Back pain is one of the most common health complaints in the United States. For many people, spinal decompression therapy offers real relief. This non-surgical treatment gently stretches the spine, reduces pressure on the discs, and can ease pain caused by conditions like herniated discs, bulging discs, sciatica, and spinal stenosis.
But while spinal decompression can be highly effective, it isn’t the right choice for everyone. Just like any medical treatment, there are certain groups of people who should avoid it for safety reasons. In this article, we’ll explore who may not be a good candidate for spinal decompression and why it’s so important to consult a qualified professional before beginning therapy.
What Is Spinal Decompression?
Before we look at who should avoid it, let’s quickly review what spinal decompression is. Non-surgical spinal decompression uses a special traction table that gently stretches the spine. This creates negative pressure within the spinal discs, which can help pull bulging or herniated material back into place. The process also promotes better blood flow and nutrients to the spine, helping discs heal.
Sessions typically last 20–45 minutes, and most people need several treatments over a few weeks to get the best results. Many patients report less pain, better mobility, and improved quality of life.
Who Should Avoid Spinal Decompression?
While spinal decompression can be helpful, there are certain conditions where it is not safe. Here are the main groups who should avoid this therapy:
1. Pregnant Women
Pregnant women should not undergo spinal decompression therapy. The pulling force on the spine, combined with lying in certain positions for extended periods, may put too much strain on both the mother and the baby. Pregnant women should instead seek other safe chiropractic or physical therapy options to manage back pain.
2. People With Severe Osteoporosis
Osteoporosis weakens the bones, making them fragile and more likely to break. Since spinal decompression involves stretching and putting pressure on the spine, it can increase the risk of fractures in people with advanced osteoporosis.
3. Patients With Metal Implants or Spinal Hardware
Individuals who have had spinal fusion surgery, metal plates, screws, or artificial discs should avoid spinal decompression therapy. The pulling force may interfere with the hardware and cause complications.
4. Those With Spinal Tumors or Infections
If someone has a tumor or infection in the spine, decompression therapy could make the condition worse. These cases require medical treatment and possibly surgery, not spinal traction.
5. People With Abdominal Aortic Aneurysm
An abdominal aortic aneurysm is a serious condition where the main blood vessel in the abdomen is enlarged and at risk of bursting. The pressure from spinal decompression could make this condition life-threatening.
6. Individuals With Certain Nerve or Bone Disorders
Conditions like advanced spondylolisthesis (where a vertebra slips out of place) or fractures in the spine can make decompression unsafe. The stretching force may worsen the instability or injury.
Why It Matters to Be Cautious
Trying a treatment that isn’t right for you can do more harm than good. For example, a patient with weak bones might walk in with back pain but leave with a fracture. That’s why spinal decompression should never be done without a proper exam and medical history review.
A chiropractor or spine specialist can determine whether you are a good candidate. They’ll likely run tests such as X-rays or an MRI before recommending spinal decompression.
Safer Alternatives for Those Who Should Avoid It
If spinal decompression isn’t safe for you, don’t lose hope. There are other effective ways to manage back and neck pain, including:
- Gentle chiropractic adjustments
- Physical therapy exercises
- Massage therapy
- Heat and cold therapy
- Lifestyle changes such as better posture, weight management, and stretching routines
Your chiropractor can create a custom plan to fit your needs and limitations.
The Bottom Line
Spinal decompression therapy can provide lasting relief for many people struggling with back pain. But it isn’t safe for everyone. Pregnant women, people with severe osteoporosis, those with spinal hardware, and individuals with certain medical conditions should avoid it.
The key is to talk with a knowledgeable professional before starting treatment. With the right guidance, you can find a safe and effective path toward a healthier spine and a more comfortable life.
If you’re struggling with back or neck pain and want to know if spinal decompression is right for you, schedule an appointment with a Draper Chiropractor today. They can help you understand your options and choose the treatment plan that’s best for your health.
