Diagnostic Pathway for Patients with Axial Low Back Pain and Modic Changes
In patients with axial low back pain and MRI-confirmed Modic type 1 or type 2 changes, the first diagnostic step is a fluoroscopically guided facet joint block to exclude facetogenic pain. If pain relief is less than 70%, Modic-related vertebrogenic pain is likely, and further discography is unnecessary, as treatment would focus on the basivertebral … Read more