The Spinal Decompression Show

Steve Small sits down with osteopath Michael Brown of Cram Osteopaths in Glasgow. Michael is passionate about IDD Therapy and here he discusses different patient presentations and differences between protocols. A great way to learn from an experienced practitioner as we delve into treatment tension and so much more.

See more about Cram Osteopaths Here: https://www.glasgowosteopaths.info/

Interested to add spinal decompression to your practice? Download more info here https://spinaldecompressionpodcast.com/

Are you leaving your most powerful referral source in the dark about what you do? In this episode, Steve Small digs into oneof the most overlooked components of expanding your clinic’s community reach.

Local clinicians seeing exactly the sort of patients you can help don’t know about you. You’ll get a simple action plan for the patient arriving at that point in their recovery journey I call “Now what”.    This is where you come in.

About Steve Small: Steve heads up an international network of clinics providing IDD Therapy Spinal Decompression. He owned a clinic for eight years and helps clinics to develop their own specialist conservative spine care service.

Learn more about Spinal Decompression here:

https://spinaldecompressionpodcast.com/

Steve Small speaks with Ryan Rieder, chiropractor, former clinic owner and founder of DC Practice Growth. Ryan shares his journey from running a busy chiropractic clinic to coaching clinics and providing full service marketing support to practices across the profession.

The conversation explores what is changing in the clinic landscape, including recruitment challenges, increased competition and rising patient expectations. Ryan discusses the opportunities available to clinic owners who are willing to think strategically, build strong teams and develop clear systems.

A key part of the discussion focuses on spinal decompression and why more clinics are integrating IDD Therapy into their programmes of care. Ryan explains how decompression complements chiropractic, supports patients with disc related conditions and can provide structured, sustainable growth for clinics.

This episode is practical and reflective, offering insights for chiropractors, physiotherapists and osteopaths who want to strengthen their clinic, improve patient outcomes and build a more resilient business.

Useful Links:

Get access to Ryan's resources: https://dcpracticegrowth.com/

Download a guide to providing IDD Therapy:

https://spinaldecompressionpodcast.com/

Connect with Steve Small

https://www.linkedin.com/in/stephen-small-steadfastclinics/

Steve Small walks through the real-world delivery of an IDD Therapy spinal decompression programme, covering the initial consultation, programme structure, what happens in a single session, outcome tracking, and the adjunct therapies clinics may use. A practical guide for clinicians looking to set up and manage spinal rehabilitation programmes with confidence.

Connect with host

https://www.linkedin.com/in/stephen-small-steadfastclinics/

Info guide to providing spinal decompression

https://spinaldecompressionpodcast.com/

Exercise Software

https://www.rehabmypatient.com/

Infrared

UK Firzone sauna belt https://www.firzone.co.uk/

USA/Canada Thermotex Platinum https://www.thermotex.com/

Host: Steve Small
Guest: Stephen Barabas – VBS Medical, UK Distributor of K-Laser

In this episode, Steve Small is joined by Stephen Barabas from VBS Medical, the distributor of K-Laser, to explore how high power Class IV laser therapy works and how it can be integrated alongside spinal decompression treatments such as IDD Therapy.

We discuss:

• The mechanisms of action behind Class IV laser including photobiomodulation, cellular energy production, inflammation control and enhanced tissue repair.
• The difference between laser power outputs and why not all lasers are equal.
• How laser may help with disc related pathologies, including herniation, nerve irritation and inflammatory pain states.
• Protocol ideas and when to apply laser during a decompression treatment plan to complement disc rehabilitation.
• Clinical insights from Stephen’s work with clinics using both laser and spinal decompression to unlock faster outcomes and better patient compliance.
• Business impact and how adding laser to a decompression programme can increase treatment value and patient satisfaction.

This episode provides a clear and jargon free look at where laser fits in clinically and commercially for clinics offering or considering spinal decompression.

