Does Spinal Decompression Work? A Naperville Doctor’s Honest Answer
Does Spinal Decompression Work? Here’s What 26 Years of Practice Has Taught Me
You’re probably asking “does spinal decompression work?” because you’re dealing with back pain that just won’t quit. Maybe you’ve already tried physical therapy, pain medications, or even injections. Someone mentioned spinal decompression therapy, and now you’re trying to figure out if it’s actually worth your time and money—or just another treatment that sounds good but doesn’t deliver.
I get it. I’ve been practicing in Naperville since 2000, and I was the first to bring spinal decompression therapy to our community. In those 26 years, I’ve treated thousands of patients with disc problems, and I’ve seen what works and what doesn’t.
Here’s my honest answer: Yes, spinal decompression works for most patients with confirmed disc problems when combined with proper patient selection and comprehensive treatment. Success rates in properly selected patients typically range from 60-80%. However, it may not be the complete answer for everyone—some patients need additional treatments to address inflammation and nerve damage alongside decompression.
The difference between success and disappointment comes down to proper patient selection and using the right combination of treatments. In this article, I’ll share what the research shows, who gets the best results in my practice, and most importantly, how to know if you’re a good candidate.
What Is Spinal Decompression Therapy? (And What It Isn’t)
I brought spinal decompression to Naperville because I had patients with herniated and bulging discs who weren’t getting better with traditional chiropractic techniques alone. I needed a solution that could actually address what was happening inside the disc itself.
Spinal decompression is a non-surgical treatment that uses computerized traction to gently stretch your spine in a very specific way. You lie comfortably on a specialized table, secured with a harness around your pelvis. The table creates a slow, controlled pull that creates negative pressure inside your spinal discs.
Here’s what that negative pressure does: it helps bulging or herniated disc material retract, takes pressure off pinched nerves, and allows nutrients, oxygen, and fluids to flow back into the damaged disc. Think of it as giving your disc the space and resources it needs to heal itself.
This is different from old-school traction, which just pulled on your spine without the computerized precision. Modern spinal decompression therapy is FDA-cleared and uses sophisticated technology to target the exact level of your spine that needs treatment, while avoiding the muscle guarding response that made older traction methods less effective.
Most patients find the treatment surprisingly comfortable. Many even fall asleep during their sessions. Each treatment typically lasts 15-25 minutes, and you can return to your normal activities immediately afterward.
The Research: What Studies Actually Show About Effectiveness
Let’s be honest about the research on spinal decompression—it’s mixed. And I think it’s important you know why.
Some studies show significant improvement in pain and function for patients with herniated discs and sciatica. Others? More modest results. But here’s what I’ve observed after 26 years of using this treatment: the studies that show poor results are often testing spinal decompression alone, in isolation.
In real-world practice, I rarely use decompression as a standalone treatment. For most patients—especially those with more severe or complex disc injuries—you need to address the inflammation and nerve damage that’s also present. That’s just the reality of how disc problems work.
The patients who do best in research studies tend to be the same ones who do best in my practice: people with clear disc herniations or bulges confirmed on MRI, who haven’t had previous spinal surgery, and whose symptoms match their imaging findings. When you have the right patient, treated with the right comprehensive approach, the results can be excellent.
What the research does confirm is that spinal decompression is safe. The risks are minimal compared to spinal surgery, there’s no downtime, and the treatment itself is comfortable. For patients who are good candidates, it offers a non-surgical option that can help them avoid or delay surgery.
Clinical experience matters too. Over the years, I’ve treated thousands of patients with disc problems. I’ve seen which cases respond quickly to decompression alone, and which ones need our more comprehensive protocol. That pattern-recognition from actually treating patients day in and day out? That’s something research studies can’t always capture.
The Patients Who See the Best Results with Spinal Decompression
After 26 years of treating disc problems, I can usually tell within the first evaluation who’s going to do well with spinal decompression. Here are the patients who typically get excellent results:
Herniated or bulging disc patients are my best candidates. When you have a disc that’s pushing out and compressing a nerve, decompression directly addresses the problem. I want to see your MRI to confirm this—it tells me exactly what we’re dealing with and helps me predict how you’ll respond.
