Accessibility View Close toolbar

3603 Brambleton Ave Ste A

Roanoke, VA 24018 US

(540) 524-2550

Open mobile navigation



Disc Decompression

For Severe Back & Neck Conditions in Roanoke

1. QUESTION: I live in or near Roanoke. Can Spinal Decompression help my herniated or bulged disc?

Yes, spinal decompression can help both of these conditions by increasing the available space for the nerve tissue in that region. Decompression creates negative pressure inside the disc, drawing bulging or herniated disc material away from the nerve tissue and allowing the disc to heal. We’re located in the cave spring area of Roanoke, near the Old SW area and Virginia Western.

Background information: A bulge is when the inner part of the disc pushes on the outer part of the disc, causing the outer part to “bulge.” This in turn can press on nerve tissue. A herniation is when the inner part of the disc pushes clear through the outside of the disc and into the spinal canal, which can cause increased compression of nerve tissue.

2. QUESTION: What is Spinal Stenosis and can Spinal Decompression help with that condition?

Yes, decompression can treat spinal stenosis, a condition previously thought to be treatable only by surgery. This is one of the more difficult conditions that we treat and the success rate depends on how long the person has had the condition, as well as the age of the patient. Spinal decompression helps by gently drawing in the offending disc. A small change in the opening size can significantly decompress the nerve tissue, alleviating the symptoms.

BACKGROUND INFORMATION: Spinal stenosis is a narrowing of the spinal canal and/or openings for the nerve roots. It is caused by two conditions. One is degenerative arthritis and deposition of calcium where the nerve tissue is located. The second is either a bulged or herniated disc at that level. The two conditions combine to narrow the area, crowding the nerve tissue. This puts pressure on nerves, causes pain, decreases nerve function and eventually causes the classic stenosis symptom: increased pain while walking (that goes away when you stop walking or when you sit).

3. QUESTION: Can you help degenerative arthritis and spondylosis?

Spinal decompression works wonders for degenerative arthritis, as it rehydrates the disc, increases the size of the disc space and provides motion to the joints. Decompression also reduces the weight bearing stress to the joints of the spine.

BACKGROUND INFORMATION: Spondylosis is another name for arthritis. Arthritis usually starts as a dehydration of the disc between each vertebra due to repetitive injury and stress damage. As the vertebrae stops moving due to this drying out, the body responds by laying down calcium. A combination of lack of motion, dehydration and calcium deposition creates pain and swelling.

4. QUESTION: Can both the neck and low back be decompressed?

ANSWER: Yes, our decompression table can do both areas of the spine, but not at the same time. We are the only true non-surgical spinal disc decompression center in Roanoke.

5. QUESTION: Can Spinal Decompression help spondylolisthesis?

Spinal decompression can be performed on a spondylolisthesis that is within a certain degree of displacement. Careful review of the x-rays and MRI’s will determine if the procedure can be performed on your spondylolisthesis.

BACKGROUND INFORMATION: Spondylolisthesis is a non-union or disconnection between the front part of the bone, which supports your weight and the back part of the bone, which controls movement. This non-union usually stabilizes by the early to mid twenties. It usually results in an increase in the lumbar curve which is made worse by standing or sitting. Many times there can be a disc bulge at the site of the spondylolisthesis which causes chronic low back pain.

6. QUESTION: Can Decompression help a facet syndrome or facet joint hypertrophy?

Yes, decompression can help to alleviate facet joint pain by alleviating the pressure on the facet joint surfaces and mobilizing the joints. If there is a herniation, bulge or degenerated disc at the same level, spinal decompression can eliminate their affects by reducing the pressure on the nerve tissue.

BACKGROUND INFORMATION: The lumbar facets are located on the back of the vertebra and are directly next to the nerve roots. For that reason, arthritic changes of the facet joints can place pressure on the exiting nerve root.

7. QUESTION: If I am receiving epidural injections or have been told I need them, can you do Decompression at the same time?

