Can Spinal Decompression Help Degenerative Disc Disease? | Chula Vista, CA
One of the most frustrating things about degenerative disc disease is how unpredictable the pain can become.
You might feel fine walking around the house but develop significant lower back pain after sitting at work. You may wake up stiff every morning, struggle with long drives, or find yourself avoiding exercise because you're worried about making your back worse.
Then there's the MRI report.
Degenerative disc disease at L4-L5. Disc space narrowing at L5-S1. Maybe a disc bulge, facet arthritis, or foraminal stenosis as well.
For many people, the next question is simple: Can anything actually be done about this without surgery?
The answer depends on what's causing your symptoms.
Not every degenerative disc is painful, and not every patient with degenerative disc disease needs spinal decompression. But for selected patients, Non-Surgical Spinal Decompression may be an option to consider as part of a conservative treatment plan.
At The Spinal Decompression & Chiropractic Center of San Diego, Dr. Cassidy James Boelk, DC, has spent more than 22 years specializing in spinal decompression for patients with complicated cervical and lumbar conditions.
Patients from Chula Vista, Eastlake, Otay Ranch, Bonita, and throughout South Bay visit his Kearny Mesa clinic to find out whether DRX9000 spinal decompression may be appropriate for their condition.
When Chronic Back Pain Starts Affecting Your Life
It's one thing to have an MRI showing degeneration. It's another when back pain begins interfering with sleep, work, exercise, or activities you've enjoyed for years.
Patient Testimonial — Toni H., San Diego, CA
Long-standing lower back pain and sciatica
“For the first time in 10 years, I am totally pain free. My sciatica is gone and I have no more back pain! I've tried other chiropractic procedures, acupuncture, pain killing drugs, and other type therapies that just did not work. I was one step before back surgery, until I discovered Dr. Boelk's therapy and his procedure, and it's a miracle!
My office visits were always so relaxing and comfortable, there was never any pain involved with the therapy. Dr. Boelk and Patty are so welcoming and warm and ready to explain everything that's going on. They both take such good care of you!
Thank you Dr. Boelk and Patty!”
Limited No-Charge Consultation for Chula Vista Patients
If you've been diagnosed with degenerative disc disease and continue experiencing lower back pain, neck pain, or sciatica, Dr. Boelk offers a limited number of No-Charge, No-Obligation Consultations each week.
The purpose of this appointment is to help you understand your condition and whether a more detailed evaluation for spinal decompression makes sense.
What Is Included in the No-Charge Consultation?
During your appointment, Dr. Boelk will:
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Discuss your symptoms. Where is your pain located? Does it travel into your buttock, leg, shoulder, or arm? What movements or positions make it worse?
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Review your history. You'll discuss how the problem began, how long you've had symptoms, and which treatments you've already tried.
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Discuss your MRI findings, if available. This may include degenerative discs, disc space narrowing, herniations, nerve compression, or other changes that could relate to your symptoms.
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Explain the DRX9000 spinal decompression system. You'll learn what treatment involves, how the equipment works, and which conditions may be appropriate.
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Discuss potential candidacy. Dr. Boelk will explain factors that may make spinal decompression suitable or unsuitable for your particular condition.
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Recommend the next step. This may involve a comprehensive examination, additional imaging, another conservative treatment, or referral to a specialist.
You'll also have the opportunity to ask questions about treatment schedules, costs, and what to expect if you're accepted for care.
The consultation is not a comprehensive examination or a final determination of candidacy. If additional testing or imaging is recommended, the office will explain any associated fees before proceeding.
Because Dr. Boelk personally conducts these consultations, only a limited number are available each week. Appointments are scheduled on a first-come, first-served basis.
Call 619-298-0800 to request your No-Charge Consultation.
24/7 live answering service. Hablamos Español.
What Is Degenerative Disc Disease?
The discs between your vertebrae help absorb forces and allow your spine to bend, twist, and move.
A healthy disc contains a significant amount of water, particularly in its center, which helps it distribute pressure during movement.
As we age, these discs naturally undergo changes. They may lose water content, become less flexible, and gradually lose height.
