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Dr. Cary H. Rothenberg, D.C.

Chiropractor focused on herniated discs

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Dr. Cary H. Rothenberg, D.C., Chiropractor. Professional license 15265498.

Articles on the spine, herniated discs, pain and habits. Not a substitute for a clinical evaluation; the plan is set in consultation.

Spine and herniated discs

  • A herniated disc occurs when the inner core of the disc pushes against its fibrous outer ring and may irritate a nearby nerve. It does not always require surgery. The evaluation includes a review of your symptoms, a physical exam, and any imaging you bring. The plan may include table decompression, physiotherapy, and follow-up, based on clinical judgment.

    Herniated disc
  • Imaging reports often describe a disc as degenerated, protruded, extruded, or sequestered, depending on its condition and how far its inner material has moved. The type is a guide, but it does not decide treatment on its own: the evaluation weighs symptoms, exam, and studies if you bring them. The conservative plan is set in the visit and does not replace a surgical indication.

    Disc herniation: what the 4 report terms mean
  • Most disc herniations do not require surgery, pain does not always get worse over time, and strict bed rest is no longer recommended. Evaluation reviews symptoms, exam, and studies if you bring them. The conservative plan is set in the visit and does not replace a surgical indication.

    Disc herniation myths: what is true and what is not
  • NSSD (Non-Surgical Spinal Decompression) is a form of controlled mechanical traction used in some cases of lumbar or cervical disc herniation. It is a conservative option, not a substitute for a surgical indication. The evaluation reviews symptoms, exam, and any studies you bring, and determines whether it is appropriate and how it fits into the plan.

    NSSD for disc herniations: what treatment involves
  • Hearing “you have a herniated disc” does not mean surgery is inevitable. Many herniations improve over time and with conservative care, and surgery is reserved for specific situations. Evaluation reviews symptoms, exam, and studies if you bring them. The plan is set in the visit, and results are not promised from the first session.

    Disc herniation: myths, facts, and conservative care
  • Pain on the right side of the low back usually comes from muscles, joints, or an irritated nerve, but sometimes an internal organ such as the kidney is the cause. The evaluation reviews symptoms, exam findings, and imaging if you bring it. The conservative plan is set in the visit; there is no promise of results from the first session.

    Right-sided low back pain: common causes
  • Pain on the left side of the low back usually has a mechanical source (muscles, joints, or an irritated nerve), but it can sometimes come from organs such as the kidney. How the pain behaves helps narrow it down. Evaluation reviews symptoms, exam, and studies if you bring them; the conservative plan is set in the visit, with no promise of results from the first session.

    Left-sided low back pain: possible causes
  • Sciatica is pain that travels from the low back into the buttock and leg when a nerve root is irritated or compressed, often by a disc herniation or a narrowed spinal canal. Many episodes improve gradually over a matter of weeks. Evaluation reviews symptoms, exam, and studies if you bring them; the plan is set in the visit.

    Low back pain with sciatica: symptoms, causes, evaluation
  • A disc herniation can cause local back or neck pain and, if it irritates a nerve, pain that travels down the leg or arm, tingling, numbness, or weakness. Symptoms alone do not confirm a herniation. The evaluation covers your history, a physical exam, and a review of imaging if you bring it; the plan is set in the visit.

    Disc herniation symptoms: how to recognize them
  • Low back pain is very common, and many episodes improve within days to a few weeks. Staying active with gentle movement, using heat or cold, and avoiding prolonged bed rest usually help early on. If pain persists, keeps coming back, or travels down the leg, the evaluation reviews your symptoms, includes an exam, and considers your imaging if you bring it. The plan is set in the visit, and results are not promised from the first session.

    Low back pain: what to do and when to get checked
  • Low back pain, also called lumbago, is pain in the lumbar region, the lower part of the back. It can start suddenly or build gradually, and its source ranges from muscle strain to a disc problem. The evaluation reviews symptoms, exam, and studies if you bring them; the conservative plan is set in the visit, with no promise of results from the first session.

    What is low back pain? Causes, symptoms, types
  • Back pain is described by area (cervical, thoracic, lumbar, sacral or tailbone), by duration (acute, subacute, chronic, or recurrent), and by pattern (localized, radiating, or referred). That description helps, but it does not replace an exam. Evaluation reviews symptoms, exam, and studies if you bring them; the conservative plan is set in the visit.

    Types of back pain: by area, duration, and pattern
  • Disc degeneration describes changes in the intervertebral disc that usually come with age: the disc loses water, height, and elasticity. Many people have these changes without pain. When there are symptoms, the evaluation reviews your history, exam, and studies if you bring them, and the conservative plan is set in the visit, with no promise of results.

    Disc degeneration: what it is, symptoms, and options
  • A cervical disc herniation happens when part of a disc in the neck shifts and can irritate a nerve root. It can cause neck pain, stiffness, or tingling and weakness in the arm or hand. It does not always require surgery. Evaluation reviews symptoms, exam, and studies if you bring them; the conservative plan is set in the visit and does not promise results from the first session.

    Cervical disc herniation: symptoms, causes and evaluation
  • Post-surgical rehabilitation aims to help you regain movement, strength, and function after spine surgery, within the limits your surgeon sets. It progresses in phases and adapts to how you respond. Evaluation reviews symptoms, exam, discharge notes, and imaging if you bring them; the plan is set in the visit, with no promise of results from the first session.

    Post-surgical rehabilitation: phases and what to expect
  • Non-surgical lumbar decompression is controlled table-based traction that aims to reduce load on the discs and nerve roots of the low back. It is a conservative option considered case by case, not a substitute for surgery when surgery is indicated. Evaluation reviews symptoms, exam, and studies if you bring them before a plan is proposed.

    Lumbar decompression: what it is, who it's for, what to expect
  • Ankylosing spondylitis and other inflammatory spine conditions call for careful clinical judgment. Not all back pain is mechanical. The evaluation includes a review of your symptoms, a physical exam, and any tests or imaging to guide a conservative plan, or to refer you when needed.

    Spondylitis and spine pain
  • Most disc herniations are managed first with conservative care: modified activity, exercise, physical therapy and, in some cases, chiropractic care or table decompression. Surgery is reserved for specific situations. Evaluation reviews your symptoms, exam, and studies if you bring them, and the plan is set in the visit with no promise of results.

    Conservative treatment for disc herniation: options
  • Non-surgical spinal decompression is a form of computer-controlled traction that gradually and intermittently stretches the lumbar or cervical spine. It is not surgery and does not replace a surgical indication. It is considered after evaluation, based on symptoms, exam, and studies if you bring them.

    Non-surgical spinal decompression (NSSD): what it is

Pain and injuries

  • Low back pain is pain in the lower back. Sometimes it runs through the buttock or leg (sciatica). It does not always follow an injury: herniation, posture, sedentary work, or an old injury can keep it going. A chiropractor reviews spine and nerve in evaluation before a conservative plan. Visit count follows the exam.

    Low back pain

Chiropractic

  • Physical rehabilitation aims to restore movement and function when pain or an injury limits your activity. It does not replace emergency care, or surgery when surgery is indicated. The plan is built at the evaluation, based on the exam, your history, and any imaging you bring.

    Physical rehabilitation
  • Chiropractic rehabilitation combines chiropractic judgment with exercise and functional follow-up. It does not promise results from the first session, and it does not replace surgery when surgery is indicated. The evaluation determines whether an adjustment, decompression, physiotherapy, or a combination is appropriate.

    Chiropractic rehabilitation

Want to know what's going on?

At the evaluation we review your case and explain your options. The plan is set in consultation.