Spinal decompression can be used at the same time that epidural injections are given. We wait approximately 24 hours after the injection, as the decompression process creates a negative pressure suction force, drawing the epidural steroid into the offending disc. This helps reduce pain from the disc bulge or herniation due to the powerful anti-inflammatory effect of the epidural steroid.

BACKGROUND INFORMATION: Epidural injections are given by pain management medical doctors or orthopedists in order to reduce inflammation in the herniated or bulged discs. In either the low back or the neck, steroid injections are given into the space that surrounds the spinal cord (the epidural space). These injections are used to control inflammation and are not a cure. A series of three injections are often given, although less may be given.

8. QUESTION: Can Decompression Therapy be used with Failed Low Back Surgery?

Yes, decompression is highly successful in conditions known as “Failed Low Back Surgery.” It can even be used where there has been hardware installed due to prior surgery (such as plates, screws, cages or an artificial disc...*determined on a case by case basis). We have had a very good rate of pain reduction with failed low back surgery, with no side effects.

9. QUESTION: What conditions are contraindicated for spinal decompression?

Pregnancy, cancer of the spine or nerve tissue, infections of the spine (myelitis), compression fractures within one year, recent crushing trauma, aortic aneurysms (greater than 5 cm.), osteomalacia (very severe osteoporosis), spondylolisthesis grade 2.5 or above.

10. QUESTION: Are there any documented side effects of Spinal Decompression?

No, there are no documented side effects using spinal decompression. Prior to undergoing the decompression procedure, a careful evaluation of the patient must first be performed in order to rule out any contraindications.

11. QUESTION: How do I know if I am a candidate for Spinal Decompression?

To determine if you are a candidate for decompression, we first have a consultation to see if you qualify for the procedure. We go over your present condition, look at your past history and review your medications. If you’ve had previous surgeries, we detect if they are affecting your condition.

We then review your X-rays, MRI’s and other laboratory reports and tests. A full body exam is performed, including orthopedic, neurological, range of motion, and strength evaluation. If you do not have MRI’s and or X-rays, we will send out for these.

This information is then analyzed and a determination is made whether or not to accept you case for spinal decompression.

If you live near Roanoke and are willing to make the trip to our office, we may be able to help you to avoid surgery or injections.

12. QUESTION: Is Decompression different from traction of the spine?

They are indeed very different. Traction tables are very inexpensive to manufacture because they lack the sophisticated technology to successfully circumvent the body’s natural guarding reflex, which is initiated when a cervical/lumbar spine undergoes distraction (pulling apart) forces.

Although traction devices can stretch the neck or lower back, they have not demonstrated the ability to specifically decompress the discs and reduce pressure on the spinal nerves.

The big difference between traction and decompression is that a true decompression system is able to specifically open up the disc space enough to create a significant amount of negative intradiscal pressure (a significantly lowered pressure in the disc). The body’s safety guarding system is not provoked with true decompression tables, so the intradiscal pressure can be lowered extremely low.

13. QUESTION: What are my chances for success?

First thing first, we have to determine IF you’re a candidate for spinal decompression. If you are a candidate, your chances for success are statistically very high, but your case has to be evaluated individually. 

Dr. Rhodes will only accept patients that he truly feels he can help.

People have travelled from all surrounding areas of Roanoke for our therapy.

14. QUESTION: What is the cost for the decompression therapy? What about insurance coverage?

Remember that we absorb the cost of your initial consultation.

We don’t know if your insurance will cover decompression therapy until we verify your insurance benefits. Some insurance companies will cover decompression therapy, but most do not.

If limited or no insurance reimbursement is available, our cost for decompression is reasonable. We’ll do our best to provide everyone who’s a candidate with the opportunity to receive decompression therapy. We provide several flexible payment plans to accommodate most people’s needs. All costs will be disclosed prior to any commitment from you.

15. QUESTION: How long does each treatment take? How long will the whole program take?

Each session requires about 30mins on average. The minimum effective dose is 20-24 sessions.

The protocol prescribed to you by Dr. Rhodes is based on your individual needs and response to treatment.

16. QUESTION: Does the treatment offer a permanent relief?

Yes! When non-surgical spinal decompression is successful, you should not have to return for further care unless you re-injure the area. We will teach you how not to re-injure the area.