This process is commonly called degenerative disc disease, or DDD.
Although the word "disease" sounds concerning, some degree of disc degeneration is a normal part of aging.
In fact, many people have degenerative changes visible on MRI without experiencing significant pain.
Problems may develop when degeneration occurs alongside other changes in the spine.
These can include disc bulges, herniations, facet joint arthritis, narrowing around the spinal nerves, or changes in spinal alignment.
The lower lumbar spine is particularly susceptible, especially at L4-L5 and L5-S1.
Degenerative changes can also affect the cervical spine, commonly at C5-C6 and C6-C7.
The important question isn't simply whether you have degenerative discs.
It's whether those changes are contributing to your symptoms.
Why Does Degenerative Disc Disease Sometimes Cause Severe Pain?
There are several possible explanations.
As a disc degenerates, changes within the disc and nearby vertebral endplates can contribute to pain.
Loss of disc height may also change how forces are distributed through the spine.
When the disc becomes thinner, the surrounding facet joints can experience additional stress. Over time, arthritis may develop.
Another concern is the space available for the spinal nerves.
The nerves exit the spine through small openings called foramina. As a disc loses height, these openings may become narrower.
This is known as foraminal stenosis.
If a spinal nerve becomes irritated or compressed, symptoms may travel into the buttock, leg, shoulder, or arm.
For example, someone with degeneration at L5-S1 might experience chronic lower back pain along with burning, tingling, or numbness traveling down one leg.
Another person with similar MRI findings may experience only occasional stiffness.
That's why two patients with degenerative disc disease can have completely different symptoms.
Can the DRX9000 Help Degenerative Disc Disease?
The DRX9000 is a computerized spinal decompression system designed to apply carefully controlled mechanical traction to the spine.
The goal is to reduce mechanical loading on selected spinal structures and potentially relieve symptoms associated with certain disc-related conditions.
Some patients experience improvements in pain and mobility with traction-based care, particularly when treatment is combined with appropriate exercise and rehabilitation.
However, spinal decompression does not reverse the aging process or permanently rebuild severely degenerated discs.
It has not been proven to regenerate damaged disc tissue, restore substantial lost disc height permanently, or eliminate advanced spinal arthritis.
Research specifically supporting proprietary motorized decompression systems for degenerative disc disease remains limited, and results are not guaranteed.
The patient's diagnosis, symptoms, neurological findings, and spinal stability all matter when deciding whether treatment is appropriate.
At The Spinal Decompression & Chiropractic Center of San Diego, Dr. Boelk exclusively uses DRX9000 spinal decompression systems.
The clinic has seven units for lumbar and cervical treatment.
His approach includes careful evaluation, individualized decompression protocols when indicated, and attention to rehabilitation and movement patterns.
Degenerative Disc Disease at L4-L5 and L5-S1
These two spinal levels account for many of the degenerative changes seen in patients with chronic lower back pain.
L4-L5 Degenerative Disc Disease
At L4-L5, disc degeneration may occur with a disc bulge, facet arthritis, or degenerative spondylolisthesis.
Some patients develop lower back pain that becomes worse with certain movements or prolonged positions.
Others may have nerve irritation that contributes to pain, numbness, or weakness in the leg.
When spondylolisthesis is present, determining whether the spinal segment is stable becomes especially important.
L5-S1 Degenerative Disc Disease
L5-S1 is the lowest lumbar disc and experiences considerable mechanical loading.
Degeneration at this level can involve significant disc space narrowing, endplate changes, facet arthritis, or narrowing around the exiting L5 nerve roots.
Some patients experience primarily lower back pain, while others have symptoms traveling into the buttock or leg.
Dr. Boelk considers the patient's symptoms alongside MRI findings and, when appropriate, weight-bearing X-rays and flexion-extension views to evaluate spinal alignment and stability.
What If Your MRI Shows Severe Disc Degeneration?
A report describing "severe degenerative disc disease" can be alarming.
But severe changes on an MRI don't automatically mean surgery is necessary.
