This page was automatically translated from Dutch. In case of doubt, the Dutch version applies. View the Dutch version

Rugmedisch Centrum Fysiotherapie

Closed · opens today 07:00

Treatment

Hernia protocol with spinal decompression

Rotterdam and Dordrecht

In short

A protocolized treatment for patients with a hernia (bulging or ruptured intervertebral disc), aimed at preventing surgery. Combination of spinal decompression, gentle chiropractic and — if necessary — injection therapy.

Our hernia protocol consists of several steps. After the investigation you will hear which of these suit your complaint; If an operation is required, we will refer you.

On this page5
  1. How does it work?
  2. What can you expect?
  3. Scientific substantiation
  4. This is how a session goes
  5. Frequently asked questions

How does it work?

The core is spinal decompression: a computer-controlled traction technique on a special table. At a specific angle (depending on the level of the hernia — L4-L5, L5-S1, or cervical), measured traction is given at intervals (alternating pulling and releasing). This creates negative pressure in the intervertebral disc, allowing bulged disc material to move back and restore oxygen and nutrient transport.

The complete protocol combines decompression with gentle chiropractic adjustments, core control exercises and lifestyle advice. If desired and indicated, the doctor can add anti-inflammatory injection therapy.

What can you expect?

A decompression session lasts 20-30 minutes. You lie on the table with a belt around your pelvis and chest. The traction feels like a gentle, rhythmic stretch — no pain. Many patients experience a reduction in radiating pain during or immediately after the session.

Slight muscle reaction may occur afterwards — this is normal. Results build throughout the protocol.

Scientific substantiation

International guidelines place decompression as an option within the conservative range for symptomatic hernias without neurological deficit. Studies with systems such as DRX9000 show improvement in lumbar radiculopathy.

This is how a session goes

Each process is tailor-made, but this is what a typical course looks like — from first intake to pain-free and maintenance. You always know exactly where you stand.

  1. Preparation

    You report, the doctor briefly checks your symptom status. You lie on the decompression table with belts around your pelvis and chest.

  2. Spinal decompression

    Computer-controlled traction in 60-90 sec intervals. You will feel a gentle stretch, no pain. Many patients experience relief from radiance during the session.

  3. Gentle correction + injection?

    After decompression: additional gentle chiropractic correction. In case of inflammatory component: doctor can give injection (only Dordrecht).

  4. Recovery exercises

    Core control exercises you can do the same day. McKenzie extensions or psoas release if appropriate.

Frequently asked questions

Does this replace surgery?

In many patients, yes. In case of red flag symptoms (loss of strength, bladder/intestinal problems), surgery is still necessary.

Does decompression hurt?

No. It feels like a gentle, rhythmic traction.

How quickly will I notice improvement?

Often after 4-6 sessions; the full effect after the entire process of 15-25 sessions (6-10 weeks).

What if I lose strength?

Contact us directly. Loss of strength, numbness or incontinence are reasons for emergency referral.

Will the hernia come back?

Core control exercises and posture advice are essential to prevent recurrence. The hernia protocol therefore always includes an exercise component.

Not suitable for cauda equina syndrome (requiring emergency surgery), progressive neurological deficits, fractures, severe osteoporosis, tumor in the spine, recent spine surgery, abdominal aneurysm or pregnancy.

What does this treatment help with?

We use this treatment for the following complaints, among others.

Responsible practitioner

Arthur Mulder

Physical Therapist and Registered Chiropractor (D.C.)

Registered in the Register of Chiropractor as A.R. Mulder DC and affiliated with the Dutch Chiropractic Federation. Oversees chiropractic care in Rotterdam and is co-founder of SportManipulation, which provides training for physiotherapists and sports masseurs.

Last updated on

Our working area

Location Rotterdam

Cor Kieboomplein 227, 3077 MK Rotterdam

010-411 27 63

Also for patients from Rotterdam-Zuid, IJsselmonde, Charlois, Hoogvliet, Ridderkerk, Barendrecht, Capelle aan den IJssel, Krimpen aan den IJssel, Spijkenisse, Schiedam, Vlaardingen and Albrandswaard.

Location Dordrecht

Overkampweg 381, 3318 AR Dordrecht
doktermulder.nl

078-645 48 90

Also for patients from Dordrecht, Zwijndrecht, Papendrecht, Hendrik-Ido-Ambacht, Sliedrecht, Alblasserdam, 's-Gravendeel, Strijen, Oud-Beijerland, Gorinchem and Werkendam.

Interested in this treatment?

Make an appointment or check your reimbursement first — no referral necessary.

What does your insurer reimburse?

Choose your insurer and your additional package. You will immediately see what chiropractic care is reimbursed.

Good to know

  • From the supplementary insurance, so not from your deductible.
  • No GP referral required.
  • You will receive an invoice with everything your insurer needs.

Source: chiropractievergoeding.nl, policy year 2026 (version 1.0 — 21-11-2025). This is an indication; your own policy always takes precedence.