Can Spinal Decompression Help with Sciatica? Here’s What the Research Says

by | Jul 17, 2025 | Chiropractic

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Sciatica is one of the most common causes of chronic pain in adults, affecting millions each year. It can disrupt daily life with symptoms like shooting pain down the leg, numbness, or tingling in the feet, and lower back discomfort that worsens with sitting or movement. If you’ve been searching online for spinal decompression near me or looking for a trusted chiropractor near me, you’re likely seeking non-invasive, long-term solutions.

Spinal decompression therapy has emerged as a promising option for relieving sciatica symptoms, without surgery or pharmaceuticals. But how effective is it really? And what does the research say about its impact on nerve-related pain?

Here’s a closer look at the science behind spinal decompression and how it may support sciatica recovery.

What Causes Sciatica?

Sciatica refers to pain that radiates along the sciatic nerve, which extends from the lower back down the hips, buttocks, and legs. It’s often caused by:

  • Herniated or bulging discs pressing on the nerve roots

  • Degenerative disc disease, which narrows spinal spaces

  • Spinal stenosis, the narrowing of the spinal canal

  • Piriformis syndrome, where a muscle irritates the nerve

The hallmark of sciatica is nerve compression, meaning pressure on the nerve is the root cause of the pain, tingling, or weakness. That’s why decompression therapies are increasingly considered a conservative approach to relief.

What Is Spinal Decompression Therapy?

Spinal decompression is a non-surgical treatment designed to gently stretch the spine, relieve pressure on compressed discs, and improve circulation to the affected area. Using a motorized traction table, patients are positioned comfortably while the machine applies precise, rhythmic pulling to create negative pressure between the vertebrae.

This process encourages:

  • Retraction of herniated or bulging disc material

  • Reduced pressure on nerve roots

  • Improved hydration and nutrient flow to damaged discs

  • Relief from inflammation and associated pain

It’s safe, gentle, and typically part of a comprehensive care plan that may include posture correction, movement rehab, and ergonomic guidance.

What the Research Says About Decompression and Sciatica

While more clinical trials are needed, several studies support the use of spinal decompression for disc-related sciatica symptoms.

1. Improved Pain and Function

A 2016 study published in Pain Physician found that nonsurgical spinal decompression resulted in statistically significant reductions in pain for patients with lumbar disc herniations. Many of these patients also reported improved range of motion and daily function.

2. Disc Rehydration and Height Restoration

MRI studies have shown that spinal decompression can increase disc height and fluid retention in damaged discs. This helps relieve pressure on adjacent nerves, including the sciatic nerve.

3. Safe Alternative to Surgery

A review published in the American Journal of Physical Medicine & Rehabilitation highlighted spinal decompression as a safe option for patients with sciatica, particularly for those seeking alternatives to discectomy or spinal injections.

While not a cure-all, these results are promising for individuals looking to reduce symptoms without invasive intervention.

Is Spinal Decompression Right for You?

If you’re experiencing persistent sciatic pain, especially after long periods of sitting, bending, or lifting, spinal decompression may be worth exploring. It’s particularly beneficial for those who:

  • Have been diagnosed with disc herniation or bulging

  • Experience nerve-related symptoms like tingling or numbness

  • Want to avoid surgical procedures or injections

  • Have tried stretching, physical therapy, or rest with limited relief

When seeking care, it’s important to consult with a provider who offers personalized evaluations. Not every case of sciatica is the same, and a tailored approach ensures treatment matches the underlying cause.

Those looking for experienced, patient-centered care often choose a top chiropractor who understands the complexities of spinal nerve compression and applies holistic strategies for long-term relief.

What to Expect from Treatment

Spinal decompression is typically delivered over a series of sessions—commonly two to three times per week for several weeks, depending on the severity of the condition.

During treatment:

  • You remain fully clothed and lie comfortably on a decompression table

  • A harness is placed around your hips or chest to secure positioning

  • The machine gently stretches the spine and releases pressure in timed intervals

  • Sessions last 20 to 30 minutes and are pain-free

Many patients report relief within the first few sessions, with sustained improvement over time as inflammation subsides and spinal structures begin to heal.

Supporting Recovery with Movement and Lifestyle Changes

To maximize the effects of decompression therapy, most providers will also recommend:

  • Gentle movement or low-impact exercise to maintain mobility

  • Postural adjustments for work and home

  • Core strengthening exercises to support spinal stability

  • Avoidance of prolonged sitting or poor lifting techniques

Together, these habits support the long-term success of your treatment and help prevent the recurrence of sciatic symptoms.

Final Thoughts

Sciatica can be a frustrating, debilitating condition, but it doesn’t always require invasive procedures to find relief. Spinal decompression offers a gentle, research-supported path toward healing by targeting the root cause: nerve compression.

If you’ve been searching for spinal decompression near me or exploring natural approaches from a chiropractor near me, consider discussing your options with a provider who specializes in non-surgical spinal care.

A carefully guided decompression program, led by a knowledgeable provider, can help you move more freely, rest more comfortably, and live with less pain.

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