The amount of degeneration visible on imaging doesn't always correspond directly with how much pain someone experiences.
One patient may have advanced L5-S1 disc space narrowing but remain active with relatively mild symptoms.
Another may have less obvious degeneration and significant pain due to nerve irritation or other factors.
The examination helps determine whether the MRI findings are clinically relevant.
Dr. Boelk also considers whether there are signs of spinal instability, significant nerve compression, or neurological deficits that could change the treatment recommendation.
In some cases, spinal decompression may be reasonable to consider.
In others, rehabilitation, pain management, or surgical evaluation may be more appropriate.
Why Exercise and Rehabilitation Still Matter
Even when spinal decompression is included in a treatment program, rehabilitation remains important.
Degenerative disc disease can affect how comfortably someone moves, but avoiding movement altogether can contribute to weakness, stiffness, and reduced physical conditioning.
An appropriate exercise program may include walking, trunk stabilization, hip strengthening, and gradual improvements in movement tolerance.
For example, someone who experiences discomfort with prolonged sitting may benefit from changing positions more frequently and improving their tolerance for everyday activities.
Another patient may need to modify heavy lifting or repetitive bending while symptoms are particularly irritable.
The goal isn't to stop moving.
It's to find activities the patient can tolerate and gradually rebuild strength and confidence.
What If You've Already Had Back Surgery?
Some patients continue experiencing back pain or sciatica after spinal surgery.
Others improve initially but develop new symptoms years later.
Whether spinal decompression is appropriate depends on the type of surgery, the presence of hardware, the spinal level involved, and the current condition.
Patient Testimonial — Anthony K., San Diego, CA
Recurrent disc-related pain following previous back surgery
“I have been dealing with back pain for several years. It got so bad that I had surgery 5 years ago for a bulging disc. About 5 months ago the disc bulged again hitting my sciatic nerve creating pain in my legs that made me want to cry it hurt so bad. After trying so many other options I was fortunate enough to find the spinal decompression and chiropractic center of San Diego. After just a few sessions I noticed a difference. Now after being there for the past few months I'm able to go about my normal life again.
What a blessing it was to find a Dr that genuinely cares and knows how to help people in my situation. Thank you Dr Boelk!”
Patients with fusion hardware at the intended treatment level generally are not candidates for the clinic's decompression protocols.
Previous surgery without fusion hardware does not automatically rule someone out, but careful evaluation is necessary.
Not Everyone With Degenerative Disc Disease Is a Candidate
Dr. Boelk does not recommend spinal decompression for every patient.
Certain fractures, unstable spondylolisthesis, significant spinal instability, fusion hardware at the intended treatment level, and other medical conditions may make treatment inappropriate.
Patients with progressive neurological weakness may need prompt medical or surgical evaluation.
New bowel or bladder dysfunction, saddle anesthesia, or rapidly worsening leg weakness requires emergency medical attention.
An important part of the consultation process is recognizing when another treatment or specialist is the better choice.
About Dr. Cassidy James Boelk, DC
Dr. Boelk is the Founder and Clinic Director of The Spinal Decompression & Chiropractic Center of San Diego.
For more than 22 years, he has specialized in Non-Surgical Spinal Decompression, accumulating experience with more than 100,000 spinal decompression sessions.
His credentials and professional affiliations include:
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California Licensed Doctor of Chiropractic
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Certified Spinal Decompression Doctor
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Certified Pain-Free Performance Specialist (PPSC)
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California X-ray Radiology Licensed Doctor
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Founder, Non-Surgical Spinal Decompression Training Academy
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Founding Member, American Spinal Decompression Society
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Member, International Disc Education Association
In addition to treating patients, Dr. Boelk trains other healthcare professionals in spinal decompression protocols, patient selection, and rehabilitation principles.
His interest in spinal care is also personal.
After fracturing his back when he was younger and experiencing additional spinal injuries later in life, he developed a strong interest in spinal biomechanics and non-surgical treatment options.
Today, he remains physically active through surfing, strength training, and hockey.
