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.
The questionnaire below can give an indication of the possibility you may have Modic Type 1 Changes based on common experience. This gives a clue, however you should find a certified MAST (Modic Antibiotic Spinal Therapy) practitioner, and while there are few, this should change in the near future as more doctors and therapists become certified.