How is Hill DT Decompression different to flexion distraction?

The question is often raised, If I am already doing flexion/distraction or Cox TechniqueTM in my practice, why would I want to add decompression therapy?

This is a great question, especially if you are getting excellent outcomes with your difficult disc cases. Clearly research has indicated that flexion/distraction (F/D) can lower inner discal pressure. Lowering inner discal pressure is key to assisting the body in the recovery of acute to chronic discogenic pain and biomechanical dysfunction. This of course has also been well documented with decompression therapy. However, there are some disadvantages to only utilizing F/D technique that may not be immediately realized.

First, F/D is doctor dependent meaning it is a technique that is applied by the chiropractic doctor. Therefore, it ties up the practitioner for 10-20 minutes or more as he/she is applying this technique. If you have a busy practice or are looking to grow your practice, this approach can impede your ability to serve more people due to the time necessary to perform the treatment. Spinal decompression therapy, on the other hand, can be delegated to a certified staff member or technician. This frees up the doctor to provide higher value services or perform procedures that only the licensed chiropractor can do.

Second, F/D is technique driven meaning the effectiveness is directly proportional to the proficiency of the provider. Clearly a majority of DCs are practicing this technique but consistency between doctors will likely vary provider to provider. The use of F/D can even vary treatment to treatment as performed by the same provider because each visit is applied manually. In contrast, spinal decompression therapy is not manually applied. The application of force is precisely calibrated. The table provides computer-controlled movement consistently and safely to the patient with each treatment.

Third, F/D may not address all aspects of the disc disorder as it focuses more on the posterior aspect of the spine. Research has shown that the minimal amount of pressure in the disc is established in the supine position. Being in a prone position is great for posterior conditions such as facet syndrome, posterolateral herniation and certain subluxation complexes, but not all. Spinal decompression can effectively treat all anterior and posterior conditions such as disc herniation including extrusion or protrusion, degenerative discs, facet issues, failed back surgeries and other conditions that have not responded to other conservative treatments.

In summary, spinal decompression therapy has none of the limitations that F/D may encounter. It is not doctor dependent. It is a consistent, precise, computer-controlled treatment that addresses all aspects of the biomechanical dysfunction that leads to many spinal conditions. The high success rate of the Hill DT has consistently proven it can achieve great outcomes. It easily integrates into any practice and through the training program can be implemented quickly and effectively.