"Hey doc, what do think about those inversion tables?"
Man ... if I don't hear that question about 3 times a week!
As one who utilizes the flexion/distraction table, I appreciate the therapeutic benefits of decompression protocols. However, I see giving any recommendations concerning these tables/devices as a possible liability.
I have not spent much time investigating but am unaware of any research concerning the contra-indications and proper protocols for each of the numerous types of tables that are purchased at most sporting good stores and sky-mall magazines.
Do they work?
According to the testimonials of my patients who tried them, they helped reduce the pain in their low back. However, I still do not feel comfortable making any recommendations concerning the benefit of any specific table/device without proper literature to review.
A sales person at Dick's Sporting Goods is not making a recommendation based on his/her education and training as a doctor.
What do or would you say to these patients?


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I always take the opportunity to educate my patients about the spine, discs and decompression. I do not recommend any specific device, but let them know that it is something that we do in our office and would be happy to provide as part of a treatment if is recommended. I then tell them that from their description of the table or device it sounds like that is what the product is trying to achieve. I recommend they look into whether or not they want one in their home, as they can get what they need in my office with licensed supervision.
Posted by: Dr Duncan | July 08, 2009 at 06:28 PM
I agree and give a very similiar response. The education part is perhaps the most important aspect as when they understand the anatomy, they see how my treatment is much more therapeutic than what they can buy at Dick's sporting Goods! Thanks for the advice........
Posted by: JD | July 09, 2009 at 08:56 AM