Spinal decompression therapy is a treatment designed to relieve back pain and promote healing of spinal discs. It can be performed surgically or nonsurgically, depending on the severity and nature of the condition.

Nonsurgical Spinal Decompression

This approach involves using a motorized traction table to gently stretch the spine. This creates negative pressure in the spinal discs, which can help retract bulging or herniated discs, relieve pressure on nerves, and increase the flow of nutrients and fluids to the affected area. It is commonly used to treat conditions like herniated discs, sciatica, spinal stenosis, and degenerative disc disease.

  • Procedure: Patients remain clothed and are secured to the table with harnesses. The table moves to apply and release traction intermittently. Sessions typically last 30–45 minutes, and multiple treatments (often 15–30) over several weeks are usually recommended.
  • Benefits: Pain relief, improved mobility, and noninvasive treatment with no medication or recovery time.
  • Risks: Minimal for most people but not recommended for those with severe osteoporosis, fractures, or spinal instability, or during pregnancy.

Surgical Spinal Decompression

This option is considered when nonsurgical treatments are ineffective. Common surgical methods include discectomy, laminectomy, and spinal fusion, each targeting specific causes of nerve compression. Recovery time and risks are higher than nonsurgical approaches, but it may provide long-term relief for certain conditions.

Effectiveness and Considerations

Spinal decompression can offer significant relief for many individuals, though outcomes vary. Surgical options may provide more definitive results for severe cases, while nonsurgical therapy is generally low-risk and suitable for a wider range of conditions.

Always consult with a healthcare professional to determine if spinal decompression therapy is the right choice for your specific needs and condition. The cost varies significantly based on location and provider, ranging from $30 to $200 per session for nonsurgical therapy.

For more details, consider reviewing reputable medical sources or discussing with your physician.

What is spinal decompression therapy?

Spinal decompression therapy is a treatment designed to relieve back and neck pain by gently stretching the spine. This can help reposition herniated or bulging discs, reduce pressure on nerves, and improve nutrient flow to the spinal area.

Who can benefit from spinal decompression?

It is commonly used for conditions such as:

  • Herniated or bulging discs
  • Sciatica
  • Spinal stenosis
  • Degenerative disc disease
  • Facet joint syndrome
What is the difference between nonsurgical and surgical spinal decompression?
  • Nonsurgical decompression uses a motorized traction table to stretch the spine. It is noninvasive and requires no medication or recovery time.
  • Surgical decompression involves procedures like discectomy or laminectomy to relieve pressure on nerves or spinal structures. It is typically reserved for severe cases.
Is spinal decompression painful?

Nonsurgical decompression is usually painless, though some patients may feel a mild stretching sensation. Surgical decompression involves more discomfort due to the invasive nature of the procedure.

What are the risks of spinal decompression therapy?

Nonsurgical therapy has minimal risks but is not recommended for:

  • Pregnant individuals
  • Those with severe osteoporosis or fractures
  • People with spinal implants or hardware

Surgical decompression carries risks such as infection, nerve damage, or complications from anesthesia.

What results can I expect from spinal decompression?

Many patients experience significant pain relief, improved mobility, and better quality of life. Results vary based on the individual’s condition and adherence to treatment plans.

Is spinal decompression therapy covered by insurance?

Coverage depends on the provider and the type of therapy. It’s best to check with your insurance company.

Do I need a referral to see a physical therapist?

In many places, you can directly access a physical therapist without a referral. However, some insurance plans or healthcare systems may require one.

Is physical therapy covered by insurance?

Many insurance plans cover PT, but coverage varies. Check with your provider to understand benefits, co-pays, and limits.

Can physical therapy prevent surgery?

In some cases, PT can reduce or eliminate the need for surgery by addressing the underlying issue and strengthening the affected area.

Can I do physical therapy exercises at home?

Yes, therapists often provide home exercise programs to complement in-clinic treatments and support recovery.