Not everyone needs an MRI or X-ray before beginning treatment. Your provider will review your symptoms, medical history, and examination findings to determine whether imaging is appropriate. MRI may be recommended when certain neurological symptoms, warning signs, or persistent symptoms warrant further evaluation. If you already have imaging reports, please bring them to your appointment.

A herniated disc cannot simply be “popped back into place.” In some cases, herniated disc material can naturally shrink or be reabsorbed over time, and symptoms may improve with appropriate conservative care. Treatment focuses on managing symptoms, supporting mobility, and improving function. Your provider can discuss which approaches may be suitable based on your individual evaluation.

Seek immediate emergency medical attention if you develop new loss of bladder or bowel control, difficulty urinating, numbness around the groin or inner thighs (saddle area), or new or rapidly worsening leg weakness. These symptoms can indicate serious nerve compression, including cauda equina syndrome, and require urgent evaluation. Do not wait for a routine chiropractic appointment.

A herniated disc in the lower back can irritate or compress a nearby nerve root, potentially causing sciatica. Symptoms may include pain, tingling, numbness, or weakness traveling from the lower back or buttock into the leg. However, not all sciatica is caused by a herniated disc. A clinical evaluation helps identify possible causes and guide appropriate treatment recommendations.

No. Many people with herniated discs improve without surgery through time and appropriate conservative management. Treatment may include activity modification, therapeutic exercise, physical therapy, medication management through an appropriate healthcare provider, or other individualized approaches. Surgery may be considered when symptoms persist despite appropriate care or when significant or progressive neurological problems are present. Your provider can discuss whether specialist evaluation is recommended.

Chiropractic care may be appropriate for some patients with disc-related symptoms, but it is not suitable for everyone. Your provider should first review your medical history, symptoms, neurological findings, and any relevant imaging to identify potential risks or contraindications. Depending on your condition, recommendations may include modified manual techniques, exercise-based care, other conservative options, or referral to another healthcare professional. The approach should be individualized rather than assuming spinal adjustments are appropriate for every herniated disc.

If available, bring any previous MRI, CT, or X-ray reports, relevant imaging, a list of current medications and supplements, and information about previous treatments. Wear comfortable clothing that allows you to move easily during the examination. You may also want to prepare questions about your symptoms, treatment options, and next steps.