Lumbar Disc Herniation (Lower Back Disc Herniation)

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What Is a Lumbar Disc Herniation?

A lumbar disc herniation occurs when the inner material of a spinal disc (the nucleus pulposus) pushes through a weakened or torn section of the outer layer (the annulus fibrosus). When the disc material protrudes outward, it can irritate or compress nearby nerves, leading to lower back pain, sciatica, stiffness, muscle tension, or numbness in the legs.

Herniated discs most commonly occur at the L4/L5 and L5/S1 levels because these segments carry most of the body's load and are heavily involved in bending, lifting and sitting.

A lumbar disc herniation may develop gradually due to wear and tear, or suddenly due to lifting, twisting, impact, or repetitive stress.

Lumbar disc herniation anatomy
Herniated disc diagram

What Does a Lumbar Herniated Disc Feel Like?

Symptoms can vary depending on the location and severity of the herniation, but commonly include:

  • Check Sharp, burning or electric pain in the lower back
  • Check Pain that radiates down the leg (sciatica)
  • Check Numbness, tingling or pins-and-needles
  • Check Muscle weakness in the foot or leg
  • Check Pain worse with sitting, bending, driving or lifting
  • Check Difficulty standing upright or moving freely

Some people experience severe episodes, while others have chronic, lingering symptoms that never fully resolve.

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Common Causes of Lumbar Disc Herniation

Lumbar disc herniations are often caused by a combination of:

  • Check Repetitive bending or lifting
  • Check Prolonged sitting (desk work, driving)
  • Check Degenerative disc changes
  • Check Ageing and loss of disc hydration
  • Check Injury or trauma
  • Check High-load sports
  • Check Poor posture and spinal mechanics
  • Check Weak core and supporting muscles

Sometimes there is no single “injury moment”; symptoms may appear gradually over time.

BTL spinal decompression therapy suite Guided spinal decompression therapy session
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How Spinal Decompression May Help Lumbar Disc Herniations

Spinal decompression is a gentle, computer-controlled therapy that reduces pressure inside your spinal discs. By creating targeted negative pressure, the treatment helps:

  • Check Nutrients, oxygen and hydration to draw back into the disc
  • Check Reduction of pressure on irritated nerves
  • Check Improved disc height and mobility
  • Check Decompression of the nerve root

What does the research suggest?

Clinical research examining non-surgical spinal decompression has explored its potential role in the management of lumbar disc herniation. Findings from published clinical studies and case reports (including Carmona et al., Arumugam et al., Di Modica et al., and Vicari et al.) suggest that structured decompression programs may be associated with:

  • Check MRI-observed reductions in disc herniation size in some individuals
  • Check Improvements in nerve-related symptoms such as leg pain, numbness or tingling
  • Check Improved functional outcomes across a range of age groups
  • Check Rehabilitation from sports injuries

These findings highlight the potential role of spinal decompression as part of a non-surgical management approach for lumbar disc herniation. Individual results vary, and suitability must be determined through comprehensive clinical assessment.

Many people choose decompression when:

  • Check They’ve “tried everything”—physio, injections, medication—but still have pain
  • Check They want a non-invasive, gentle alternative
  • Check They’ve been told surgery is an option but want to avoid it
  • Check They want to address the underlying mechanical cause
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Full Clinical Assessment

Your chiropractor reviews your:

  • Check History
  • Check Symptoms
  • Check Posture
  • Check Neurological testing
  • Check Orthopaedic testing
  • Check Imaging (MRI, X-ray, CT if available)

Not everyone is a candidate — this step ensures safe, targeted care.

Patient receiving spinal decompression treatment

Personalised Treatment Setup

  • Check Advanced ABC™ Correction
  • Check Neurological Integration
  • Check Digital Posture Analysis

Decompression Cycles

  • Check Advanced ABC™ Correction
  • Check Neurological Integration
  • Check Digital Posture Analysis

Post-Session Stabilisation

  • Check Advanced ABC™ Correction
  • Check Neurological Integration
  • Check Digital Posture Analysis
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Who Is a Good Candidate for Lumbar Decompression?

Decompression may be suitable for people with:

  • Check Lumbar disc herniation
  • Check Lumbar disc extrusion
  • Check Bulging discs
  • Check Degenerative disc disease
  • Check Sciatica
  • Check Chronic lower back pain
  • Check Postural compression
  • Check Nerve root irritation
  • Check Recurrent flare-ups that never fully resolve

We do not offer decompression to people with:

  • Check Spinal tumours
  • Check Unstable fractures
  • Check Severe osteoporosis
  • Check Diagnosed spondylolisthesis grade III or IV
  • Check Recent abdominal surgery
  • Check Pregnancy

How Many Sessions Are Needed?

While it varies, most people require a structured program of:

  • Check 2–3 sessions per week
  • Check for 6–10 weeks

Disc healing is gradual, and ongoing congestion must be relieved consistently. We incorporate chiropractic care, decompression and rehabilitation to improve long-term stability — not just short-term pain relief.

Will Decompression Fix a Herniated Disc?

No therapy can guarantee a "cure", but spinal decompression may:

  • reduce mechanical pressure on the disc
  • improve disc hydration
  • reduce nerve irritation
  • improve mobility
  • support natural healing
  • reduce recurrence frequency
  • reduce the need for invasive treatment in eligible cases

Results vary based on the severity of the herniation, age, inflammation level, and lifestyle factors.

Herniated disc anatomy showing healthy disk versus herniated disk with compressed nerve

Frequently Asked Questions

Yes — when properly assessed and supervised by a trained chiropractor. Manufacturer-provided clinical information and published research relating to BTL spinal decompression systems indicate that, when appropriately prescribed and supervised, spinal decompression is generally well tolerated in eligible patients. As with any clinical intervention, suitability must be determined through individual assessment, and responses may vary.

No. Most people find it relaxing. You should not feel pain during treatment.

Many cases of sciatica are caused by lumbar disc herniation. Decompression may help reduce nerve compression and improve symptoms.

This varies. We combine decompression with corrective chiropractic care and rehabilitation to support long-term results.

MRIs are helpful but not required. Your chiropractor will determine whether imaging is needed before proceeding.

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If you're experiencing lower back pain, sciatica or symptoms of a lumbar herniated disc, our chiropractors can assess whether spinal decompression may be suitable for you.

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Complete Chiropractic

As the leading chiropractic clinic in Sydney's Northern Beaches, our chiropractors have an extensive range of experience across multiple treatment modalities.

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Ph: (02) 9972 0040

ABN: 73 657 776 022

1/32 Fisher Rd,
Dee Why NSW 2099

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