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Conditions We Treat · Spine & Nerve

Herniated disc care in San Francisco

A bulging or herniated disc sounds alarming, but most respond well to conservative care — we calm the irritation first, then rebuild what's supposed to be supporting it.

About this condition

What a herniated disc actually is

A disc herniation happens when the soft inner material of a spinal disc pushes through its outer layer, sometimes irritating a nearby nerve.

It's more common — and more manageable — than it sounds; plenty of people have disc bulges with no pain at all. What matters is how it's irritating the tissue around it right now, and what's letting it happen. We start by calming that irritation down, then address the postural and strength gaps that let the disc take on more load than it should.

Does this sound familiar?

Signs you might be dealing with it

How we treat it

The V-A-S-T Approach to get you out of pain

Vision

Discover the root cause: A hands-on and movement-based exam to find exactly where the disc is irritated and how it's affecting the nerve nearby.

Alignment

Restore balance: Adjustments and soft tissue work to reduce pressure on the disc and calm the surrounding inflammation.

Strength

Build lasting capacity: Rehab and progressive strength training to build the support around the disc so it's not carrying the load alone.

Transformation

Live without limits: You move, bend, and lift again with a spine that's finally supported — not one brace-length away from another flare.

From a patient

What relief looks like

"I've been a patient of Dr. Mae Li for over 3 years and I highly recommend her - she is fantastic. Dr. Mae is professional, thorough, empathetic, and fun! She's gotten me through multiple injuries, always with a gentle touch, even keel, and appropriate sense of humor. I'm so grateful to work with her."

Carol R.

"Dr. Mae Li DC, cured my left shoulder pain in only four visits. I was blessed to have received such exceptional care which included spinal adjustments- manipulations, exercises to improve my posture and help control my stress. Thank you Dr. Li."

Linda W.

"Dr. Li is magnificent. Kind, smart, gentle. She diagnosed my problem correctly before the x-ray came in, and is teaching me how to take care of myself."

Anne W.

"Dr. Mae Li is great! She provided very specific guidance for a hamstring issue, which improved it materially in the first month. Thanks!"

Peter M.

"Visiting with Dr. Li is always a highly positive, multi-faceted experience. Not only was the issue for which I was visiting quickly and accurately diagnosed, we discussed diet and proper squat form as well. Though I often fail, Dr. Li, I promise to do the exercises you prescribed!"

Steve C.

"Dr. Mae Li is really wonderful. She is thorough, effective and a great listener. She gives great suggestions about stretches and preventative exercises. She also really gets to know her patients."

Colleen B.

"When I was diagnosed with sciatica at age 50 my doctor sent me to see these incredible sports medicine experts so they could tailor my rehab and exercise to my very active lifestyle. I didn't have a sports injury but they helped me heal & rehab through prescribed activity (so I didn't need to go to a PT) and I got stronger than ever while healing! They also taught me

Olivia S.

"Dr. Mae Li is absolutely wonderful. I've been going to her for the better part of two years to manage my back and neck pain and stiffness and she's been a valuable part of my physical therapy and maintenance routine."

Michael B.

"I am a former collegiate tennis player, I have had knee tendinitis for the past 6 years. After seeing five physical therapists, I was almost convinced there was no fix for my ailment. In a matter of four visits, Dr. Li discovered a simple solution to the problem, involving a slight modification to my movement pattern while playing. This was without time-intensive rehabilitation exercises. I am forever grateful to Dr. Li for keeping me on the court."

Shreeve A.

"I love Mae! She's a fanatic listener and clinician. She's the best."

Chad G.

"Have a leg injury getting worse over time. Dr. Mae Li helped me first relieve the pain and then have been constantly helping me in recovering and getting better with PT homeworks! Highly recommended."

Ekin S.

"Dr. Mae Li is caring, professional, friendly and knows how to apply the right technique at the right time. She takes the time to explain the details and her care is genuine."

Larry K.

"Dr. Li is the absolute best! She has taken care of my neck and more recently my broken elbow, she takes the time to understand what my issues are and works magic. I had been struggling to find help for my elbow and Dr. Li scheduled me in ASAP and has provided great care and I can see tremendous improvement with her!"

Alejandra O.

"Dr. Li was super-helpful with effective adjustments, exercises, and advice that kept me moving."

David B.

"Mae did a great job (again) getting a hurt part back in order. Good insights and advice on what to do as well as therapy."

Brian E.

"Mae listened carefully as I described my pain and worked with me through a series of questions and motions, to determine my flexibility. She quickly assessed the situation, and began treatment. After that, she gave me some "homework" exercises, so I could address my pain on my own at home. All the while, Mae was attentive, interested, and focused. I felt very comfortable with her, and I'm looking forward to my next treatment."

Willy V.

"Mae has done amazing work for me. I had a debilitating upper back issue that left me writhing in pain during a long run where I had to limp about two miles home. After three procedures I am back to nearly 100% normal, which I find remarkable. Thank you for the great work, Mae!"

Jim M.
Common questions

Herniated disc, answered

Click a question for the answer — or see the full FAQ for pricing, insurance, and what to expect.

Does a herniated disc mean I need surgery?

Not usually — most disc herniations improve with conservative care like adjustments, soft tissue work, and rehab. Surgery is typically reserved for cases with significant, unrelenting nerve symptoms that don't respond to conservative treatment over time.

Is it safe to get adjusted with a herniated disc?

Yes, when the technique is matched to what your spine can handle that day — your first-visit assessment tells us exactly how to approach it safely.

How long does a herniated disc take to heal?

It varies with severity, but many discs settle down significantly within weeks to a few months of consistent care, especially once the surrounding support is rebuilt.

Can I still exercise with a herniated disc?

Often yes, with modification. We'll guide you on what to avoid short-term and how to build back toward full training safely.

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