Sciatica sufferers often respond beautifully—especially when the sciatica is caused by a disc problem rather than other issues like piriformis syndrome or spinal stenosis. If your leg pain is worse than your back pain, and it follows a specific nerve pathway down your leg? That’s often a good sign you’re a candidate.
Patients with facet syndrome get great results too. When we unload the compression on your spine, the facet joints aren’t as jammed together and can move better. Many people don’t realize that decompression helps more than just the discs—it also takes pressure off those facet joints, allowing them to function properly again.
Patients with degenerative disc disease can benefit, though I need to set realistic expectations. If your discs are severely degenerated and have lost most of their height, decompression alone may not be enough. But for mild to moderate degeneration, especially when combined with our comprehensive protocol that addresses nerve healing and inflammation, many patients get significant relief.
The severity matters. Patients with newer disc problems or less severe bulges may do very well with decompression as the primary treatment. More complex cases—severe herniations, chronic nerve damage, or multi-level disc problems—typically need our comprehensive approach that addresses nerve healing and inflammation alongside decompression.
I also look at other factors during your evaluation: How long have you had symptoms? Have you had previous spinal surgery? Do your symptoms match what I see on your MRI? Are you able to participate in treatment (some conditions make positioning difficult)? All of this helps me determine not just if you’re a candidate, but what combination of treatments you’ll need.
When Spinal Decompression Isn’t the Right Answer
Being honest about who shouldn’t try spinal decompression is just as important as talking about who should. I’d rather save you time and money upfront than have you go through treatment that isn’t appropriate for your condition.
You’re not a candidate if you have:
- Fractures or tumors in your spine—these need medical attention first
- Severe osteoporosis—the gentle traction could still cause problems with very fragile bones
- Pregnancy—we need to protect both you and your baby
- Certain types of surgical hardware—depending on what type of spinal surgery you’ve had, decompression may not be possible or advisable
You may not be a good candidate if:
- You have an acute injury that just happened yesterday—timing matters, and sometimes you need to let acute inflammation settle first
- Your imaging doesn’t match your symptoms—if your MRI shows minimal disc problems but you have severe pain, we need to figure out what’s really causing your symptoms
- You’re not willing or able to commit to the treatment schedule—inconsistent treatment usually means inconsistent results
Here’s what I tell patients: If I don’t think spinal decompression is right for you, I’ll tell you. Sometimes you need a different treatment approach. Sometimes you need to see a different type of specialist. My job is to match you with the right solution, even if that solution isn’t something I provide. That’s just good medicine.
The Reality: Sessions, Timeline, and What It Feels Like
Let me walk you through what actually happens when you come in for spinal decompression treatment.
Your first visit involves a thorough evaluation. I want to review your MRI or other imaging—this is critical for determining if you’re a good candidate and planning your treatment. I’ll also do a physical exam to see how your symptoms match what the imaging shows. After reviewing everything, I can tell you whether decompression is likely to help, whether you’ll need it alone or as part of our comprehensive protocol, and what realistic expectations should be.
Each treatment session takes about 15-25 minutes. You lie comfortably on the decompression table, secured with a harness. The table does the work while you relax—many patients actually fall asleep. There’s no pain during treatment. Most people describe it as a gentle pulling sensation or even find it relaxing. Wear comfortable clothing—you stay fully dressed during treatment.
The typical protocol involves 15-30 sessions spread over 5-7 weeks, usually coming in 3-4 times per week initially, then tapering down. I know that sounds like a commitment, but remember: your disc problem didn’t develop overnight, and it won’t heal overnight either.
When you’ll notice improvement varies. Some patients feel relief within the first few sessions. Others take a few weeks before they notice significant changes. The decompression is working to remove pressure and help your disc heal, but healing takes time.
