Frequently asked questions

Chronic lower back pain does not always appear on MRI. Imaging shows structural abnormalities, but it does not measure joint instability, ligament strain, facet joint dysfunction, subtle disc irritation, inflammation, or impaired spinal biomechanics.

Many patients seeking chronic lower back pain treatment in Beverly Hills are told their MRI is “normal,” yet they continue to experience persistent discomfort. Pain is often mechanical and neurologic — not purely structural.

A comprehensive spine evaluation assesses lumbar stability, movement patterns, nerve function, and load tolerance — not just imaging findings. Identifying functional instability is often the key to long-term, non-surgical back pain relief.

If you are experiencing ongoing lower back pain despite normal imaging, a detailed evaluation can help uncover the true source of your symptoms and guide a precise treatment plan.

Yes. Many patients with a herniated disc or bulging disc improve with non-surgical spine treatment.

Disc injuries may irritate nearby nerve roots, leading to sciatica, radiating leg pain, arm pain, numbness, tingling, or weakness. Evidence-based spinal decompression therapy, precise chiropractic adjustments, and stabilization protocols may reduce nerve compression and improve disc mechanics.

Surgery is not always the first solution. A detailed spinal and neurologic examination determines whether conservative disc treatment is appropriate and safe.

If you have been diagnosed with a disc injury and want to explore non-surgical options, a personalized spine assessment can determine the safest and most effective approach.

Hand numbness at night is commonly associated with cervical spine nerve compression, carpal tunnel syndrome, thoracic outlet syndrome, or disc irritation in the neck.

Many patients assume the problem is isolated to the wrist. However, cervical radiculopathy can mimic carpal tunnel symptoms.

If you are experiencing nighttime hand numbness, a spine-focused neurologic evaluation helps determine whether the origin is peripheral or cervical — which is critical for effective treatment.

Identifying whether your symptoms originate in the wrist or the cervical spine is essential for long-term relief and targeted care.

No. While diabetic neuropathy and other metabolic conditions can cause foot numbness, lumbar nerve compression, spinal stenosis, disc herniation, and sciatica are also common causes.

Lumbar spine dysfunction frequently mimics peripheral neuropathy symptoms.

A thorough lower back and neurologic assessment distinguishes between systemic neuropathy and spine-related nerve irritation, ensuring a precise and appropriate treatment plan.

If you are experiencing persistent foot numbness, a comprehensive spinal evaluation can help determine whether the cause is neurologic, mechanical, or systemic.

Cervical radiculopathy occurs when a nerve root in the neck becomes compressed or inflamed.

Symptoms may include arm pain, shoulder blade pain, numbness in the fingers, tingling, grip weakness, or shooting electrical sensations.

Common causes include disc herniation, degenerative disc disease, and cervical joint dysfunction. Early, non-surgical cervical spine treatment may reduce nerve irritation and improve recovery outcomes.

If you are experiencing arm pain or finger numbness, early evaluation may prevent progression and improve recovery.

Chiropractic adjustments restore joint mobility and improve spinal alignment.

Spinal decompression therapy uses controlled mechanical traction to reduce pressure within the disc space and relieve nerve compression.

For conditions such as herniated discs, sciatica, and degenerative disc disease, combining decompression therapy with targeted chiropractic care often produces superior results. Treatment is individualized based on your spinal condition and neurologic findings.

Selecting the appropriate treatment approach begins with an accurate diagnosis and a structured plan tailored to your specific condition.

Yes. The upper cervical spine has important neurologic connections that influence head and facial pain.

Cervical misalignment and joint dysfunction may contribute to tension headaches, migraines, cervicogenic headaches, dizziness, and jaw tension.

When neck mechanics are the underlying cause, correcting cervical dysfunction may reduce headache frequency and severity.

If you experience recurring headaches or migraines, a cervical spine evaluation may reveal an underlying mechanical cause.

Many shoulder injuries respond well to conservative, non-surgical treatment.

