Vertebrogenic low back pain is a distinct source of chronic pain caused by damage and inflammation in the vertebral endplates, the thin layers of bone between the spinal discs and vertebrae. These changes, often visible on MRI as Modic type 1 or type 2 changes, are carried through the basivertebral nerve (BVN), which sends pain signals from the damaged bone.
Unlike generalized “non-specific” back pain, vertebrogenic pain has a clear, identifiable cause and a proven treatment: basivertebral nerve ablation. At Vertrae® in Dayton, Dr. Kamal Woods and our team are among the few specialists offering this cutting-edge outpatient solution for patients struggling with persistent low back pain.
Learn more about your options by scheduling a consultation at Vertrae® today!
Vertebrogenic pain comes from damage and inflammation in the vertebral endplates of the spine. These endplates are rich in nerve supply through the basivertebral nerve, which transmits pain signals. Patients typically feel a deep, aching pain in the midline lower back that worsens with sitting, standing, or bending forward.
The main cause is endplate damage, often associated with Modic changes seen on MRI scans. These changes may result from age-related degeneration, inflammation, trauma, or microfractures. Unlike disc herniation or facet arthritis, vertebrogenic pain is uniquely tied to the basivertebral nerve’s role in transmitting pain from the bone.
Diagnosis combines a physical exam with imaging studies. The key finding is Modic type 1 or type 2 changes on MRI in the lumbar spine (typically L3–S1). These changes confirm that the vertebral endplates are damaged and inflamed, making them a likely pain source.
