Analyzing the Influence of Modic Changes on Patients with Lower Back Pain Undergoing Conservative Treatment
Objective. This study aimed to investigate if the presence of Modic changes (MCs) was correlated with lower back pain (LBP) and LBP-related disability in patients who underwent nonsurgical treatment. Methods. In this study, 129 patients who experienced consecutive LBP and underwent lumbar spine magn...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2019/8185316 |
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| author | Yufeng Chen Huilin Yang Lianfang Zhang Yue Wang Jun Zou |
| author_facet | Yufeng Chen Huilin Yang Lianfang Zhang Yue Wang Jun Zou |
| author_sort | Yufeng Chen |
| collection | DOAJ |
| description | Objective. This study aimed to investigate if the presence of Modic changes (MCs) was correlated with lower back pain (LBP) and LBP-related disability in patients who underwent nonsurgical treatment. Methods. In this study, 129 patients who experienced consecutive LBP and underwent lumbar spine magnetic resonance imaging in our institute were divided into three groups according to the presence or type of MCs. The Oswestry Disability Index (ODI) and visual analog scale (VAS) were used to assess the outcomes of the treatment. Results. Based on the achieved results, there was no significant difference between three groups before treatment (P>0.05). Three months after undergoing nonsurgical treatment, the rates of improved ODI and VAS scores were statistically significantly different (P=0.014, 0.023). After an additional 3 months of treatment, in patients with Modic type I changes, the symptoms significantly improved in comparison with those 3 months prior (P=0.037, 0.026), while that improvement did not occur in patients with Modic type II changes (P>0.05). Conclusions. The existence of MCs affects the outcomes of nonsurgical treatment in patients with LBP. However, symptoms can be improved after an additional round of treatment for Modic type I changes, while this is not confirmed for Modic type II changes. |
| format | Article |
| id | doaj-art-37404866d7a7428f8ec2d66071f0e974 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-37404866d7a7428f8ec2d66071f0e9742025-02-03T01:11:31ZengWileyPain Research and Management1203-67651918-15232019-01-01201910.1155/2019/81853168185316Analyzing the Influence of Modic Changes on Patients with Lower Back Pain Undergoing Conservative TreatmentYufeng Chen0Huilin Yang1Lianfang Zhang2Yue Wang3Jun Zou4Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, ChinaDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, ChinaDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, ChinaDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang 310003, ChinaDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, ChinaObjective. This study aimed to investigate if the presence of Modic changes (MCs) was correlated with lower back pain (LBP) and LBP-related disability in patients who underwent nonsurgical treatment. Methods. In this study, 129 patients who experienced consecutive LBP and underwent lumbar spine magnetic resonance imaging in our institute were divided into three groups according to the presence or type of MCs. The Oswestry Disability Index (ODI) and visual analog scale (VAS) were used to assess the outcomes of the treatment. Results. Based on the achieved results, there was no significant difference between three groups before treatment (P>0.05). Three months after undergoing nonsurgical treatment, the rates of improved ODI and VAS scores were statistically significantly different (P=0.014, 0.023). After an additional 3 months of treatment, in patients with Modic type I changes, the symptoms significantly improved in comparison with those 3 months prior (P=0.037, 0.026), while that improvement did not occur in patients with Modic type II changes (P>0.05). Conclusions. The existence of MCs affects the outcomes of nonsurgical treatment in patients with LBP. However, symptoms can be improved after an additional round of treatment for Modic type I changes, while this is not confirmed for Modic type II changes.http://dx.doi.org/10.1155/2019/8185316 |
| spellingShingle | Yufeng Chen Huilin Yang Lianfang Zhang Yue Wang Jun Zou Analyzing the Influence of Modic Changes on Patients with Lower Back Pain Undergoing Conservative Treatment Pain Research and Management |
| title | Analyzing the Influence of Modic Changes on Patients with Lower Back Pain Undergoing Conservative Treatment |
| title_full | Analyzing the Influence of Modic Changes on Patients with Lower Back Pain Undergoing Conservative Treatment |
| title_fullStr | Analyzing the Influence of Modic Changes on Patients with Lower Back Pain Undergoing Conservative Treatment |
| title_full_unstemmed | Analyzing the Influence of Modic Changes on Patients with Lower Back Pain Undergoing Conservative Treatment |
| title_short | Analyzing the Influence of Modic Changes on Patients with Lower Back Pain Undergoing Conservative Treatment |
| title_sort | analyzing the influence of modic changes on patients with lower back pain undergoing conservative treatment |
| url | http://dx.doi.org/10.1155/2019/8185316 |
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