Condition page
Chronic Back Pain Treatment in St. Louis
Chronic back pain can affect work, sleep, movement, mood, and daily life. Simply Health Integrated Medical in St. Louis helps patients understand common causes and whether non-surgical options — HillDT-monitored spinal decompression, targeted chiropractic care, regenerative therapy — may clarify better options. Dr. Nick Hasenfratz, DC, leads the spinal decompression candidacy evaluation.
What to expect
Simply Health Integrated Medical helps patients understand symptoms, goals, and options before recommending a care path.
The next step is a consultation request or direct call so the team can determine whether the clinic is a good fit for your needs.
Quick assessment
Is Your Pain Pattern More Disc, Nerve, Joint, or Muscle-Related?
Use this quick self-check to organize your symptoms before reviewing non-surgical care options.
Why chronic back pain is different
Back pain can come from strains, disc-related issues, degenerative changes, posture patterns, facet irritation, sacroiliac dysfunction, and other causes. Chronic pain usually needs a broader look than a short-term flare-up — and it deserves a clear evaluation before defaulting to surgery or to pain management alone.
What care may focus on
Care may focus on understanding symptoms clearly, setting realistic milestones, and determining whether HillDT spinal decompression, chiropractic support, regenerative therapy, or another conservative option makes sense — or whether a surgical evaluation is the right next step.
When spinal decompression is considered for back pain
Decompression is most often discussed for disc-related back pain — bulges, herniations, degenerative disc disease, facet irritation patterns, and post-laminectomy syndrome. Dr. Nick Hasenfratz evaluates candidacy based on symptom pattern, neurological signs, imaging, and red flags before any sessions are scheduled.
Related concerns
Back pain often overlaps with sciatica, disc issues, degenerative changes, posture strain, and mobility concerns. Evaluation considers the bigger picture rather than treating each symptom in isolation.
When back pain should not wait
Severe trauma, fever, unexplained weight loss, history of cancer, new bowel or bladder changes, saddle numbness, or progressive weakness should be evaluated urgently — not stretched out with conservative care.
Frequently asked
Common questions
▸Where can I get chronic back pain treatment in St. Louis?
Simply Health Integrated Medical at 12977 N Forty Dr, Suite 105, St. Louis, MO 63141 offers non-surgical chronic back pain evaluation including HillDT-monitored spinal decompression candidacy check by Dr. Nick Hasenfratz, DC. By appointment 24/7. Call (636) 590-4686.
▸Can spinal decompression help chronic back pain?
For chronic back pain with a disc-related or nerve-compression driver, HillDT spinal decompression can be a reasonable option to evaluate. Not all chronic back pain is disc-driven, so a candidacy evaluation determines whether decompression fits the specific patient.
▸How long does chronic back pain usually last?
Back pain is generally called chronic when it persists beyond 12 weeks. At that point, conservative options that may not have been fully explored — such as monitored decompression, targeted chiropractic care, or regenerative therapy — often warrant a structured evaluation before considering surgery.
▸Do I need surgery for chronic back pain?
Most chronic back pain cases do not require surgery. Surgery may be the right call for progressive neurological deficits, severe instability, or red flags. For most patients there is meaningful runway to evaluate structured conservative care — which is the purpose of a second-opinion evaluation.
▸What is the difference between chiropractic and spinal decompression for back pain?
Chiropractic adjustment addresses joint and segmental mobility patterns. Spinal decompression addresses disc and nerve pressure patterns. Neither is universally better — many patients with chronic back pain benefit from both. The evaluation determines the right mix.
▸Is chronic back pain a sign of something serious?
Most chronic back pain has a musculoskeletal driver and is not dangerous, even when symptoms are significant. Red flags — fever, unexplained weight loss, cancer history, neurological deficits, bowel or bladder changes — change the picture and should be evaluated urgently.
Next step
Not sure what is causing your chronic back pain treatment in st. louis?
Symptoms can have more than one driver. The clinic can help you review what you are experiencing, what you have already tried, and which non-surgical or integrative options may fit.

