The practice of Dr. Tim Schneider Calmly Considers MRIs Modic Changes

“There are some Modic changes on your MRI report.” The practice of Dr. Tim Schneider says “Don’t fret too much.” Our Ottawa back pain and neck pain patients are in good company regarding MRI reports talking about Modic changes. The research is evolving about just what Modic changes on MRI suggest for a patient..and what they don’t mean. The practice of Dr. Tim Schneider puts perspective around these usual MRI findings.


“Modic changes” is a phrase used to explain the degenerative changes to the vertebral endplates. Modic type I changes are basically considered to be bone marrow edema and inflammation indicating acute degenerative changes.  Modic type II changes signify fatty degeneration of the bone marrow. Modic III changes are the replacement of bone with bony sclerosis with minimal bone marrow left. (1) The practice of Dr. Tim Schneider appreciates the chance to take care of a painful back earlier in this cascade of change whenever possible. The practice of Dr. Tim Schneider treats disc degeneration and spinal degenerative changes.


Modic changes are frequent 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 accompany disc degeneration. Greater Modic changes were tied to higher 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 slight effects, if any, on the development of Modic changes in the lumbar spine. (3) Clearly, The practice of Dr. Tim Schneider encourages proper lifestyle choices for optimal health!


What is unclear is the research regarding just what Modic changes suggest about back pain patients. New research demonstrated that Modic changes were not understood 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 encouraging info to our Ottawa chiropractic back pain patients!

CONTACT The practice of Dr. Tim Schneider

Listen to this PODCAST with Dr. Robert Rudy on The Back Doctors’ Podcast with Dr. Michael Johnson who described his treatment plan with the Cox® Technic System for their back pain relief to his patients so they understand.

Schedule your Ottawa chiropractic appointment today. Bring your MRIs with you. Together, The practice of Dr. Tim Schneider and you will look at them for information and develop a treatment plan for Ottawa back pain relief that will prevent us both from panicking!

The practice of Dr. Tim Schneider sees many back pain and neck pain patients who bring their MRIs with them to the office. Modic changes are often noted.  
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