Accurate Diagnosis for Herniated Discs and Spinal Stenosis: Our Step-by-Step Process at Triangle Spinal Decompression

At Triangle Spinal Decompression in Cary, NC, Dr. Parker Neill and Dr. Abbie Swank understand that successful spinal decompression starts with a precise diagnosis. Before beginning any non-surgical treatment for herniated discs, spinal stenosis, or foraminal stenosis, our doctors use a proven, hierarchical approach to identify the exact cause of your pain — ensuring the best possible outcomes.

Why an Accurate Diagnosis for Herniated Discs and Spinal Stenosis Matters for Spinal Decompression Patients

Not all back pain is the same. Herniated discs, bulging discs, spinal canal narrowing, and nerve compression can feel very similar but require different care strategies. At Triangle Spinal Decompression, we combine cutting-edge technology with extensive clinical expertise to ensure your diagnosis — and your treatment plan — is exactly right.

Step 1: Thorough Health History and Clinical Examination

The first step is always a detailed health history (HX) and clinical exam.We ask about:

• When and how symptoms started

• Specific activities or positions that worsen or relieve pain

• Past injuries, surgeries, and medical conditions

Next, a careful orthopedic and neurologic examination tests for nerve tension, muscle weakness, reflex changes, and movement restrictions. This hands-on testing helps us localize whether your symptoms are stemming from a herniated disc, spinal stenosis, or another source.

Step 2: X-Ray Imaging for Structural Clues

If necessary, digital X-rays are taken at our Cary, NC clinic to check for:

• Spinal alignment issues

• Disc height narrowing

• Signs of degeneration

• Spondylolisthesis (vertebral slippage)

  
  

X-rays offer an excellent first look at structural health and guide further testing decisions.

Step 3: MRI for Detailed Soft Tissue Imaging

When disc damage, nerve compression, or spinal canal narrowing is suspected, an MRI (Magnetic Resonance Imaging) becomes the gold standard.MRI provides:

• High-resolution images of discs, nerves, ligaments, and soft tissues

• Clear visualization of herniations, bulges, or stenosis

• Critical information about which disc levels are involved

We often coordinate with top imaging centers in Cary, Raleigh, and Apex to get fast, accurate results.

Step 4: CT Scans for Detailed Bone Evaluation (If Needed)

In some cases where an MRI is not possible (such as with certain implants) or when extremely detailed bone imaging is needed, we order a CT scan (Computed Tomography).

CTs are especially helpful in evaluating:

• Foraminal stenosis

• Bony spurs (osteophytes)

• Complex spinal anatomy

CT myelograms — combining CT with contrast dye — may also be used in more complicated cases.

Step 5: NCV/EMG Testing for Nerve Damage Evaluation

If symptoms suggest significant nerve damage or if the cause of pain is unclear, we may order NCV (Nerve Conduction Velocity) or EMG (Electromyography) studies.These tests measure how quickly and effectively your nerves are transmitting signals, helping pinpoint whether compression has caused lasting nerve injury.

A Logical, Hierarchical Approach — Tailored for You

At Triangle Spinal Decompression, we never rush to expensive tests without cause. Our hierarchical approach ensures:

✅ Testing is medically necessary and targeted

✅ No steps are skipped

✅ Diagnosis is accurate before spinal decompression begins

✅ You receive the most appropriate and effective care plan

Whether you’re struggling with a herniated disc, spinal stenosis, or sciatica, Dr. Abbie Swank and Dr. Parker Neill are committed to helping you avoid unnecessary surgery and return to living pain-free — naturally.

Ready for real answers and real relief?

Contact Triangle Spinal Decompression at 919-469-8897 in Cary, NC today to schedule a consultation and take the first step toward a healthier spine!