What are Modic changes? Modic changes are inflammatory disruptions in the vertebrae (bones) of our spine. This is part of a process that happens after a disc has been damaged for a long time (6+ months). Imagine the discs in the low back to be like the soft, white of an Oreo and the vertebra (bone) to be the hard, black cookie. What happens with Modic changes is the disc will infiltrate the bone. The Oreo is cracked and the soft, white center is pushing through the cookie. This creates swelling, inflammation, and even fracturing in the bone.

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