November 9, 2025November 15, 2025 0 commentsDecompression Survey Do you have a herniated or bulging disc? Yes - I have a diagnosis I'm not sure - I just feel a lot of pain None How old are you? 60+ 50-59 40-49 <40 None Do you have a recent MRI of your spine (lumbar, cervical, thoracic)? Yes No None How long have you been dealing with your pain? 10+ years 5-10 years 1-4 years 6 months None Have you had to adjust your activities because walking or movement is difficult? Yes — walking causes discomfort, and I’ve had to make lifestyle changes. No, I am able to walk around but have some discomfort. None Have you received any of the following? Check all that you've had. Pain medication prescribed by an M.D. Epidural or Cortisone shots Supervised Physical Therapy Traditional Chiropractic None of the above Have you had any of these surgeries for your condition, or have been told a particular surgery is the solution? Discectomy or Microdiscectomy Laminectomy Spinal Fusion None of the above None Are you currently using any of the following? Cane Walker Wheelchair None of the above None How ready are you to do something about your situation? Somewhat ready I am ready I am at my wit's end and need something fast! None Non-surgical, non-invasive spinal decompression treatments are not fully covered by insurance. However, many affordable payment plans are available. Are you interested in a payment plan option? Yes. I'm interested in affordable payment plan options. No. I've been saving for this type of treatment and will not need a payment plan. None Payment Plan Options are available based on credit approval of the patient or a co-signer. Which best describes your credit? (Excellent) 750+ (Good) 650-749 (Low) 500-649 (Very low) Under 500 None Excellent! You did great! The doctor will review your answers and a staff member will contact you using the information provided below. Please fill in your contact information below so we know how to contact you. First & Last Name Email Phone w/ area code Do you prefer our Bowie or Gambrills Clinic? Select Clinic Bowie Gambrills Time's up
