Herniated Disc Treatment in Provo, Utah
Advanced diagnostics and non-surgical spinal care — serving Utah County since 1999.
What Is a Herniated Disc?
A herniated disc occurs when the soft inner nucleus of an intervertebral disc pushes through a tear in the tougher outer annulus fibrosus. Depending on the location and direction of the herniation, it can compress nerve roots or the spinal cord, producing pain, numbness, tingling, or weakness that may radiate into the arms or legs.
Disc herniations most commonly occur at L4-L5 and L5-S1 in the lumbar spine (causing sciatica) and C5-C6 and C6-C7 in the cervical spine (causing arm pain and weakness). Most resolve without surgery when the underlying mechanical cause is identified and treated.
Our Approach to Herniated Disc Treatment
Motion X-Ray Evaluation
Dynamic fluoroscopic imaging shows how individual spinal segments move under load — identifying the exact level of herniation and any associated ligament instability that static imaging misses.
Spinal Decompression
Spinal decompression is an established conservative treatment for disc-related symptoms with clinical support in the peer-reviewed literature. It is applied based on your specific examination findings and imaging, as part of an individualized care plan. Sessions run approximately 15 minutes.
Chiropractic Adjustments
Targeted spinal manipulation restores segmental motion, reduces mechanical loading on the affected disc, and resets the neurological signaling patterns that drive central sensitization and chronic pain.
Fellowship-Level Disc Expertise
Drs. McClean hold the Fellowship in Spinal Biomechanics and Trauma (FSBT) — one of the most advanced post-doctoral designations in chiropractic, covering MRI interpretation, disc biomechanics, and trauma analysis at a level not taught in standard chiropractic education.
They read the actual imaging series — not just the radiologist’s report — and use AI-assisted analysis tools to identify disc herniation characteristics, nerve compression, and instability patterns that inform the treatment plan.
Frequently Asked Questions
Can a herniated disc heal without surgery?
Yes. Research consistently shows that most lumbar disc herniations resolve with conservative care over 6–12 weeks. Surgery is warranted when progressive neurological deficits are present or when conservative treatment has failed. Most patients avoid surgery entirely with proper biomechanical evaluation and treatment.
Should I get an MRI before coming in?
MRI is helpful but not required to start care. If you already have imaging, bring it — we can review it as part of your consultation. Motion X-ray provides information about dynamic instability that MRI cannot show, and is often performed as part of our diagnostic workup.
How many visits will I need?
We evaluate your response to care and adjust accordingly — there is no fixed treatment protocol. Sessions are approximately 15 minutes. Most patients begin noticing improvement within the first few visits.
Clinical Evidence
Saal & Saal, 1989
A landmark study of 64 patients with lumbar disc herniation and radiculopathy treated non-operatively showed 92% good-to-excellent outcomes, demonstrating that aggressive conservative care is the appropriate first-line treatment for most disc herniations with nerve involvement.
Bronfort et al., 2004
A systematic review and best-evidence synthesis in Spine Journal found spinal manipulation effective for acute and chronic low back pain, including disc-related conditions, with evidence comparable to first-line medical treatments including analgesics and physical therapy.
Hahne et al., 2010
A systematic review in Spine evaluated conservative management of lumbar disc herniation with radiculopathy, finding that combined multimodal conservative treatment achieves clinically meaningful reductions in pain and disability equivalent to surgical outcomes at 1-year follow-up.
References
- Saal JA, Saal JS. Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy. Spine. 1989;14(4):431-437.
- Bronfort G, Haas M, Evans RL, Bouter LM. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis. Spine J. 2004;4(3):335-356.
- Hahne AJ, Ford JJ, McMeeken JM. Conservative management of lumbar disc herniation with associated radiculopathy. Spine. 2010;35(11):E488-504.