Modic changes were first written about in 1988 ( just 8 years after the first clinical MRI image was performed) by Dr. Modic in a paper titled “Imaging of Degenerative Disk Desease” laying out his observations.
He classified differences in MRI T1 and T2 weighted imaging of degenerative discs into three categories: type 1, 2 and 3. His foundational work paved the way for other researchers to begin to investigate what he was seeing and importantly, to try and find a correlation to LBP.
In 2007, authors saw a correlation between these changes and LBP. They also saw how disc herniation is a predictor of these classified modic changes. Interestingly, they reported how disc herniation sets the stage to develop the earliest of modic changes; in particular Type 1 , which is thought to be a more painful type. For many years type 2 modic changes were thought to be the symptomatic type but more recent reviews believe that it is type 1 that is more correlative to acute back pain.
Dynamic Disc Designs has developed Basivertebral Model, with the advice from Dr. Modic, to help expose this commonly found pain generator.