Tell Us About Your Pain

Are you looking for state of the art, 21st Century non-surgical and drug-free precise treatment that helps to relieve back pain and neck pain while also working to heal the discs and make them healthy again? Our advanced treatment protocol offers the potential for long-term relief for back pain and neck pain sufferers.

Complete the information below and request a FREE Consult to discuss your specific spinal health issues and questions.

QUESTIONS ABOUT YOUR PAIN
Fields marked with an * are required

    How long have you been experiencing neck and/or back pain?
    Less than a monthMore than 6 weeksMore than 6 monthsMore than 1 year

    What types of pain are you experiencing?
    SharpDullTinglingNumbnessShootingThrobbing

    Have you ever been diagnosed with any of the following?
    Disc HerniationDisc BulgeSciaticaSpinal StenosisDisc DegenerationSpondylolisthesis

    Have you received any types of treatments for the pain?
    YesNo

    Has your pain limited any of the following?
    SittingStandingWalkingSleeping

    Would you like to schedule a free consult?
    YesNo











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