His clinic exclusively uses DRX9000 spinal decompression equipment, with seven systems dedicated to treating selected cervical and lumbar conditions.
Patients Travel From Chula Vista and Throughout South Bay
Patients regularly visit the clinic from Chula Vista, Eastlake, Otay Ranch, Bonita, National City, Imperial Beach, and surrounding communities.
Others travel from outside San Diego County.
Patient Testimonial — Lynn C., Alaska
Chronic back pain with symptoms traveling into the legs
“My name is Lynn. I am from Alaska, and I just want to say it was totally worth taking a trip to go to the Spinal Decompression & Chiropractic Center of San Diego. I was having pain radiating down my legs, I couldn’t sleep, I could barely walk.
After treatment I am back to shoveling snow, teaching school, taking walks. So, I just want to thank Dr. Boelk and the clinic, you guys are wonderful, and you have created such a wonderful, friendly, kind and truly caring atmosphere. I highly encourage anybody that might be considering spinal decompression therapy, it really makes a difference.”
Patients traveling from outside the area are encouraged to contact the office before arranging travel so the team can discuss the evaluation process, scheduling, and medical records that may be useful.
Frequently Asked Questions About Degenerative Disc Disease
Does degenerative disc disease always get worse?
Not necessarily. Structural degeneration may progress with age, but symptoms do not always worsen. Many people remain active and comfortable despite degenerative changes on MRI.
Can degenerative disc disease cause sciatica?
Yes. Disc degeneration can occur alongside herniations or narrowing around spinal nerves, which may contribute to sciatica.
Can spinal decompression help a collapsed disc?
That depends on the degree of degeneration, symptoms, spinal stability, and other findings. Spinal decompression has not been proven to permanently restore the height of a severely collapsed disc.
Is walking helpful for degenerative disc disease?
Walking is often a useful activity when tolerated. It helps maintain mobility and physical conditioning.
Can I still exercise if I have degenerative disc disease?
Many patients can continue exercising with appropriate modifications. The best activities depend on symptoms, neurological findings, and spinal stability.
Is surgery necessary for L5-S1 degenerative disc disease?
Not automatically. Many patients are managed without surgery. Surgery may be considered when symptoms remain disabling despite appropriate treatment or when significant neurological problems develop.
How do I know whether I'm a candidate for DRX9000 spinal decompression?
Candidacy depends on your symptoms, examination findings, imaging, previous surgery, and spinal stability. Dr. Boelk begins with a consultation to discuss whether further evaluation is appropriate.
Degenerative Disc Disease Treatment Near Chula Vista, CA
If you've been diagnosed with degenerative disc disease and are still struggling with lower back pain, neck pain, or sciatica, the next step is understanding what's contributing to your symptoms.
Not everyone with disc degeneration needs surgery, and not everyone is a candidate for spinal decompression.
Dr. Cassidy James Boelk, DC, has spent more than 22 years specializing in Non-Surgical Spinal Decompression and helping patients understand their treatment options.
Schedule Your Limited No-Charge Consultation
Dr. Boelk offers a limited number of No-Charge, No-Obligation Consultations each week for patients interested in learning whether DRX9000 spinal decompression may be appropriate.
During the consultation, you'll have an opportunity to discuss your symptoms and previous treatments, go over available MRI findings when appropriate, learn about the DRX9000 system, and discuss potential candidacy.
Dr. Boelk will explain whether a comprehensive examination, additional imaging, or another treatment approach may be the appropriate next step.
There is no obligation to begin treatment.
Because Dr. Boelk personally conducts these consultations, appointments are limited and scheduled on a first-come, first-served basis.
Call 619-298-0800 to request your No-Charge Consultation.
24/7 live answering service. Hablamos Español.
The Spinal Decompression & Chiropractic Center of San Diego
Dr. Cassidy James Boelk, DC
5095 Murphy Canyon Road, Suite 300
San Diego, CA 92123
Phone: 619-298-0800
Website: www.SanDiegoBackCare.com
Serving Chula Vista, Eastlake, Otay Ranch, Bonita, National City, Imperial Beach, and surrounding South Bay communities.