1 Management of chronic, intractable, non-terminal pain that are not responsive to other modalities; 2  Treatment of cancer pain in those patients who have short life expectancy (less than a year); and.  Alternative management to treat spasticity in order to improve balance, gait, self-care, and global rehabilitation.
Diagnosing modic changes. 1  In Modic type 1 there is vascular development in the vertebral body, with findings of inflammation and edema, but no trabecular damage or marrow changes. 2  In Modic type 2 there are changes in bone marrow, with fatty replacement of formerly red, cellular marrow normally seen there.
1 Modic type 1 changes involve fluids in the part of the vertebral body that is close to the disc, and they stem from an infection in the disc, with low virulence anaerobic bacteria, especially the bacterium Propionibacterium acnes.