Modic type I changes of the lumbar spine in golfersReport as inadecuate

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Skeletal Radiology

, Volume 40, Issue 4, pp 467–473

First Online: 24 November 2010Received: 16 September 2010Revised: 25 October 2010Accepted: 27 October 2010


Low back pain LBP is the most prevalent musculoskeletal complaint among professional and amateur golfers; however, associated radiological changes in golf-related LBP have not been examined in the literature. We suspect that Modic Type 1 changes in the lumbar spine are linked to golf-related LBP. In this retrospective case series, four middle-aged golfers one professional and three high-level amateurs presented to our clinic with LBP. Inflammation of the right side of endplates in the lumbar spine was suspected based on Modic Type 1 changes detected by magnetic resonance imaging MRI in each patient. All four cases were diagnosed with right-sided endplate inflammation and administered intradiscal steroid injections with a non-steroidal anti-inflammatory drug NSAID. Treatment swiftly alleviated LBP and diminished Modic Type 1 changes on follow-up MRI 3–6 months later in all four patients. We suggest that Modic Type 1 changes play a significant role in the diagnosis and treatment of golf-related LBP.

KeywordsLow back pain Golf Modic Type 1 Lumbar spine MRI  Download fulltext PDF

Author: Jason Mefford - Koichi Sairyo - Toshinori Sakai - Justin Hopkins - Madoka Inoue - Rui Amari - Nitin N. Bhatia - Akira Dez


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