There is No Risk to see what we can do for you — New Patient Special Offer →

Lower back pain is the leading cause of disability worldwide, yet most cases stem from correctable spinal and pelvic misalignment. At Pura Vida Chiropractic, we identify exactly what's causing your low back pain and correct it at the source.
The lumbar spine — five large vertebrae sitting above the sacrum and pelvis — carries the majority of the body's weight and bears significant mechanical stress with every step, lift, and twist. Lower back pain can arise from disc dysfunction, facet joint irritation, sacroiliac joint instability, muscular strain, or nerve compression. In the vast majority of cases, the underlying driver is pelvic imbalance and lumbar vertebral subluxation — a pattern that SOT chiropractic is specifically designed to identify and correct. Without addressing the structural foundation of the spine, lower back pain tends to recur regardless of how much rest, physical therapy, or medication is used.
SOT was developed specifically around the pelvis and sacrum as the foundation of the spine — making it uniquely suited for lower back pain. Dr. Foss uses SOT's three-category system to classify the exact type of pelvic-lumbar dysfunction present and applies the precise correction needed. Pelvic blocking positions use gravity and the patient's body weight to restore sacroiliac joint alignment, decompress lumbar discs, and normalize the dural tube tension running from the sacrum to the skull. This approach is safe, effective, and well-tolerated even in acute low back pain flares.
At Pura Vida Chiropractic, Dr. Foss uses Sacro-Occipital Technique (SOT) — a gentle, category-based system that addresses the spine, pelvis, and craniosacral rhythm as one integrated unit. SOT restores proper biomechanics, reduces nerve interference, and creates the neurological environment your body needs to heal itself.
For many patients, combining spinal correction with regenerative therapies produces faster and more lasting results. Depending on your condition, Dr. Foss may incorporate one or more of the following:
Patented unfocused shock waves spread over a broad treatment area to reduce inflammation, increase blood flow, and activate stem cells — promoting cellular regeneration and long-term pain relief.
Photobiomodulation with a 10–15W Class IV laser delivers therapeutic light energy deep into tissue, reducing inflammation, blocking pain signals, and speeding healing at the cellular level.
Pura Vida Chiropractic is a family-friendly, bilingual (English/Spanish) clinic serving San Antonio, TX. Dr. Dan Foss is trained in Sacro-Occipital Technique (SOT), a comprehensive chiropractic system that addresses the whole body — not just the area of pain. We combine hands-on spinal correction with the latest regenerative technology to help patients resolve the root cause of their condition rather than masking symptoms.
We are insurance friendly. Bring your insurance card and ID to the office to verify how your insurance can contribute to your care. New patient appointments are available promptly.
Comparing options? See how to choose a chiropractor near me in San Antonio or read our guide on how to choose the best chiropractor in San Antonio.
The vast majority of lower back pain stems from mechanical dysfunction — lumbar facet joint restriction, SI joint instability, disc bulging or herniation, and sacral torsion. Prolonged sitting, repetitive lifting with poor mechanics, weak core stabilizers, and unresolved pelvic asymmetry compound the problem over time.
Dr. Foss uses SOT to assess which pelvic category (I, II, or III) is driving the lumbar dysfunction, then applies a gentle category-specific correction sequence. Pelvic blocking restores sacral balance, lumbar adjusting frees the facet joints, and SoftWave or Class IV laser is added when soft-tissue inflammation needs targeted treatment.
Acute lower back pain often resolves within 4–8 visits over 3–4 weeks. Chronic lower back pain (>3 months) typically requires 12–20 visits over 8–12 weeks to retrain the spine and surrounding musculature into a corrected pattern. A maintenance schedule of one visit per month helps prevent recurrence.
Yes, when delivered with the right technique. SOT is specifically designed for sensitive cases because it uses no rotational force on the lumbar spine. Dr. Foss reviews any prior imaging and screens for red flags before treatment. For confirmed disc pathology, SOT plus SoftWave therapy has a strong conservative-care track record.
Schedule your new patient appointment with Dr. Foss at Pura Vida Chiropractic in San Antonio, TX. We'll identify the root cause and build a personalized care plan.
Book Your AppointmentChat with us on WhatsApp
Typically replies within minutes