Here’s what most people don’t understand: spinal decompression removes the pressure and helps revive the disc and surrounding tissues. But if there’s inflammation and nerve damage—which there almost always is with disc problems—you may need additional treatments to fully solve the problem. That’s not a weakness of decompression; it’s just the reality of how disc injuries work.
For patients with more complex or severe disc problems, our protocol typically combines decompression with treatments that address nerve healing and reduce inflammation. Some cases also benefit from laser therapy to accelerate tissue healing. What you’ll need depends on your specific situation, which is why that initial evaluation is so important.
About cost and insurance: Some insurance plans cover spinal decompression when it’s medically necessary and properly documented while others do not. We’ll verify your coverage during your evaluation. Even if you’re paying out of pocket, non-surgical decompression is typically a fraction of the cost of spinal surgery, with none of the surgical risks or recovery time.
Don’t have an MRI yet? That’s okay. If your symptoms suggest a disc problem but you haven’t had imaging yet, we can order an MRI as part of your evaluation. Sometimes patients have already had X-rays but need an MRI to see the soft tissue structures like discs and nerves. I’d rather get the right diagnostic information upfront than guess at what’s causing your pain.
Why the Right Techniques and Technology Make the Difference
I didn’t bring spinal decompression to Naperville back in the early 2000s just to have the newest equipment. I brought it because I had patients with herniated discs who weren’t getting better with traditional chiropractic techniques alone, and I needed a solution that could address what was happening inside the disc itself.
That’s been my approach since I opened my practice in 2000—when I see a problem I can’t solve with what I have, I find the solution. Sometimes that’s a new technique. Sometimes it’s advanced technology. Usually it’s the right combination of both.
Over the years, that philosophy has led me to add multiple treatment options: advanced nerve regeneration therapy for lingering nerve issues like Bell’s palsy and post-surgical nerve pain, SoftWave for chronic pain cases that weren’t responding to other approaches, multiple laser therapies for different tissue healing needs, and my training in acupuncture and nutrition for whole-body healing.
I’m not collecting equipment for the sake of having options. Not at all. Each addition came from seeing patients who needed something I couldn’t provide at the time. When traditional approaches weren’t solving certain nerve problems, I found the Stimpod. When I needed better outcomes for chronic inflammation, I added specific technologies to address that.
This matters for your disc problem because comprehensive treatment gets better results than any single approach alone. Spinal decompression is excellent at what it does—removing pressure, helping the disc heal, improving vertebral motion. But when you also address the nerve damage and inflammation that come with most disc injuries, outcomes improve significantly.
After 26 years of practice and thousands of disc patients, I can tell you this: the practitioners who rely on a single tool or technique will get single-tool results. The ones who take the time to match the patient with the right combination of treatments—that’s where you see the real breakthroughs.
The Bottom Line: Does Spinal Decompression Work?
Yes, spinal decompression works—when you have the right patient, the right diagnosis, and the right comprehensive approach. It’s not magic, and it’s not for everyone. But for patients with confirmed disc problems who are properly evaluated and treated with a protocol that addresses all the contributing factors, the results can be life-changing.
The key is proper patient selection. That MRI review matters. Your symptoms need to match your imaging. The severity of your condition determines whether decompression alone will be enough, or whether you’ll need our comprehensive protocol that also addresses nerve healing and inflammation.
After bringing this technology to Naperville over two decades ago and treating thousands of disc patients since then, I can usually tell within the first evaluation whether you’re a good candidate and what combination of treatments will give you the best results. That’s the value of experience—pattern recognition that comes from actually doing this work day in and day out.
If you’re dealing with a disc problem and wondering whether spinal decompression might help, the next step is a thorough evaluation. Bring your MRI if you have one. Contact our Naperville Spinal Decompression Clinic to schedule your evaluation, and let’s look at your specific situation together to determine whether this is the right approach for you. I’d rather give you an honest assessment upfront than have you invest time and money in something that isn’t going to solve your problem.
Your disc problem has a solution. Let’s figure out together if spinal decompression is part of that solution.


