Nonsurgical Decompression

Newer Information On Nonsurgical Spinal Decompression

CF 279: Newer Information On Nonsurgical Spinal Decompression


Today we’re going to talk about newer non-surgical decompression information.


But first, heres that sweet sweet bumper music


Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

Chiropractic evidence-based products

Integrating Chiropractors

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.22-AM-150x55.jpg

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.33-AM-150x55.jpg

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.09-AM-150x55.jpg

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.   We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.   I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  I’m so glad you’re spending your time with us learning together.   Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at   If you haven’t yet I have a few things you should do.

  • Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.
  • Then go Like our Chiropractic Forward Facebook page,
  • Join our private Chiropractic Forward Facebook group, and then
  • Review our podcast on whatever platform you’re listening to
  • Last thing real quick, we also have an evidence-based brochure and poster store at com

  You have found yourself smack dab in the middle of Episode #279  

Now if you missed last week’s episode, we talked about SMT and The Low Back & How Much Exercise Is Actually Needed.

Make sure you don’t miss that info. Keep up with the class.  

On the personal end of things…..

Alright, a new week. I want to return back to a topic I have mentioned briefly before and that’s Darcy and Propel. She and they have re-vamped my website SEO. I have to admit, when a solo doc gets too damned busy to babysit a website and he/she is too damned cheap to pay someone to babysit the site, the SEO can sink.  

Now, don’t think I don’t do anything alright. I absolutely do. I write a blog every single week over a different topic. I then take that script and make a Youtube and Facebook video out of it, blah blah blah. I do lots of stuff.   However headings, tags, keywords, etc…..yeah, not my skillset. Nor should it be my skillset.

So, it sank and as a result, so did my new patients that I was getting through Googles.   Many of you know I’m a voice actor and real estate investor, artist, etc and had been putting my extra time into some of the extras I’ve been involved in. Lately, my attention gets drawn away from things I would normally be handling, like checking on Google Analytics from time to time to see how we’re performing.  

Well, since going through Propel’s re-vamp and me making it a priority to do some of the things they suggested, I think we are back on track. I checked my site’s progress over the last 18 days compare to the previous 18 days, the last month to the previous month, etc. And I found that we are indeed on the upswing!

Thank goodness. I would also say that it is reflected directly into the new patient numbers recently. Last year it was nothing for me to have 20-25 new patients in a week. That took a hit as the website took a hit and fell down to 12-14 ish per week. In just the last two weeks we’ve had 17 and then just last week we had 19 so it looks like we are back running in the right direction.   I truly think that is a result of paying more attention to the performance of my website.  

Most of you know that SEO is a slow grow. Nobody can flip a switch and you’ll be number 1 this week. But, early indicators are that Propel and Darcy Sullivan have got some magic up their sleeves.

And no….I don’t get anything at all out of telling you that. I’m just being open and honest with you.  

Alright, let’s dive in.  


Item #1   The first on today is called “Effects of non-surgical decompression therapy in addition to routine physical therapy on pain, range of motion, endurance, functional disability and quality of life versus routine physical therapy alone in patients with lumbar radiculopathy; a randomized controlled trial” by Fareeha Amjad, Mohammad A Mohseni-Bandpei, Syed Amir Gilani, Ashfaq Ahmad, Asif Hanif and published in PubMed on March 16 2022. Dayum. That’s hot.    

Why They Did It  

The objective of this study was to determine the effects of decompression therapy in addition to routine physical therapy on pain, lumbar range of motion (ROM), functional disability, back muscle endurance (BME), and quality of life (QOL) in patients with lumbar radiculopathy.    

How They Did It  

  • A total of sixty patients with lumbar radiculopathy were randomly allocated into two groups, an experimental and a control group, through a computer-generated random number table.


  • Baseline values were recorded before providing any treatment by using a VAS, Urdu version of Oswestry disability index, modified-modified Schober’s test, prone isometric chest raise test, and SF-36 for measuring the pain at rest, functional disability, lumbar ROM, back muscle endurance, and quality of life, respectively. All patients received twelve treatment sessions over 4 weeks, and then all outcome measures were again recorded.

      What They Found  

  • By using the ANCOVA test, a statistically significant between-group improvement was observed in VAS, Oswestry disability index, back muscle endurance, lumbar ROM, role physical (RP), and bodily pain (BP) domains of SF-36, which was in favour of decompression


Wrap It Up  

It was concluded that a combination of non-surgical spinal decompression therapy with routine physical therapy is more effective, statistically and clinically, than routine physical therapy alone in terms of improving pain, lumbar range of motion, back muscle endurance, functional disability, and physical role domain of quality of life, in patients with lumbar radiculopathy, following 4 weeks of treatment.     Before getting to the next one,  

Next thing, go to That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.   When you decide you cant live without those products, send me an email and Ill give you the hookup. They will 100% differentiate your clinic from your competitors.    

I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at & get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. and the discount code is HOTSTUFF. Go do it.        

Item #2   Our last one this week is called, “Regression of lumbar disc herniation by physiotherapy. Does non-surgical spinal decompression therapy make a difference? Double-blind randomized controlled trial” by Aynur Demirel, Mehmet Yorubulut, Nevin Ergun and published in PubMed on September 17, 2022. Hot potato!      

Why They Did It  

The aim of the study determining whether or not Non-invasive Spinal Decompression Therapy(NSDT) was effective in resorption of herniation, increasing disc height in patients with lumbar disc herniation (LHNP).              

How They Did It  

  • A total of twenty patients diagnosed as lumbar disc herniation and suffering from pain at least 8 weeks were enrolled to the study. Patients were allocated in study (SG) and control groups (CG) randomly.


  • Both groups received combination of electrotherapy, deep friction massage and stabilization exercise for fifteen session. The study group received additionally Decompression different from control groups. Numeric Anolog Scale, Straight leg raise test, Oswestry Disability Index (ODI) were applied at baseline and after treatment. Disc height and herniation thickness were measured on Magnetic Resonance Imagination which performed at baseline and three months after therapy.

    What They Found  

  • Both treatments had positive effect for improving pain, functional restoration and reduction in thickness of herniation. Although reduction of herniation size was higher in the study group than control groups, no significant differences were found between groups and any superiority to each other


Wrap It Up  

This study showed that patients with lumbar disc herniation received physiotherapy had improvement based on clinical and radiologic evidence. Decompression can be used as assistive agent for other physiotherapy methods in treatment of lumbar disc herniation.    

Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen.  

Let’s get to the message. Same as it is every week.    


Remember the evidence-informed brochures and posters at    

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

Chiropractic evidence-based products

Integrating Chiropractors

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.22-AM-150x55.jpg

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.33-AM-150x55.jpg

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.09-AM-150x55.jpg

The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you cant beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.


When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.


It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient.


And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!


Key Point:

At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….


Thats Chiropractic!



Send us an email at dr dot williams at and let us know what you think of our show and tell us your suggestions for future episodes.


Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.


We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.



We cant wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.




Social Media Links


Chiropractic Forward Podcast Facebook GROUP








Player FM Link






About the Author & Host

Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger