Spinal Decompression in St. Louis, MO
Spinal decompression is a non-surgical, computer-controlled treatment that gently stretches the spine to take pressure off irritated discs and nerves. At ActiveSTL in St. Louis, MO, we use it for sciatica, disc bulges, disc herniations, and spinal stenosis — with no incisions, no anesthesia, and no recovery time to plan around.
ActiveSTL Chiropractic and Sports Rehab · 7225 Watson Road, St. Louis, MO 63119 · 314-553-9785
What Is Spinal Decompression?
Spinal decompression is a non-surgical treatment that uses a specialized table to gently stretch the spine in a controlled, targeted way. Force and angle are set for the specific spinal level being treated.
Stretch-and-release cycles drop pressure inside the disc, which can help draw bulging or herniated disc material back toward the center, reduce pressure on a compressed nerve, and improve the flow of fluid, oxygen, and nutrients the disc needs to heal.
You stay fully clothed. Most patients find sessions relaxing — no incisions, no anesthesia, no recovery time to plan around.
Conditions We Treat With Decompression
Sciatica
Pain, tingling, or numbness traveling from the lower back through the hip and down the leg — often when a disc irritates the sciatic nerve.
Disc Herniations
Inner disc material pushing through the outer layer and irritating a nerve root.
Spinal Stenosis
Narrowing of the spinal canal that squeezes nerves, causing leg, arm, back, or neck pain.
How We Use It: Integrated, Not Standalone
- Assessment first. History, movement, posture, strength, and range of motion, plus review of your existing X-ray or MRI. Imaging is ordered only if red flags appear.
- Candidacy check. We confirm decompression fits your diagnosis and spinal level before sessions start — and say plainly if another option would serve you better.
- Targeted sessions. You lie on the decompression table, a harness is fitted for the area being treated, and controlled stretch-and-release cycles are set for your condition.
- Supportive care. Adjustments, myofascial muscle work, and rehab exercises alongside your decompression sessions.
- Re-evaluation. Progress is checked against the goals and timeline set at your first visit — nothing is sold as a package up front.
What to Expect
Sessions are about 20–30 minutes each. A typical course is commonly 12–24 sessions over 6–8 weeks, depending on your diagnosis and how long symptoms have been present. Your exact plan is set at your first visit after your exam.
Many patients report noticing changes within the first few sessions, with improvement building over the course of care. After a session, most patients return to normal daily activity right away. Soreness, if it occurs, is typically mild and short-lived — tell your clinician if it is not.
Is Decompression Right for You?
Decompression is generally not recommended for patients with:
- Spinal fractures
- Tumors
- Spinal infection
- Advanced osteoporosis
- Pregnancy
- Fusion or hardware in the segment being treated
- Certain other conditions
Your history, exam, and imaging review come first to screen for these.
Know the Red Flags
Seek urgent medical care right away if you have:
- Loss of bowel or bladder control
- Numbness in the saddle area
- Progressive leg or arm weakness
- Severe pain after a trauma
- Fever
- Unexplained weight loss along with back or leg pain
Those symptoms need prompt medical evaluation, not routine chiropractic care alone.
Decompression FAQs
Is spinal decompression surgery?
No. Spinal decompression is non-surgical and non-invasive — no incisions, no anesthesia, and no surgical recovery.
Does it hurt?
Most patients find it comfortable and relaxing. The stretch is gentle and controlled.
How is it different from traction or an adjustment?
An adjustment restores joint motion; general traction pulls broadly. Decompression targets a specific disc level with computer-controlled cycles that create negative pressure inside that disc.
How many sessions will I need?
That is set at your first visit, after your exam and imaging review — based on your diagnosis and how long symptoms have been present. No fixed package is sold up front.
Will it fix my disc for good?
No treatment can promise that. Decompression aims to reduce pressure and support healing, paired with rehab — and individual results vary.
Can it help if I have already been told surgery is next?
For the right candidate, it can be a conservative step to try before surgery. Whether it fits you depends on your exam, imaging, and diagnosis at the first visit.
Ready to Take Pressure Off Your Back?
Want to know how care works at our clinic? See our process.
Related: Back Pain Treatment in St. Louis · Conditions We Treat

