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A Second Look

12:49 pm in Decompression Reports, Hill DT Decompression Table, Hill Laboratories Announcements, HillDT Cervical Capture, Practice Management, Press Release, Uncategorized by HDTSNetwork

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A second look

With the right approach, spinal decompression can succeed with your patients and serve as a vital component of your practice. 

By Tim Burkhart, DC

In the past several years, spinal decompression therapy (SDC) or non-surgical axial spinal decompression treatment (NSSD) has often been misunderstood, misrepresented, or poorly implemented into the chiropractic clinical setting. This gave it a bit of a bad rap and few practitioners became truly successful with it.

As a result, some patients and doctors became dissatisfied with SDC and have sought other solutions for degenerative and disc-related conditions. It’s time for a second look at SDC, to separate fact from fiction, and investigate whether it can be an integral part of your practice.

SDC research results


Three months re-evaluation
Nine months from start to treatment
The need for SDC arose from unsuccessful outcomes of traditional conservative management based on rest, physical therapy, or other passive- care methods. Some studies indicated that those treatments could even promote disability. SDC has been utilized successfully with results verified in peer-reviewed studies.In one outcome study, overall treatment was successful more than 70 percent of the time, with the original pain reduced to a level of zero or one.1 The results showed further successes:
  • with one herniated disc (73 percent)
  • with multiple herniated discs (72 percent)
  • for facet syndromes (68 percent)
  • with failed back surgery (68 percent)
  • with extruded herniated discs (53 percent)

In another low-back pain study, chronic cases began seeing results in just eight weeks of SDC treatment.2 The majority of the patients (almost 80 percent) reported their symptoms were present for more than six months and had failed at least two non-operative interventions. Following SDC, their pain decreased and their functionality continued to improve even 180 days after treatment ended.

In another long-term study, decompression was found an effective treatment for herniated and degenerative disc disease by creating negative intradiscal pressure.3 Decompression treatment rendered “good” to “excellent” relief for more than 85 percent of patients with herniated discs and for  75 percent of patients with facet arthrosis. Whereas traction yielded no “excellent” results in patients with herniated discs and only 50 percent of patients diagnosed with facet arthrosis reported “good” to “excellent” results.

Research also suggests that the cost of SDC care compared to outcomes outshines any other approach, making it a viable treatment protocol for disc degeneration. Low-back pain treatment initiated with a doctor of chiropractic saves 40 percent on healthcare costs, when compared with care initiated through a medical doctor.4

Uniquely qualified

According to the Manga Report, chiropractic management is superior to medical management in terms of scientific validity, safety, cost effectiveness, and patient satisfaction.5 The DC is uniquely qualified to offer spinal- care options such as SDC because

  • DCs have an excellent understanding of the biomechanics of the spine;
  • manual methods, such as chiropractic adjustments, are documented for obtaining results in a conservative and effective manner; and
  • SDC is a natural extension of what the DC is already doing for patients.

Regardless of whether you are an acute-care DC or wellness DC, SDC helps accomplish either goal.

What it takes

Based on the experiences of those who have built successful SDC practices, there are proven methods to achieve success in providing this modality, especially with patients who are experiencing disc degeneration.

To become proficient with SDC in your own practice, you will need an SDC table with multiple treatment protocols. Prices and reputations vary by manufacturer. Not all tables are created equal; you usually get what you pay for.

Learning how to use the table for the best possible outcomes requires additional training and support. When considering an SDC table purchase, investigate the customer support offered. It takes more than just a decompression table to be truly successful.

Some vendors offer proprietary training to help you achieve success with your table with both better patient and ROI outcomes. They also may offer certification and clinical support consultation with doctors to address questions that arise on SDC techniques.

Vendors usually provide support for operational aspects of your table including software updates, hardware and software troubleshooting, and a warranty on parts.

With an existing practice, you may already have a significant number of candidates for SDC. Most vendors offer educational and marketing materials for patients, and some have community marketing programs to provide a quicker ROI. You can also get insights and direction from other SDC practitioners.

Should you choose to conduct your own marketing efforts, however, you will likely need to subcontract and use more of your time as a marketer. Pre- prepared materials are usually a better investment of your time and money.

