Vertebrogenic Low Back Pain | Specialty Medical Center

Written by the Specialty Medical Center editorial teamNot individually reviewed by a physicianApproved for publication by SMC, October 31, 2026How we write and review

What is vertebrogenic pain?

Vertebrogenic pain is chronic low back pain that comes from damage to the vertebral endplates, the top and bottom surfaces of the vertebrae. The pain signals travel through the basivertebral nerve. It often shows on MRI as Modic changes.

Common signs

Chronic mid-line low back pain
Pain worse with sitting, bending or activity
Modic changes on MRI

How it's evaluated and treated

An MRI review looks for endplate (Modic) changes. When they're present and conservative care hasn't helped, basivertebral nerve ablation is an option.

Recovery and outlook

Relief after ablation often lasts years in published studies, though results vary.

When to get help now

See a doctor for back pain with fever, weight loss or new weakness.

Related care

Where to get care at Specialty Medical Center

Consultations are at our spine and pain offices in Dearborn, Sterling Heights and Garden City. Part of Minimally Invasive Spine Center.

Eduardo José Otero Loperena, MDInterventional pain medicine

Mohamed Osman, MDPain management

Aaron Greenberg, DOPhysical medicine and rehabilitation

Who performs procedures, and where:

Dr. Eduardo José Otero: Universal Care Surgery Center
Dr. Mohamed Osman and Dr. Aaron Greenberg: Universal Care Surgery Center and Advanced Surgery Center
Dr. Roy Torcuator: Advanced Surgery Center and Garden City Hospital

Office injections are done in our offices. Your physician confirms who performs your procedure, and where, at your consultation.

This page gives general information. Your physician will explain whether a treatment fits you, its risks and the alternatives.

Vertebrogenic pain