Who is this page for?
People in Vineyard who've already tried common treatments and are deciding what to do next.
Vineyard sits on the east shore of Utah Lake next to Orem. The Springville office is south of Provo, so this is a drive across town rather than next door. If you haven't tried anything yet, start with when to see a doctor and the first-line options there.
How do PT, injections and decompression compare?
They have different goals and different evidence. None works for everyone, and they're sometimes combined.
| Physical therapy / exercise | Epidural steroid injection | Spinal decompression | |
|---|---|---|---|
| Main goal | Strength, movement, self-management | Calm nerve inflammation and pain | Take pressure off irritated discs and nerves |
| Evidence | Exercise probably reduces chronic low back pain compared with no treatment or usual care (Cochrane 2021) | May give small short-term relief of sciatica (Cochrane 2020) | Traction reviews haven't shown clear benefit over sham or other care (Cochrane 2013) |
| What it involves | Visits plus home exercises | A procedure, sometimes repeated | About 20 visits over 6 weeks, 30 to 45 minutes each |
| Who provides it in Utah | Physical therapist (no referral needed) | Physician | At this clinic, Dr. Gordon Stapel, DC |
Full comparisons: decompression vs. physical therapy · decompression vs. epidural injections.
What if PT didn't work?
It's worth understanding why before switching. "Didn't work" can mean different things.
- It helped a little, then stalled. Some people do better combining continued exercise with another treatment.
- It made leg symptoms worse. Tell any provider you see next; it matters for planning.
- You couldn't keep up with it. Decompression also takes regular visits, so be realistic about time.
Guidelines recommend exercise and other non-drug care as early options for many people with low back pain (ACP). Decompression doesn't replace exercise.
What if an injection only helped for a while?
That's common. Injection relief is often short-term, and the next step depends on your exam and imaging.
Options include another injection, a surgical opinion, more rehab, or a trial of decompression if nothing rules it out. If you have worsening leg weakness or bladder or bowel changes, get medical care promptly instead.
What should I bring from my past care?
Anything that shows what was tried and what happened.
- PT discharge notes or your home exercise sheet.
- Dates of injections and how long any relief lasted.
- MRI or X-ray reports. The clinic offers a free MRI review.
Dr. Gordon Stapel, DC has been in practice since 1993. Call (801) 491-8688.
Address and hours
Springville Disc Center at Stapel Family Chiropractic
Dr. Gordon Stapel, DC
230 E 400 S Ste 1
Springville, UT 84663
Hours
- Monday – Thursday 9:00 am – 1:00 pm and 3:00 – 6:00 pm
- Friday 9:00 am – 1:00 pm
- Saturday – Sunday Closed
Questions from Vineyard
Is there an office in Vineyard?
I already did physical therapy. Is decompression the next step?
Can I have decompression after an epidural injection?
Should I stop my home exercises during decompression?
Does decompression work better than PT or injections?
Request a free consultation from Vineyard
Prefer to talk now? Call (801) 491-8688. Or send this short form and the office will call you back during business hours, usually within 2 business days.
Sources
- Hayden JA, et al. Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews, 2021
- Oliveira CB, et al. Epidural corticosteroid injections for lumbosacral radicular pain. Cochrane Database of Systematic Reviews, 2020
- Wegner I, et al. Traction for low-back pain with or without sciatica. Cochrane Database of Systematic Reviews, 2013
- Qaseem A, et al. Noninvasive treatments for acute, subacute, and chronic low back pain. American College of Physicians, Annals of Internal Medicine, 2017
This website is operated for Stapel Family Chiropractic (Springville Disc Center) in Springville, Utah. Care is provided by Dr. Gordon Stapel, DC, a licensed chiropractic physician. About this site.