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Spinal decompression or adjustments: which fits your back?

The exam decides. An adjustment is a hands-on movement of a joint. Decompression is a gentle, computer-guided stretch of the spine that is usually discussed for disc-linked back or neck symptoms. Envista Medical in Bakersfield offers both, so your care starts with your exam, not with a machine.

Two different tools

A chiropractic adjustment is a controlled, hands-on movement applied to a joint by a trained practitioner. It is commonly used for back and neck discomfort tied to stiffness and movement patterns.

Spinal decompression uses a computer-guided table to apply a gentle, gradual stretch to the spine while you lie comfortably. It is usually discussed for people whose low back or neck symptoms are linked to a disc, including pain that travels into a leg or arm.

Stronger is not the same as better

People often assume decompression is the more powerful option and want to start there. The better question is which approach matches what your exam shows. Some people do best with adjustments and exercise, some with decompression combined with rehabilitation, and some need a medical evaluation or imaging first.

Both approaches work best as part of a plan that includes movement you can do between visits and clear checkpoints, such as how long you can sit, stand or walk.

How Envista decides

Envista Medical offers chiropractic adjustments, spinal decompression, rehabilitation and physician-led medical care in one office. Your first visit covers your history, a movement exam and any imaging you already have. At your Care Plan Presentation, the visit right after your exam, the team explains which option fits, why, about how many visits to expect and how progress will be reviewed.

Spinal decompression is not right for everyone. Pregnancy, a past spinal fusion or implanted spinal hardware, a spinal fracture, significant osteoporosis, a spinal infection or tumor and some other health factors can rule it out, which is exactly why the exam comes first.

Questions to ask

What does my exam suggest is driving the pain? Why this option over the other? How many sessions are typical, and when will we check progress? What can I do at home? What would we try if this does not help?

Call (661) 587-0700 or book a consultation online to get your answers in person.

Bring your questions.

Choose a time that works for you and tell us what brings you in. Your first visit is a conversation and an exam, and you decide on next steps at your own pace.

Medical care conversations are with Dr. Curt Collins, DC and our licensed medical team. Read what Envista patients say.

More answers

Further reading

Envista Medical is at 3900 Coffee Road, Suite 3, Bakersfield, CA 93308. Open Monday, Tuesday, Wednesday and Friday, 9 AM to 1 PM and 3 PM to 6 PM. Call (661) 587-0700 or book online any time.

Questions people ask

Helpful answers

Is spinal decompression painful?

Most people describe it as a gentle stretch. Tell the team right away if anything feels uncomfortable during a session, or if pain, numbness or weakness in a leg or arm gets worse afterward, so the plan can be adjusted.

How many spinal decompression sessions will I need?

It varies with your exam, goals and progress. The team gives you an expected range at the start and reviews progress at set checkpoints.

Who should not have spinal decompression?

Common examples are pregnancy, a past spinal fusion or implanted spinal hardware, a spinal fracture, significant osteoporosis, and a spinal infection or tumor. Some other health factors can rule it out too. Your exam and history review decide it.

Can I combine adjustments and decompression?

Sometimes. Some plans combine them with rehabilitation exercises. The exam decides what fits your situation.

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