What does endplate edema mean?
Vertebral body endplate degeneration may be detected by the presence of edema or fat within the endplates. Endplate degeneration represents a continuum of different stages of degeneration beginning with bone edema and ending with the endplate sclerosis.
What is a disc endplate?
The end plate is a bilayer of cartilage and bone that separates the intervertebral disks from the adjacent vertebrae (Fig. 1A to C).
What is edematous endplate changes?
They are believed to be the result of fissuring of the endplates with the development of vascular granulation tissue adjacent to the endplates, resulting in bone marrow edema 2. This pattern is very similar to that seen in infection and merely represents bone marrow edema.
What is an endplate in your back?
A vertebral end plate is the transition region where a vertebral body and intervertebral disc interface with each other. A vertebral end plate is commonly described as consisting of 2 layers: Cartilaginous layer (also called cartilaginous endplate) that fuses with the disc.
How is bone edema treated?
Bone marrow edema treatment In many cases, the liquid inside your bone will go away with time, therapy, and pain medication, such as nonsteroidal anti-inflammatory drugs (NSAIDs). In more serious cases, surgery may be required. A common procedure for bone marrow lesions or edemas is core decompression.
What is edema in the spine?
Spinal cord edema is a common finding in acute spinal cord injury, neoplastic, or inflammatory lesions in the spinal canal; however, it is rare in chronic degenerative disorders of the spinal column. In this report, we describe six patients with cervical spondylosis and spinal cord edema demonstrated by MR imaging.
Are endplate changes painful?
Vertebral endplate degenerative changes are significantly associated with back pain, with type 1 changes showing the strongest association. Most patients with Modic changes also have concurrent evidence of disc degeneration. Modic changes are rare in asymptomatic patients.
What is a bone edema?
Bone marrow edema is when fluid builds up in your bone marrow. Your doctor may call it bone marrow lesions. The most common locations for it are your: Hip. Knee.
How is spinal edema treated?
Medicines may include nonsteroidal anti-inflammatory drugs (NSAIDs) that relieve pain and swelling and steroid injections that reduce swelling. In more acute spinal cord compression, high-dose steroids are used to save nerve cells until other treatment can be given.
What is the best treatment for edema?
Treatment of edema includes several components: treatment of the underlying cause (if possible), reducing the amount of salt (sodium) in your diet, and, in many cases, use of a medication called a diuretic to eliminate excess fluid. Using compression stockings and elevating the legs may also be recommended.
What is mild bone marrow edema?
A bone marrow edema — often referred to as bone marrow lesion — occurs when fluid builds up in the bone marrow. Bone marrow edema is typically a response to an injury such as a fracture or conditions such as osteoarthritis. Bone marrow edema usually resolves itself with rest and physical therapy.
What is Modic type 1 endplate edema?
Modic type I endplate change is the most controversial and important of the three types described (see Modic endplate change). It is seen on MRI of the spine and represents the presence of low T1 and high T2 signal within the bone marrow of a vertebral body adjacent to a disk. Type 1 change can enhance and be painful.
What does edema on MRI mean?
Bone marrow edema is the term given to abnormal fluid signal seen within the bone marrow on MRI. It is a non-specific, yet important imaging finding, usually indicating the presence of underlying pathology.