TREATMENT OPTIONS

The typical Schmorl’s node pathology presents and resolves similar to the recovery of a mild vertebral fracture. The surrounding bone undergoes micro callus formation and sclerosis which adds stability to the lesion. Pain management intervention may be used in symptomatic cases. Treatment may include the use of pharmaceutical agents in an attempt to reduce inflammation and pain. Additional treatment options include:

• Postural training
• Activity modification
• Bracing
• Chiropractic care
• Physiotherapy (ultrasound, electrical stimulation)
• Therapeutic exercise

PREVENTION

Schmorl’s nodes are difficult to prevent, especially if there is an underlying spinal developmental abnormality. Preventive measures include:

• Detection and treatment of predisposing disorders such as hyperparathyroidism, scoliosis and osteoporosis.
• Activity modification
• Avoidance of high contact sports in young susceptible individuals
• Weight management

The best way to prevent neck and back pain and to prevent progressive spine compromise is to become familiar with how your spine works and to become an active participant in your spinecare. It is important to learn how to choose a spinecare specialist and to recognize an efficient spinecare team. There are many steps you can take and habits you can develop to better care for your spine and prevent spine injury. It is also important that you learn more about your spine disorder and become aware of the signs and symptoms that warrant intervention and follow up care. Early detection and timely intervention is generally associated with better treatment outcome.