Are You a Candidate For Non-Surgical Spinal Decompression?

Please answer a few questions:

Between 1-10, what is your current level of pain? If your pain comes and goes then choose how severe the pain is on a typical pain episode.

What is your source of pain? Lower back, Herniated/bulging Disc, Neck pain, tingling in toes/feet, other?

What type of doctors have you seen for your pain? Chiropractor, Neurologist, Pain Management, Orthopedic Surgeon, other?

What medications or treatments are you receiving for your pain?

What tests have you had for this condition? MRI, CT, EMG, X-ray, other?

What advanced procedures have you had? Surgery, Epidural, Nerve block, Discectomy, other?

Please leave your Full Name*

Email*

Phone*

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Disc Centers of America Independence

3800 South Elizabeth Street, Suite F, Independence, MO, USA

All Survey data is collected in a confidential manner: no uniquely identifiable information about survey respondents will be shared at any time. The contents of this web site are for informational purposes only. This site is not intended to furnish medical advice to anyone. Any diagnosis, treatment or care of a patient should be discussed with a physician.

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.