Common causes of shoulder pain include rotator cuff strain, impingement syndrome, labral irritation, and scapular instability.

Treatment may include joint mobilization, neuromuscular retraining, stabilization therapy, and regenerative support when clinically appropriate. Early evaluation improves long-term shoulder function and may help avoid surgical intervention.

If shoulder pain is limiting your movement or performance, early conservative treatment can improve outcomes and restore stability.

Disc-related pain often produces radiating symptoms, nerve sensations, and increased discomfort with sitting or forward flexion.

Facet joint pain is typically localized and worsens with extension or specific movements.

Muscle pain usually changes with activity, improves with stretching, and lacks neurologic symptoms.

A detailed orthopedic and neurologic examination identifies the primary pain generator so treatment can be precise, targeted, and effective.

Accurate diagnosis is the foundation of effective treatment and long-term recovery.

Hyperbaric Oxygen Therapy (HBOT) increases oxygen delivery to tissues under controlled pressure, supporting cellular repair, angiogenesis, and inflammation modulation.

Research supports HBOT for concussion recovery, chronic inflammation, soft tissue injuries, post-surgical healing, neurologic support, chronic fatigue patterns, and athletic recovery optimization.

At our Beverly Hills clinic, HBOT is used strategically as an adjunct to comprehensive spine and neurologic care when clinically indicated, enhancing recovery and accelerating healing outcomes.

If you are seeking advanced recovery options, a consultation can determine whether hyperbaric oxygen therapy is appropriate for your condition.

We specialize in treating various causes of back pain, such as muscle strains, herniated discs, sciatica, muscle spasms, myofascial trigger points, neuropathy and spinal misalignments. We implement state of the art modalities and techniques coupled with patient education to help alleviate back pain and optimize overall health. Experience relief and embrace wellness at our office. Our expert team is dedicated to addressing a wide range of issues, from chronic pain to sports injuries. Using cutting-edge techniques and personalized care, we strive to restore your health and vitality. Whether you’re seeking relief from back pain, headaches, incorrect posture or overall discomfort, we are here to help you feel your best. Take the first step towards a healthier you!

So when you look at the lumbar spine, the low back, you’ll see that the facets or the joints of each segment of the spine are at this angle. So what it does is it allows for forward flexion. So, for example, what we see in the lumbar spine, low back pain, are issues related to ergonomics, mechanical issues like posture, disc herniations, trauma, repeated use, overuse.

When you move up the spine—sciatica, by the way, is another very common neuropathy that we see in the low back.

Diagnosing back issues is a great question and is the key to having a good prognosis for the patient. Being able to distinguish pain or dysfunction—which are usually the same thing, by the way—from tendons, ligaments, muscles, is there osseous, is there another pathology involved.

So, we have numerous orthopedic exams. We have numerous testing methods to be able to rule out each of these one by one to kind of specific on the particular exact cause of what’s causing the pain or dysfunction.

And we address it from that point on. But the key to a good patient outcome is correct diagnosis. And we really pride ourselves on being able to isolate the specific root cause of these mechanical issues that we see in all of our patients.

There are many tools and resources that people can use in their houses or outside of a doctor’s office that can significantly help them to not only prevent back pain or to deal with the issues that they currently have.

Most of our lives, most of us are flexed, meaning we bend forward, whether we’re sitting at the office, at the dinner table, driving in the car. The majority of people will benefit from minor, mild extension, meaning bending slightly back.

There’s a whole slew of different very helpful, useful exercises that people can do, but it’s very individually specific to that particular patient which, therefore, calls for a correct examination of that patient.

So, are there things people can do at home? A hundred percent, there is. I would say almost every single human being can do something in their house or outside of a doctor’s office to significantly help their future and their present health. But they need to be examined because the exercise or the stretching or the strengthening exercise that’s going to be given to them needs to be very specific for that individual, and not just some stamped exercise that people try to apply to the masses.