Inversion Therapy in Chiropractic Practice
A non-invasive approach to spinal decompression
Inversion therapy has continued to draw attention within the chiropractic community as a non-invasive approach to spinal decompression. Often facilitated through inversion tables or similar equipment, this modality uses gravity to create traction on the spine, potentially relieving pressure and enhancing mobility.
As interest in conservative care grows and patients seek non-surgical solutions for back pain, some chiropractors are exploring inversion therapy as a supportive option within broader treatment plans.
For chiropractors considering whether this technique is a fit for their practice, here are five basic facts to consider.
1. Inversion Therapy Relieves Spinal Compression
One of the core clinical benefits of inversion therapy is spinal decompression.
Utilizing an inversion table or something similar, patients are positioned at a downward angle to counter spinal compression and relieve pressure on the discs and nerve roots.
This is ideal for patients presenting with:
- Herniated or bulging discs
- Sciatica
- Degenerative disc disease
When incorporated strategically, inversion therapy can enhance your manual adjustments and contribute to more sustainable spinal alignment.
2. It Supports Circulatory and Lymphatic Efficiency
Inversion therapy promotes improved blood circulation and lymphatic flow, key components in tissue healing and inflammation reduction. For chiropractic patients managing inflammation-related discomfort or systemic sluggishness, this technique offers full-body therapeutic value that aligns with holistic care philosophies.
Benefits include:
- Reduced inflammation
- Faster recovery
- Enhanced detoxification
This is particularly relevant for patients with systemic stagnation, mild swelling, or inflammatory conditions. While more high-quality research is needed to solidify these effects, anecdotal reports and smaller studies suggest enhanced circulation as a benefit.
3. It Enhances Postural Correction and Flexibility
For patients with postural imbalances or functional movement restrictions, inversion therapy can assist in restoring spinal length and releasing chronic muscle tension. When used in conjunction with corrective exercises or manual therapy, it may support long-term postural improvement and flexibility gains.
Key applications:
- Desk workers and sedentary patients
- Post-rehabilitation mobility programs
- Adjunct to spinal traction techniques
This can be particularly helpful for desk workers, older adults looking to preserve spinal mobility, or those recovering from minor injuries. Importantly, the goal isn’t to “fix” posture with inversion alone, but to support other corrective strategies already in place.
4. Proper Screening is Essential
As with any modality, inversion therapy requires thorough screening and clinical judgment. It is contraindicated for patients with:
- Uncontrolled hypertension
- Glaucoma or retinal conditions
- Cardiovascular disease
- Inner ear or balance disorders
Precautions should be taken with patients with potential hip, knee and ankle pathology as well as suspected lumbar instability.
Several studies have demonstrated a 10-15% increase in both systolic and diastolic pressures with a decrease in pulse rate during inversion therapy.
As a provider, your role is to evaluate each patient’s risk profile and health history before recommending inversion therapy as a treatment option.
Even for low-risk patients, care should be taken when starting inversion therapy. Start with modest angles, short sessions, and observe closely for symptoms such as dizziness, headaches, or increased pain.
5. Provider Oversight Maximizes Outcomes
Inversion therapy is most effective and safest when administered under professional supervision. Chiropractors can guide patients on proper use, angle progression, and session duration to reduce risks and maximize benefits. In-clinic instruction and follow-up improve adherence and outcomes.
Clinical best practices include:
- Gradual inversion angle progression
- Monitoring for contraindicated symptoms
- Individualized session planning
A Case for Inversion therapy
Evidence supports the potential benefits of inversion therapy. A study published in the Journal of Physical Therapy Science examined 85 patients with lumbar disc disease who underwent inversion therapy and compared their outcomes to those of three separate control groups, including patients on surgery waitlists.
The results showed that inversion therapy led to significant symptom improvement—as measured by the Visual Analogue Score, Roland-Morris, Oswestry Disability Index, and Health Utility Score—and importantly, reduced the need for surgery. Only 21% of the inversion group required surgery within two years, compared to 39–43% in the control groups.
These findings suggest that, for some patients, inversion therapy may be a valuable non-surgical option for managing lumbar disc conditions. When integrated thoughtfully into a personalized chiropractic care plan, it can complement manual adjustments and other decompression techniques.
With appropriate patient selection and professional oversight, inversion therapy can become a valuable part of your clinical toolkit.