Useful links

Learn more about K-Laser: https://vbsmedical.com/
Download the Spinal Decompression Info Pack: https://spinaldecompressionpodcast.com

Connect with Steve Small:

https://www.linkedin.com/in/stephen-small-steadfastclinics/

Dan Smith is a physio and Clinical Director of Sports NSpinal Physio in Brentwood Essex.  Here Danshares his experiences, why traction went out of physiotherapy, why team workand rehab is so important, where and when to use IDD Therapy, the results oftheir own audit and Dan finishes with a pet peeve, some people saying all backpain gets better by itself …  whilst givingan injection which costs £$000s … just saying.

Sports N Spinal Physio https://sportsandspinalphysio.co.uk/

Download an info pack at https://www.spinaldecompressionpodcast.com/

In this follow-up conversation, Steve Small reconnects with Michael Fatica to explore one of the biggest challenges in spine care: the disconnect between Consultant-led interventions and the rehab patients desperately need before and afterwards.

Michael shares his honest thoughts on why so many patients fall through the cracks after procedures, injections, or imaging — and offers simple, practical solutions to help bridge that gap.

One standout idea: using a patient’s own phone to record them performing their exercises correctly in clinic, giving them a personal, on-demand reference to stay on track at home.

• Why interventions without structured rehab often fail patients

• The communication gap between Consultants and rehab professionals

• How small changes in clinic practice can improve patient outcomes

• Michael’s tip for using a patient’s smartphone as a rehab tool

• The need for proactive, progressive rehab plans alongside spinal interventions

Join the Back In Shape Program: www.backinshapeprogram.com

Clinicians: Download your free guide to providing spinal decompression: www.spinaldecompressionpodcast.com

In this episode, Steve Small is joined by Michael Fatica —osteopath, spine care specialist, and creator of the Back In Shape Program, an online platform and community for patients to access good rehab, globally.

Together, they dive into the critical role of structured rehabilitation in spinal care, and the unfortunate reality that too many patients with back and neck issues are left with poor advice and little direction on their recoveryjourney.

Michael shares insights from his clinic in Cheltenham, where he combines expert-led exercise rehab with IDD Therapy spinal decompression to help people with unresolved spinal problems reclaim their lives. He discusses the importance of clear, progressive rehab plans and how his Back In ShapeProgram is making quality care more accessible for patients worldwide.

In This Episode:

* Why structured, progressive rehab is essential for spine recovery

*The most common mistakes patients make after a back injury

* How Michael integrates IDD Therapy into his treatment plans

* The dangers of poor guidance and generic advice in spine care

* Michael’s mission to empower patients with the tools they need to take control of their recovery

Links & Resources:Join the Back In Shape Program: https://backinshapeprogram.com/

Download a freeguide to providing spinal decompression athttps://www.spinaldecompressionpodcast.com

Osteopath Lawrence Bergstrom joins Steve Small to talk about patients he sees in his clinic and how they progress with IDD Therapy spinal decompression. 

An Osteopath for over twenty years, Lawrence has expanded his practice scope, built a team and grownimmeasurably as a clinician.   

His clinic in Faversham in Kent, UK, is developing hisspecialist service and today Lawrence talks about a wide range of topics but in particular about nerve pain, nerve decompression and fasciculation.  

https://www.swalebackpainclinic.co.uk/

Download a free guide to spinal decompression at www.spinaldecompressionpodcast.com

The second part of a powerful interview with Nicola McLennan of Boost Your Practice. 

Former clinic owner turned business coach, Nicola scaled her clinic with IDD spinal decompression, developed

Establishing Boost Your Practice Nicola and her team help clinic owners in different countries to ffectively market their tech-led specialisms and to build practices of real value.

We look at three main areas:Websites, Paid Ads and Workshops, with a lot of nuggets scattered in the process!

Looking to grow your spinal decompression service check out:

 www.boostyourpactice.co.uk

Wanting to expand your conservative spine service offering with IDD spinal decompression, download a free info pack here:

UK & International: https://iddtherapy.co.uk/become-a-provider/

US PTs: https://iddtherapy.co.uk/uspt/

Connect with Steve Small on Linkedin

https://www.linkedin.com/in/stephen-small-steadfastclinics/