DISC TEST1. Are you currently experiencing neck or back pain? Yes No2. Does the pain radiate into your hip, buttock or leg? Does it radiate into your shoulder, arm or hand? Yes No3. Do you have numbness or tingling in your leg/foot or your arm/hand? Yes No4. Have you had these symptoms for more than three months? Yes No5. Have you been diagnosed with any of the following: Slipped, Herniated or Bulging Disc Degenerative Disc Disease Spondylolisthesis Sciatica Facet Syndrome Spinal Stenosis Failed Back Surgery6. Have any of the following treatments been unsuccessful: Over-The-Counter Medications Physical Rehabilitation Therapy Inversion Therapy Prescription Medications Epidural Steroid Injections Spine Surgery Chiropractic Adjustments Acupuncture7. Because of Pain do you: Stay home more of the time/get out less? Limit your work or household chores? Restrict your family and recreational activities?If you answered Yes to multiple questions you could be a candidate for our non-surgical, safe, FDA cleared treatment procedures. Call today to schedule you’re free consultation!Full Name(Required)Phone(Required)Email(Required)Zip Code(Required)Would you like a doctor to contact you? Yes NoCAPTCHAΔ