While there is no magic formula, you can achieve great results with reasonable effort. SDC offers a proven treatment methodology, chiropractors are uniquely qualified to deliver it, and with the right table and training you can experience tremendous success. Take a second look at SDC and investigate making it an integral part of your practice as an effective treatment protocol for patients with problematic disc-related conditions.

TimBurkhartTim Burkhart, DC, has successfully treated thousands of patients with acute to chronic neck and back pain since 1984. He is an authority on the integration of NSSD into clinical practice. He  is a member of the ACA, MAC, and serves on the Davenport University Health Professionals Advisory Board and is a regent at Sherman College of Chiropractic. He also developed  the Hill DT Solutions certification program. Learn more at


1Gose EE, Naguszewski WK, Naguszewski RK. Vertebral axial decompression therapy for pain associated with herniated or degenerated discs or facet syndrome: An outcome study. Neurological Research, 1998, Volume 20, April pp. 186-190.

2Beattie PF, Nelson RM, Michener LA, Cammarata J, Donley J. Outcomes After a Prone Lumbar Traction Protocol for Patients With Activity-Limiting Low Back Pain: A Prospective Case Series Study Archives of Physical Medicine and Rehabilitation Medicine. 2008;89(2):269-274.

3Weber H. Traction therapy in sciatica due to disc prolapse. J Oslo City Hosp. 1973;23(10):167- 176.

4Liliedahl, et al. Cost of care for common back pain conditions initiated with chiropractic doctor vs medical doctor/doctor of osteopathy as first physician: experience of one Tennesseebased general health insurer. JMPT.2010;33(9):640-643.

5Pran Manga, PhD, et al. (1993). Study to Examine the Effectiveness and Cost-Effectiveness of Chiropractic Management of Low-Back Pain. Richmond Hill, Ontario: Kenilworth Richmond Publishing.

HillDT Decompression Master Minds Education Cruise VIDEO

12:26 am in CE Decompression Training, Decompression Video, Hil DT Testimonials, Hill DT Decompression Table, HIll DT Solutions Announcements, HillDT Cruise by HDTSNetwork

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Here is the  recap video of our exciting Celebrity Cruise with a fantastic group of Doctors committed to learning ‘best practices’ patient care with spinal decompression.   Enjoy the video and drop us note so you can join us next year!

CLICK HERE FOR CRUISE VIDEO DIRECTORS CUT  >>>  HillDT Solutions Presents: Decompression Master Mind Educational Cruise 2013

Press Release – HillDT Solutions and University of Bridgeport team up to host Continuing Education Credit Decompression Seminars at the University

4:06 pm in CE Decompression Training, Hill DT Decompression Table, HIll DT Solutions Announcements, Hill Laboratories Announcements, Press Release, Uncategorized by HDTSNetwork

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University of Bridgeport

Learn how to overcome the national trend of less insurance reimbursement from decompression expert Dr. Tim Burkhart as he shares his knowledge on ‘Building a Cash Practice with Decompression’.   Receive 8 CE Credits when you learn the latest evidence based information to ‘Maximize Your Decompression Practice’ nationally recognized presenter Dr. Randy Reed.

Presentations are Saturday 10a – 8p October 27 or Sunday 8a – 6p October 28, 2012 at The University of Bridgeport.  The CEU credits for this course are being facilitated through the University of Bridgeport, Health Sciences Postgraduate Education Department.

To learn more contact Candi@HillDTSolutions or call 616/813-9308.   Early Bird Registration Here –

About the University of Bridgeport Health Sciences Postgraduate Education

The University of offers a wide variety of seminars, online education, and distance learning programs designed to enable health care providers to keep abreast of current clinical concepts and advances in professional training.   The Health Sciences Postgraduate Education Department serves the continuing education needs of acupuncturists, chiropractors, dental hygienists, naturopaths, nutritionists, and Physician Assistants. 

More at

Decompression Training w/ Dr. Burkhart – March 2, 2012

4:16 pm in CE Decompression Training, Hill DT Decompression Table, HIll DT Solutions Announcements, Practice Management by Candi VanderWal

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Dr. Tim Burkhart in full swing, training on the how’s and why’s of decompression.  Joining  the class, we welcomed:  Dr. Stephen Fierro from Florida,  Dr. Kelly Douglass from Alabama, Dr. Aaron Kik and Jennifer from Michigan, also Dr. Kate Lyzenga from the Burkhart staff.

