If you’ve been told you have a herniated disc or a pinched nerve, you’ve probably heard two very different options: non-surgical spinal decompression and surgery. They aren’t competitors — they’re used at different stages. This page explains the difference so you can ask better questions.
What non-surgical decompression is
A table gently and repeatedly stretches the spine in programmed cycles to reduce pressure on discs and nerves. No incisions or anesthesia. It’s done as a series of visits, usually alongside other conservative care. Results vary.
What decompression surgery is
Surgical decompression (for example, a discectomy or laminectomy) physically removes disc material or bone pressing on a nerve. A spine surgeon decides whether it’s indicated.
When surgery is usually discussed
Severe or worsening leg or arm weakness; loss of bladder or bowel control or numbness in the groin area (go to an emergency room); pain that hasn’t responded to an adequate trial of conservative care; or imaging that shows a problem that conservative care can’t address.
Questions to ask any provider
- What is causing my pain, and how do you know?
- What are the risks of this option and of waiting?
- How many visits or how long a recovery should I expect, and how will we measure progress?
- What happens if I'm not improving?
How we approach it
At Optimize Health Chiropractic Center, Dr. Denis Chang starts with a history and exam, X-rays if needed, and tells you plainly whether decompression fits or whether you should see a specialist first. Learn about spinal decompression.