Spine
Herniated disc
Dr. Cary H. Rothenberg, D.C., Chiropractor. Professional license 15265498.
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.
Last updated: October 4, 2026.
What is a herniated disc?
Intervertebral discs act as cushions between the vertebrae. When the inner material shifts and compresses a nerve, pain can travel down the leg or arm, depending on the area involved. Intensity varies, from local discomfort to sciatica or numbness.
When should you get evaluated?
- Low back or neck pain that does not improve within a few days.
- Tingling, numbness, or weakness in a leg or arm.
- Pain that gets worse when you cough, sneeze, or sit for a long time.
- A previous MRI or CT scan that showed a disc finding.
Do not book here for loss of bladder or bowel control, numbness in the genital or anal area, leg weakness that is getting worse, or pain after a major injury. That is an emergency.
What does the evaluation include?
The clinical lead is Dr. Cary H. Rothenberg. The spine evaluation ($1,300 MXN, about 1.5 h) includes your history, a physical exam, and a review of any imaging you bring. When the case allows, table traction, physiotherapy, or another step of the plan can begin in the same visit. It is not surgery. Your program is set in consultation.
Evaluation, table traction, then physiotherapy. Order and number of visits follow the evaluation.
Frequently asked questions
How serious is a herniated disc?
It ranges from mild to severe. Many herniations cause few or no symptoms, while others compress a nerve and cause pain, tingling or weakness. Severity depends on your symptoms and the physical exam, not just on the size seen on the MRI.
Why does a disc herniate?
It is usually a combination of natural, age-related disc wear and loads on the spine: lifting with poor technique, sudden twisting, sustained postures or excess weight. Genetics also play a role.
Want to know what's going on?
At the evaluation we review your case and explain your options. The plan is set in consultation.