The Practice Builders

34. Future of Spinal Decompression (Part 2)


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πŸŽ™ Episode 34 – Future of Spinal Decompression (Part 2)

In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin break down the newest research in spinal decompression and what it means for clinical results, care plans, and patient expectations.

βœ… Learn why the minimum effective dose is 20–24 sessions and how a 267-patient study showed 90.5% success at this level

βœ… Understand why lower pull forces (10–15%) outperform high-force protocols, reducing iatrogenesis and improving long-term outcomes

βœ… Discover why modern decompression isn’t just traction and how dynamic pull-and-release cycles create true negative intradiscal pressure

βœ… Get clarity on case selection, including why even large herniations (10mm+) can often be treated successfully

βœ… Improve patient retention with better pre-framing: most patients feel meaningful relief in 3–6 weeks, not 3–6 visits

Perfect for chiropractors who want science-backed protocols, stronger ROFs, and more predictable outcomes with complex disc cases.

🎧 Listen now to understand the real biomechanics behind decompression β€” and how to use the research to elevate your clinical expertise and patient results.

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The Practice BuildersBy Dr. Vince Leone and Dr. Kyle Pankonin