What does Modic type 2 changes mean?

In Modic type 2 there are changes in bone marrow, with fatty replacement of formerly red, cellular marrow normally seen there. With Modic type 2 changes the marrow is substituted by visceral fat, the same kind of fat we have on our hips and bellies.

What does Modic endplate changes mean?

Modic type I endplate change is the most controversial and important of the three types described (see Modic endplate change). It is seen on MRI of the spine and represents the presence of low T1 and high T2 signal within the bone marrow of a vertebral body adjacent to a disk. Type 1 change can enhance and be painful.

Are Modic changes serious?

Modic changes (MC) are bone marrow lesions seen within a vertebral body on magnetic resonance imaging (MRI), suggestive of being associated with low back pain (LBP). Their presence in clients receiving physiotherapy for low back pain may be of significance when discussing prognosis and benefits of exercise therapy.

What are Modic changes on MRI?

Modic changes are recognized on magnetic resonance imaging (MRI) scans as alterations in signal intensity of the bone marrow adjacent to a degenerated disc. There are three types of Modic changes namely signs of bone marrow edema (Modic type I), fat (Modic type II) and osseous sclerosis (Modic type III) [4–7].

What are degenerative endplate changes?

Vertebral endplate degenerative changes are significantly associated with back pain, with type 1 changes showing the strongest association. , Most patients with Modic changes also have concurrent evidence of disc degeneration. Modic changes are rare in asymptomatic patients.

What does Modic 1 marrow change mean?

The Modic Type I are the changes seen in the end-plate (thin cartilaginous structures that attach the spinal disc to spinal bone) and the bone marrow signals. These changes have a strong relationship with degenerative disc disease and low back pain .

What does endplate changes mean?

Vertebral endplate signal changes (VESC) are more common among patients with low back pain (LBP) and/or sciatica than in people who are not seeking care for back pain. The distribution and characteristics of VESC have been described in people from clinical and non-clinical populations.

What is Modic type 1?

In Modic type 1 there is vascular development in the vertebral body, with findings of inflammation and edema, but no trabecular damage or marrow changes. In Modic type 2 there are changes in bone marrow, with fatty replacement of formerly red, cellular marrow normally seen there.