The first half of the day is spent at the beautiful Stonewater Country Club, a conference room  in FireRock Grille is our classroom setting.  Later we move to Burkhart & Chapp Spinal Decompression Center for hands on training with the Doctors and CA’s.

The Hill Decompression Table is a valuable tool for our team of chiropractors and their patients well being.

Advanced Decompression Therapy and Active Core Rehab CE in Pennsylvania – 2 LOCATIONS

11:35 am in CE Decompression Training, Hill DT Decompression Table, HIll DT Solutions Announcements, PCA Spring 2012 Seminar Series, Uncategorized by HDTSNetwork

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Thursday, May 17, 2012; 8am-5pm  (8 CE’s)

Hilton Philadelphia Airport Hotel • 4509 Island Ave, Philadelphia
Pennsylvania 19153 • (215) 365-4150


Saturday, May 19, 2012; 8am-5pm  (8 CE’s)

Clarion Hotel Downtown Pittsburgh • 401 Holiday Drive, Pittsburgh
Pennsylvania 15220 • (412) 922-8100

Join expert Dr. Randy Reed on spinal decompression therapy for this in-depth look at the latest evidence based information on the principles of decompression, low-level light therapy, and core rehabilitation principles for the rehabilitation and stabilization of spinal conditions.  Attendees will learn complete protocols for the resolution of spinal conditions.

Upon completion of this course, participants will have: an understanding of decompression therapy; a complete understanding of the etiology of conditions treated by decompression; strategies to integrate decompression therapy into the chiropractic office; knowledge of protocols using manipulation, decompression, nutrition, and stabilization exercises that really work; and, knowledge of the indications/contraindications of decompression therapy.

This seminar will satisfy the state of Pennsylvania continuing education requirement for pain management and physical measures.

Registration is with Pennsylvania Chiropractic Association and will be available soon!

Sponsored by HillDT Solutions, LLC.

by DrReed

Proud of My Profession Again: Reflections after Illinois CE Seminar

11:39 pm in CE Decompression Training, Hil DT Testimonials, Hill DT Decompression Table, Practice Management, Uncategorized by DrReed

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This past Thursday I had the distinct honor of teaching the newest research and protocols on decompression for chiropractors and their staffs in Schaumburg,  Illinois. This fine group of health care providers asked some of the finest questions of any of the students I have ever addressed and we had some of the best conversations I have encountered at any seminar I have taught. In the past three years I have taught decompression protocols to PTs, MDs, DOs, and DCs. I am always impressed with the DCs level of knowledge of the disc dynamics and how to handle the disc problems. Their questions and discussions are spot on and their compassion for their patients is remarkable.

Axial Decompression fits the chiropractic philosophy of “The body has the ability to heal itself if the interference is removed.” By using the proper protocols, understanding disc dynamics, using nutritional supplements that aid in the effectiveness of decompression’s effectivness on disc tissue repair, and using directional core rehab principles we can help to restore disc health and slow down disc degeneration. The research backs this and clinically we are seeing this in our practice on a daily basis.

In today’s economy we must get the best results for our patients so they achieve their maximum healthy potential and in turn refer more patients to our offices. In order to be successful we as physicians must work to be “Better Doctors”. I encourage all Doctors to become more educated on how decompression works so they become “Black Belts” in decompression. When doctors fail with decompression it is often because they do not understand how to individualize treatment programs to fit each patients needs. Often doctors use a one size fits all protocol. In my seminars I try to show doctors how to handle the problem patients and alter your protocols to enhance your probability of achieving successful outcomes.You have to understand why something is not working just as much as how it works when things go well.  It is very simple: A good carpenter knows how to use his tools but a master carpenter knows how to maximize his tools to get great outcomes. You must become an expert (a Master) with your decompression tools. The only way to do that is to read research articles, go to seminars, and join mastermind groups. This network page is a great tool to use and I encourage you visit it often.

Come join us in Dallas or San Antonio in December!