Decompression strengthens and heals the tears in the outer ligament-like bands that hold the inner disc gel in place. This process seals the injury, prevents future recurrence and provides permanent relief. This is a natural healing response from decompression therapy and will only happen once the pressure in the damaged disc is sufficiently lowered (decompressed).

In many cases the healing process requires only a few weeks. Patients come to us to return to a normal, pain-free life.

Office Hours

Our Regular Schedule


9:00 am-6:00 pm


9:00 am-6:00 pm


9:00 am-6:00 pm


10:00 am-7:00 pm


9:00 am-6:00 pm






Find us on the map


We have a 5 star patient satisfaction rating

  • "Years of pain, all gone! Expect amazing things... this is where you'll find them"
    Pam B.
  • "Dr. Josh and staff are courteous and fun, but most importantly always looking out for my health"
    -Tabby M.
  • "Dr. Josh will work with you until you make a comeback!! Highly recommend"
    -Belinda B.
  • "Because of my treatments, I can exercises without back pain for the first time in 2 years! Dr.Josh is on a higher level than any chiropractor in the area."
    Elicia C.
  • "I have my life back and am pain free thanks to Dr Josh and Peak Performance"
    - Henry K

Featured Articles

Read about interesting topics

  • Should I Use Ice or Heat for Pain?

    Did you hurt your knee during an intense game of pick-up basketball this weekend? Or do you deal with chronic pain? Learn whether you should apply heat or ice for particular kinds of pain. ...

    Read More
  • Relationship with Self

    The relationship you have with yourself and the journey to self-understanding is an important part of your overall wellness. ...

    Read More
  • Indoor Activities and Exercises

    Are you preparing for the winter months or looking for exercises to do when you can't make it to the gym? Follow these exercises to maintain a healthy fitness routine. ...

    Read More
  • Holiday Stress - Take a Deep Breath

    Most of us pay little attention, if any, to the daily functioning of our many physiological systems. Our hearts beat, our digestive systems digest, and our various hormones, such as those deriving from the thyroid gland, adrenal gland, and pancreas, do what they do. It's all good... until it's not. ...

    Read More
  • Proper Overindulgence Over the Holidays

    Proper Overindulgence Over The Holidays The term "overindulgence" is probably best assessed as a red flag, especially with respect to consistent overconsumption of high-calorie comfort food and desserts during the holiday season. An overall healthier perspective could be described as "indulgence" regarding ...

    Read More
  • The 5 Senses

    The 5 Senses The five senses, that is, the sense of sight, touch, hearing, taste, and smell, provide us with necessary information regarding the world around us.1 These precious capabilities enable us to navigate our environment with seemingly instantaneous feedback with reference to our actions and ...

    Read More
  • The Benefits of Sleep for Adults

    Obtaining sufficient restful sleep is an essential requirement for optimal human productivity. Such a practice is a key component of a healthy lifestyle, which includes a nutritious diet, regular vigorous exercise, and a positive mental attitude. How much sleep one needs varies from person to person. ...

    Read More
  • Back to School and Mental Wellness

    Summer is a subjectively fleeting season and school days are upon us once again. For children, this bittersweet time marks the completion of a period of relative freedom and the beginning of a new set of responsibilities. For adults, the onset of late summer and early fall signals yet another turn of ...

    Read More
  • Repetitive Motion Injuries

    A repetitive motion injury (or overuse injury) involves doing an action over and over again, as with a baseball pitcher throwing a baseball, a tennis player hitting a tennis ball, typing at a computer keyboard, and most notoriously, typing with your thumbs on the tiny keypad of your phone. It may be ...

    Read More
  • Left-Handers Day

    Left-Handers Day Left-Handers Day, celebrated on August 15th, was launched in 1992 by the Left-Handers Club, an organization based in the United Kingdom. Since then, Left-Handers Day has become a worldwide event and social media phenomenon. Around the world, approximately one in ten persons is left-handed. ...

    Read More


Sign up for more articles