So with my background and training, I can answer this question without any preconceived notions and/or biases.
How would I personally approach this case? Well for one, I would ask your father how long has he been experiencing this back and hip pain. With his pain, what has it limited him from doing? Is he bedridden? Is he able to perform his normal activities of daily living without any issues or problems. Has he attempted to explore any alternative form of therapies such as chiropractic, physiotherapy or acupuncture? Would he like to entertain the possibility of giving one of these form of alternative form of therapy a try?
If he is all in with chiropractic, then, I would perform a thorough history, a complete physical examination and an x-ray of the Lumbosacral region to determine the extent of structural damage and also ascertain if he need a more detailed examination such as an MRI of the same region.
Depending on those results, I would prepare a "Review of Findings" with the patient. A typical R.O.F consist of 4 important aspects:
1) What is the nature of the condition and extent the extent of the damage.
2) What are your father's options? Both with traditional and alternative treatment. What are the pro's and con's of each?
3) The length of the treatment plan? Including the realistic timeline goals.
4) The cost of therapy from the initial consult to the final examination.
Then, I would leave it up to the patient to make an informed, educated decision as to what would be best for him,
I hope for the best for you.
Mitchell Cohen MD
Depends on how bad the bulge is. A mild bulge can resolve with conservative care but a more severe bulge with other degenerative factors could need surgery. A second opinion is never a bad thing.