A first spinal decompression session usually begins with an evaluation, followed by careful positioning on a motorized treatment table and a gradual application of controlled traction. The visit is designed to determine whether the therapy is appropriate, introduce the patient to the process, and observe how their symptoms respond. What Happens Before the Treatment Begins? Before starting spinal decompression therapy, a chiropractor typically reviews the patient’s symptoms, medical history, previous injuries, and current limitations. Patients may be asked where their discomfort is located, whether symptoms travel into an arm or leg, and which activities make the problem better or worse. The chiropractor may also ask about previous spinal surgery, fractures, osteoporosis, pregnancy, implanted devices, or other health concerns. These details help determine whether non-invasive spinal decompression is suitable or whether another form of care should be considered. A physical examination may include range-of-motion testing, posture observation, joint assessment, strength checks, and neurological testing when necessary. Existing imaging may also be reviewed if it is relevant to the patient’s symptoms. The first session should not begin with an automatic assumption that traction is appropriate. Screening is an important part of deciding whether the treatment fits the patient’s condition and overall health. How Is the Patient Positioned on the Table? During spinal decompression treatment, the patient usually lies fully clothed on a motorized table. Depending on the area being addressed, the patient may lie face up or face down. A support or harness system is placed around the pelvis, torso, or another appropriate area. These supports help stabilize the body so the machine can apply traction in a controlled direction. The spinal decompression chiropractor then selects settings based on the treatment area, the patient’s size, examination findings, and comfort level. The amount of force is not...