Basivertebral Nerve Ablation for Vertebrogenic Low Back Pain in an Elderly Patient With Multilevel Modic Changes: A Case Report

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.