Verified treatment outcome for Vertebrogenic lower back pain with sciatica secondary to disc herniation and sacroiliac dysfunction. at Active Medical & Chiropractic in Jacksonville, Florida.25% reduction in reported pain, 50% reduction in medication use, sleep improvement reported 50% achieved over 4 weeks 8 total treatments. Diagnosis: M54.5 (Low back pain). Treatment: Patient received Class IV laser, long axis lumbar spine traction decompression, low force, instruments assisted spinal manipulation and theraball active range of motion exercises. Her treatment frequency was 2 times per week for 4 weeks. She was referred to our facility by the VA having failed medication only therapy and in house physical therapy at the VA.. Patient experience: Patient reported no longer needing prescription pain medications in order to sleep through the night. She also reported taking half as much Ibuprofen, which she also believed was contributing to her r.