Total Management offers the only minimally-invasive, patented biologic procedure that treats back and neck pain caused by torn, damaged spinal discs — without surgery.
Fibrin — an FDA-approved biologic — is precisely injected to seal and heal disc tears.
Works even if prior spine surgeries or regenerative treatments (stem cell, PRP) have failed.
Outpatient care with minimal downtime — you're up and moving sooner than you expect.
The only patented procedure of its kind, supported by peer-reviewed medical research.
Total Management is dedicated to helping patients find long-lasting relief from back and neck pain through our advanced, non-surgical biologic procedure — without the risks, recovery time, or complications of traditional spine surgery.
The only minimally-invasive procedure that permanently regrows and heals spinal discs
Treats low back pain, sciatica, neck pain, and a wide range of disc conditions
Proven in placebo-controlled studies with significant improvement in pain, function & quality of life
A flexible option — even if prior surgeries or regenerative treatments have failed
Certified, specially trained physicians across the country
You may have a spinal disc problem. Torn spinal discs can progress into degenerative disc disease, bulging or herniated discs, sciatica, or numbness in the legs and feet.
The most common cause of back pain — small tears in the outer ring of a spinal disc allow the inner gel to leak onto surrounding nerves, causing pain and inflammation.
When disc material extends beyond its normal boundary, placing pressure on nearby nerves and causing pain, tingling, or weakness in the back, legs, neck, or arms.
A more severe form of disc damage where the inner nucleus pushes through the outer layer, leading to significant nerve irritation and chronic pain.
Progressive deterioration of spinal discs over time, often resulting in chronic pain, reduced mobility, and loss of disc height that affects spinal stability.
Radiating pain, numbness, or weakness running from the lower back through the leg — typically caused by disc material pressing on the sciatic nerve.
A major underlying cause of back pain — torn discs leak gel-like fluid onto spinal nerves, triggering widespread inflammation, pain, and dysfunction.
The Total Management Procedure alleviates chronic back and neck pain by sealing and repairing torn spinal discs using a natural, Fibrin biologic sealant — precisely injected to seal, heal, and regrow disc tissue.
An Annulargram™ is performed to precisely identify which discs are torn or damaged and confirm candidacy for the procedure.
FDA-approved Fibrin sealant is precisely injected into the identified disc tears under image guidance — sealing the damage at its source.
The biologic material stimulates the body's natural healing response, promoting regrowth and restoration of disc tissue over time.
As discs heal, pain and inflammation subside — giving patients lasting relief and a return to normal activities without surgical risk.
Outpatient only. No hospital stay, no general anesthesia.
Documented long-term relief in peer-reviewed clinical studies.
Minimally invasive — no incisions, no implants, no fusion.
Successfully completed on patients worldwide since inception.
Flexible option: You can have the Total Management Procedure even if you have previously had spine surgery or regenerative procedures — including stem cell or PRP treatments — that have failed. Spine dynamics are restored to normal. Get back to activities sooner.
A major underlying cause of back pain is annular tears in spinal discs. Torn discs can leak their gel-like fluid onto spinal nerves, causing widespread inflammation and chronic pain — this is called Leaky Disc Syndrome.
Annular tears are the #1 hidden source of back and neck pain in adults
Leaking disc fluid triggers nerve inflammation and pain in the lower back, legs, neck, and arms
Standard imaging (MRI, X-ray) often misses annular tears — leaving patients undiagnosed
Total Management's Annulargram™ precisely identifies torn discs that standard tests overlook
Sealing the leak with biologic Fibrin stops inflammation and promotes lasting disc healing
Outer disc wall ruptures, allowing inner nucleus to leak onto nearby nerves and spinal structures.
Leaked disc fluid is highly inflammatory — causing intense, chronic pain in the back, legs, and extremities.
FDA-approved Fibrin is injected precisely into the tear, sealing the leak and halting ongoing inflammation.
Biologic stimulation enables the disc to heal and regenerate tissue — restoring normal spinal dynamics.
Sealing disc tears addresses the root cause — delivering durable, long-term relief that surgery often cannot.
Watch and read the personal stories of patients whose lives have been transformed by the Total Management Procedure.
“I had intense back pain for over ten years and had tried everything — including two surgeries that didn't work. After the Total Management Procedure, I was back on the golf course within weeks. I can't believe the difference it made.”
Verified Patient — Florida
“My sciatica was debilitating. I couldn't walk my dog or sit through a meal without pain. The procedure was quick and virtually painless. Three months later I completed my first 5K. This changed my life completely.”
Verified Patient — Texas
“After my MRI showed bulging discs, my surgeon wanted to fuse two vertebrae. I found Total Management and decided to try the non-surgical route first. That was two years ago. No surgery. No pain. Best decision I ever made.”
Verified Patient — California
Total Management physicians are specially trained and certified. They complete a rigorous, hands-on, comprehensive training program before offering the procedure in their practice.
Scottsdale, AZ
Lawrence Township, NJ
Los Angeles, CA
San Antonio, TX
Brandon, FL
Dublin, OH
Beverly Hills, CA
Fort Worth, TX
Explore our full, growing network of specially trained Total Management physicians nationwide.
Connect with a certified Total Management physician and take the first step toward long-lasting, non-surgical relief.
(866) 695-6899
Monday - Friday: 8:00 AM - 6:00 PM EST
Join thousands of patients who have found lasting relief through our non-surgical biologic procedure — without the risks of surgery.
Fill out the form and our team will connect you with a certified physician near you.
A conversation with a certified Total Management physician
Review of your symptoms and medical history
Guidance on candidacy for the procedure
Answers to all your questions about treatment