HX of LBA, LBP only with flexion and impact
Had microdiscectomy L5-S1, 4 years earlier No leg pain now-what would MRI show?

Note disc height narrowing, history of microdisc and no leg pain

Modic Changes Right Lateral Endplate

•This can cause local unilateral LBP worse with loading and vibration
•With severe flare-ups, can radiate into thigh (sclerotomal pain)
•50% of IDR patients however are not symptomatic
•Did you note the left angular collapse on the X-ray?