporting Modic changes. The research is evolving about just what Modic changes on MRI suggest for a patient..and what they don’t mean. Hollstrom & Associates Inc 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 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 signify the replacement of bone with bony sclerosis with minimal bone marrow left. (1) Hollstrom & Associates Inc likes the opportunity to treat a painful back as early in this flow of change as possible. Hollstrom & Associates Inc treats disc degeneration and spinal degenerative changes.


Modic changes are familiar findings on MRI. Modic changes on MRI appear in spinal degenerative diseases and are greatly associated with 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 absence of daily vehicle vibration appeared to have minor effects, if any, on the development of Modic changes in the lumbar spine. (3) Clearly, Hollstrom & Associates Inc urges proper lifestyle choices for overall good health!


What is unclear is the research regarding just what Modic changes connote for back pain patients. New research showed that Modic changes were not found to be negatively associated with long-term pain, disability, or sick leave. The research reported 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 info to our Largo 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 Largo chiropractic appointment today. Bring your MRIs with you. Together, Hollstrom & Associates Inc and you will look at them for information and create a treatment plan for Largo back pain relief that will prevent us both from panicking!

Hollstrom & Associates Inc sees many back pain and neck pain patients who bring their MRIs with them to the office. Modic changes are often seen.  
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