Is traction therapy done with a spinal decompression table?

Traction uses a controlled pulling force to alter loading and movement around part of the spine. A spinal decompression table can position the body and apply a programmed or therapist-controlled force. Different tables have different features, so the device name does not by itself describe the treatment you will receive.

The therapist chooses the body region, position, force, pace and treatment duration after examining you. Some sessions use a table; others use a different setup. The aim is to find a tolerable approach for your symptoms, not to apply the strongest available pull.

Tell the therapist about pain that travels into an arm or leg, numbness, weakness, osteoporosis, recent injury, surgery, pregnancy, cancer, infection and any change in bladder or bowel control. Mention what positions worsen or ease your symptoms. Wear comfortable clothing and follow instructions about getting on and off the table.

During treatment, describe pressure, pain, tingling, dizziness or nausea as soon as it occurs. A therapist may change the position or force, pause the session or choose another approach. Home exercises and activity advice may be used alongside traction.

Stop and report new or worsening weakness, spreading numbness, severe pain or loss of balance during or after treatment. Seek urgent care for new loss of bladder or bowel control, numbness around the groin, severe unrelenting spinal pain, or major weakness. These symptoms require medical assessment rather than another traction session.

Ask which spinal region is being treated, why traction is being considered, what equipment will be used, how the force will be adjusted, what sensations are expected, and what findings would make the therapist stop. Clarify how progress will be judged and what alternatives are available.