Basivertebral Nerve Ablation for Vertebrogenic Low Back Pain in an Elderly Patient With Multilevel Modic Changes: A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Chronic low back pain (CLBP) is a common disabling condition, especially in older patients with degenerative lumbar pathology. This case report involves an 84-year-old man with a history of diabetes mellitus (DM) and long-standing low back pain, mainly in the left lower lumbar area, unresponsive to conservative management. Imaging showed multilevel degenerative changes, including Modic type 1 and 2 changes, suggestive of vertebrogenic pain. As he did not respond to standard treatments, basivertebral nerve (BVN) ablation was proposed as a novel treatment modality. This case points to the importance of diagnosing vertebrogenic pain in chronic pain treatment and highlights BVN ablation as a novel treatment modality.
Source: Cureus
DOI: 10.7759/cureus.85792
Authors: Shivang Patel, Victoria K Corder, Tom Sussan, Joachim Kavalakatt, Tony El-Hayek
Institution: Lake Erie College of Osteopathic Medicine
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4411194104