What is spinal decompression — and does it actually work?

If you've been living with chronic back or neck pain, you've probably heard the word "decompression" — but what actually happens during a treatment? Here's a plain-English look at what spinal decompression is, what it feels like, and why so many patients in the Iowa City area are choosing it over more invasive options.
The problem: pressure inside the disc
Your spinal discs are cushions between the bones of your spine. Each one has a tough outer wall and a soft, jelly-like center. Injury, aging, and daily compression can push that soft material outward — causing a bulge or herniation that presses on nearby nerves. That pressure is what produces the deep ache, burning, or radiating pain many people feel.
What decompression does
Spinal decompression — known as IDD (Internal Disc Decompression) Therapy® — uses a computer-guided table to gently stretch the spine with precisely controlled force. That stretching creates negative pressure inside the disc, which can help retract bulging or herniated material and draw in oxygen, water, and nutrients that support healing.
What a session feels like
You lie fully clothed on the table while the system applies slow, gentle cycles of pull and release. Most patients describe a mild, relaxing stretching sensation — many even fall asleep during a session. There's no downtime, so you can return to your day immediately afterward.
Who it tends to help
- People with herniated or bulging discs
- Those with degenerative disc disease
- Patients with sciatica or radiating leg pain
- People with chronic neck or low back pain
Decompression isn't right for everyone — a proper evaluation, including a review of any X-rays or MRI results, is the only way to know whether it fits your condition. But for many patients it offers meaningful relief without medication, injections, or surgery.
Curious whether it could help you?
Total Health Chiropractic in Coralville is one of the only clinics in the Iowa City area offering IDD Therapy®. A consultation is the simplest next step: we'll review your history and imaging and give you an honest answer about whether decompression makes sense for you.
Dr. Dillon Hammes, DC
Founder, Total Health Chiropractic · Palmer Chiropractic College graduate · 2201 E Grantview Dr #202, Coralville, IA 52241