What is Discogenic endplate sclerosis?
Discogenic vertebral sclerosis is often a sclerotic and focal lesion (but it can be lytic or even mixed lytic-sclerotic) which is always adjacent to the endplate, and the associated disc space should be narrow. Osteophytes may be present.
What does discogenic sclerosis mean?
Introduction: Discogenic hemi-vertebral sclerosis is a rare condition of localised sclerotic or lytic lesions affecting vertebral bodies in adults. It is of unknown aetiology and regarded as a do not touch lesion. We report the first case where this lesion has been confused for a fracture.
How is discogenic pain treated?
Discogenic pain can usually be successfully treated with non-surgical treatments, such as pain medication and physical therapy and exercise, but chronic discogenic pain that is severe and limits the individual’s ability to function may need to be treated with surgery.
Do MS spinal lesions cause pain?
A person’s symptoms depend on where MS lesions develop. According to the National Multiple Sclerosis Society, some symptoms of MS include: pain and itching. numbness or tingling.
What is Discogenic spurring?
Discogenic pain is pain originating from a damaged vertebral disc, particularly due to degenerative disc disease. However, not all degenerated discs cause pain. Disc degeneration occurs naturally with age.
What does discogenic pain mean?
Discogenic pain is pain arising from stimulation of pain sensitive afferents within the annulus fibrosus and is a separate condition from disc herniation with associated radiculopathy.
Can you have MS lesions spine not brain?
If a patient does have lesions in the spinal cord, he/she may be said to have Spinal MS. A smaller number of MS patients, approximately 20 percent, may have only spinal lesions and not brain lesions. I am an example of one of those 20 percent of MS patients who only have spinal lesions.
Do MS lesions come and go?
“Paradoxically, we see that lesion volume goes up in the initial phases of the disease and then plateaus in the later stages,” Zivadinov says. “When the lesions decrease over time, it’s not because the patient lesions are healing but because many of these lesions are disappearing, turning into cerebrospinal fluid.”
What does discogenic vertebral sclerosis look like?
Discogenic vertebral sclerosis is often a sclerotic and focal lesion (but it can be lytic or even mixed lytic-sclerotic) which is always adjacent to the endplate, and the associated disc space should be narrow. Osteophytes may be present.
What causes the spurring of the endplates?
This is attributed to bone spurs breaking off and drifting into the joint or becoming limited, interfering with the joint’s movement. As the particles shift with movement, the interference comes and goes.
What kind of bone spurs does subchondral sclerosis cause?
Subchondral sclerosis is a thickening of the bone in joints. It can affect people who have osteoarthritis and result in painful bone spurs. Fortunately, subchondral sclerosis is easily detected and there are several treatment options available.
Can a bone scan detect type 3 endplate sclerosis?
These imaging modalities can detect the endplate sclerosis of type 3 VED. Nuclear medicine bone scan will demonstrate nonspecific increased radiotracer uptake in an area of active bone turnover and thus will be most intense with type 1 VED ( Fig. 18-2 ) and less so with type 2 or type 3.