What spinal decompression is
At Jeev we use a RoboSpine decompression table. You lie comfortably on the table, and a harness around your pelvis and lower chest (for the lower back) or a cradle under your head (for the neck) connects you to a motor. The computer slowly increases the pull, holds it, then relaxes it, repeating this cycle through the session.
Unlike a simple traction belt, the force is set precisely for your body weight and condition, builds up gradually and is monitored throughout. The aim is to gently separate the vertebrae, reduce pressure on the discs and the nerve roots, and let the surrounding muscles relax.
Who it may help
Decompression is usually considered when back or neck pain is linked to the discs or nerve roots, for example:
- Slip disc (bulging or herniated disc) in the lower back or neck
- Sciatica: pain, tingling or numbness travelling down the leg
- Neck pain with pain or pins and needles down the arm
- Long-standing lower back pain that has not settled with exercise alone
- Some cases of age-related disc changes (degenerative disc disease)
Who should not have it
Decompression is not suitable for everyone, which is why every patient is assessed before we recommend it. We will not use it, or will check with your doctor first, if you have:
- Pregnancy
- Recent spinal surgery, spinal fusion, or metal implants in the spine
- A spinal fracture, tumour or infection
- Severe osteoporosis
- An unstable vertebra (significant spondylolisthesis)
- An abdominal aortic aneurysm or other serious vascular problems
- Any of the warning signs listed under “When to see a doctor” below
What a session feels like
Most people describe it as a slow, comfortable stretch; many find it relaxing. A treatment on the table usually lasts 20 to 30 minutes. You hold a safety switch the whole time and can stop the table instantly.
We start with a lower force and increase it over the first few sessions depending on how you respond. Some people feel mild soreness after the first sessions, similar to after a new exercise; this usually settles within a day. Tell us about any increase in leg or arm symptoms, and we will adjust the plan.
How we use it at Jeev
Decompression is never a stand-alone fix. It works best as one part of a complete plan, so a typical session also includes exercises to strengthen and control the spine, hands-on treatment where useful, and advice on sitting, lifting and sleeping.
Research on spinal decompression is still developing and results vary from person to person. We are open about that: we review your progress after the first few sessions and only continue if it is clearly helping.
How many sessions will I need?
Decompression is usually given as a course, often 10 to 20 sessions over 4 to 8 weeks, alongside an exercise programme. The exact number depends on your condition and how you respond, and we review it regularly.
When to see a doctor first
Please see a doctor or go to an emergency department, rather than booking physiotherapy, if you have:
- Numbness around the groin, buttocks or inner thighs (saddle area)
- New difficulty passing urine, loss of bladder or bowel control
- Weakness in a leg or foot that is getting worse, or foot drop
- Back pain after a fall or accident, or with fever or unexplained weight loss
- Clumsy hands, problems with balance or walking alongside neck pain
Frequently asked questions
Is spinal decompression the same as traction?
It is a refined form of traction. A computer controls the force, timing and angle, increasing and relaxing the pull in cycles so the muscles stay relaxed, rather than applying a constant pull.
Is spinal decompression painful?
It should not be. Most people feel a gentle stretch and find it comfortable. You hold a safety switch throughout and the force is increased gradually over several sessions.
How many spinal decompression sessions will I need?
Often 10 to 20 sessions over 4 to 8 weeks, combined with exercise therapy. We give you an estimate after your assessment and review it as you progress.
Can spinal decompression help me avoid surgery for a slip disc?
Many slip discs improve without surgery through good conservative care, and decompression may be part of that care. It cannot guarantee you will avoid surgery, and some conditions do need a surgeon. We will tell you honestly if we think you should see one.
Do I need an MRI before spinal decompression?
Not always. Bring any scans you already have. If your symptoms or our assessment suggest that imaging or a doctor’s opinion is needed first, we will tell you before starting.
Is spinal decompression available for neck pain?
Yes. Cervical (neck) decompression uses a head cradle instead of a harness and may help with neck pain and arm symptoms caused by an irritated nerve.