{"id":2898,"date":"2026-01-16T03:08:02","date_gmt":"2026-01-16T03:08:02","guid":{"rendered":"https:\/\/excelspinecenter.shopshop.hk\/modic-grading-of-low-back-pain\/"},"modified":"2026-02-27T05:17:24","modified_gmt":"2026-02-27T05:17:24","slug":"modic-grading-of-low-back-pain","status":"publish","type":"post","link":"https:\/\/www.excelspinecenter.hk\/en\/modic-grading-of-low-back-pain\/","title":{"rendered":"Modic Grading Of Low Back Pain"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2898\" class=\"elementor elementor-2898\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ebc9854 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ebc9854\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6c8fdc5\" data-id=\"6c8fdc5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a4b82a4 elementor-widget elementor-widget-heading\" data-id=\"a4b82a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Modic Grading For Low Back Pain<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-aa2d42c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aa2d42c\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ad099f4\" data-id=\"ad099f4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8976c31 elementor-widget elementor-widget-text-editor\" data-id=\"8976c31\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Many patients show me their MRI report and asked me about the interpretation of the spine Modic change signal in the report. Now this article will guide the readers to understand\u00a0the impact\u00a0of Modic changes on\u00a0low back pain.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ac4d7a1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ac4d7a1\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-792b64f\" data-id=\"792b64f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4cedf33 elementor-widget elementor-widget-heading\" data-id=\"4cedf33\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">What Is Modic Variation?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e7c567d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e7c567d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0394592\" data-id=\"0394592\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ca053c5 elementor-widget elementor-widget-text-editor\" data-id=\"ca053c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Modic variants often occur in the spine and intervertebral disc and can only be\u00a0seen\u00a0in\u00a0magnetic resonance\u00a0scans.\u00a0Dr. Michael Modic first analyzed and described Modic changes in the spine and intervertebral discs in 1988, these changes can be described in three types based on the condition of lower back pain.\u00a0Type I, Type II and Type III.<\/p>\n<p>Modic grading can be used as a key indicator for the diagnosis of low back pain.<\/p>\n<p>Low back pain caused by Modic changes is one of the common causes of spinal stenosis and\u00a0disc herniation.\u00a0Studies have shown that Modic changes\u00a0have a lot to do\u00a0with\u00a0low back pain\u00a0, especially in type I, patients will continue to have\u00a0low back painin the\u00a0morning or evening\u00a0, or they may have\u00a0low back pain and\u00a0are unable to fall asleep.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-0b70f8e e-flex e-con-boxed e-con e-parent\" data-id=\"0b70f8e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-faee8ed e-con-full e-flex e-con e-child\" data-id=\"faee8ed\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f5a8680 elementor-widget elementor-widget-heading\" data-id=\"f5a8680\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Modic Type I<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c6f14f9 elementor-widget elementor-widget-text-editor\" data-id=\"c6f14f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>From the magnetic resonance scan, the microvascular vessels shows abnormal elongation, inflamed and edematous on the lamina with no significant bone marrow change.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6448c0a e-flex e-con-boxed e-con e-parent\" data-id=\"6448c0a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-ef12300 e-con-full e-flex e-con e-child\" data-id=\"ef12300\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-556ea3b elementor-widget elementor-widget-heading\" data-id=\"556ea3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Modic Type II<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a6695c elementor-widget elementor-widget-text-editor\" data-id=\"5a6695c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>From the magnetic resonance scan, the bone marrow began to lose its normal appearance, as the bone marrow visceral fat is being penetrated.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3849e82 e-flex e-con-boxed e-con e-parent\" data-id=\"3849e82\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7d8428f e-con-full e-flex e-con e-child\" data-id=\"7d8428f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f31b016 elementor-widget elementor-widget-heading\" data-id=\"f31b016\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Modic Type III<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f30192 elementor-widget elementor-widget-text-editor\" data-id=\"1f30192\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>This is a very rare situation. In addition to the patient feeling low back pain, the\u00a0magnetic resonance\u00a0scan will show that the patient has laminar sclerosis and a small amount of fracture.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-866feed e-flex e-con-boxed e-con e-parent\" data-id=\"866feed\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-5a8c2f8 e-con-full e-flex e-con e-child\" data-id=\"5a8c2f8\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0ef873a elementor-widget elementor-widget-image\" data-id=\"0ef873a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.drmattywong.com\/wp-content\/uploads\/2020\/06\/case03-img02.png\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16a0368 elementor-widget elementor-widget-text-editor\" data-id=\"16a0368\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Modic type 1, 2 and 3 photo<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f19511d e-con-full e-flex e-con e-child\" data-id=\"f19511d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bfc9d2b elementor-widget elementor-widget-image\" data-id=\"bfc9d2b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.drmattywong.com\/wp-content\/uploads\/2020\/06\/case03-img03.png\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-658b185 elementor-widget elementor-widget-text-editor\" data-id=\"658b185\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Modic type 1 (far left) \u2013 blood vessel grow inside vertebral bone<\/p>\n<p>Modic type 2 (middle) \u2013 fatty marrow inside vertebral bone<\/p>\n<p>Modic type 3 (far right) &#8211; laminar sclerosis and a small amount of fracture.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9c2c1b4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9c2c1b4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-417bf78\" data-id=\"417bf78\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-59178d0 elementor-widget elementor-widget-text-editor\" data-id=\"59178d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Patients with Modic variants tend to be of older age and have more severe disc disease. Studies have shown that suffering from Modic changes is associated with \u00a0long-term severe\u00a0low back pain\u00a0.\u00a0Type I patients have more severe lumbar pain than type II patients, while type III patients are associated with\u00a0lower limb numbness. Magnetic resonance scanning reveals and refers to changes in the spine Modic and the shape and extent of the spine. It can be used as a key indicator for the diagnosis of lower back pain. The doctor can better understand\u00a0the cause and severity of\u00a0low back pain\u00a0in\u00a0individual patients\u00a0and set up treatment plans for the patient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0e642c9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0e642c9\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-22cb688\" data-id=\"22cb688\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-34d18e3 elementor-widget elementor-widget-heading\" data-id=\"34d18e3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">How to deal with Modic Lesions:<\/h4>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fac064e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fac064e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9802f5e\" data-id=\"9802f5e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b882a1b elementor-widget elementor-widget-text-editor\" data-id=\"b882a1b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In addition to the symptoms of lumbar pain of Modic Type I and Type II, the most important thing is to strengthen and stretch the lower back muscles to decrease the symptoms of lower back pain.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Modic Grading For Low Back Pain Many patients show me their MRI report and asked me about the interpretation of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2899,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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