Device tilting the body, sometimes head-down, to apply gravitational traction; contraindications apply.
Understanding the approach
An inversion table tilts the body so gravity applies traction, sometimes with the head below the feet. Intensity depends partly on angle and weight distribution. This home device differs from a motorized table with parameters controlled in a clinical setting.
Indications and assessment
A stretching sensation or temporary relief does not establish a medical indication. Before use, the pain source and cardiovascular, eye and bone health history need consideration. The ability to return easily to the starting position is also an important safety issue.
Benefits, limitations and precautions
Small studies do not establish dependable lasting benefit or a guarantee of avoiding surgery. Inversion raises blood and eye pressure; hypertension, heart disease or glaucoma creates particular concerns. Falling or becoming stuck in the device is another possible hazard, especially without adequate assistance.
Place in the care pathway
A TAGMED assessment can compare this option with other ways to manage symptoms. Purchasing a table does not replace examination or an active programme. An MRI showing a disc herniation or narrowing is not, by itself, a reason to recommend inversion.
Goals should be practical: walking farther, returning to a chosen activity or reducing symptoms that interfere with sleep. Improvement immediately after a session does not establish lasting benefit. Follow-up compares function with the starting point, records adverse effects and considers progress between appointments. An inadequate response should prompt a review of the clinical explanation or proposed approach, rather than an automatic extension of the same treatment.
Before starting, describe the outcome you want, treatments already tried and difficulties encountered. Ask how the response will be measured and when another option would be preferable. Available reports complement the discussion without replacing your current experience, priorities or preferences.
Frequently asked questions
Must I hang fully upside down?
No universal angle has demonstrated an optimal benefit for every patient.
Is it safe because it is natural?
No. Gravity also changes circulation and pressure within the eyes.
Can it be used alone?
Poor tolerance or difficulty returning upright can be hazardous; prior assessment remains important.
Is it equivalent to clinical decompression?
Some mechanisms overlap, but settings and risk profiles differ.
What if dizziness occurs?
Stop using the device and seek advice; persistent symptoms need assessment.
Conceptual diagram of clinical reasoning; not an anatomical drawing to scale.
Role of TAGMED care
TAGMED offers motorized spinal decompression, a form of traction. Initial assessment considers whether symptoms, neurological findings and imaging, when indicated, agree. The value of this approach remains uncertain depending on the condition; NICE recommends against offering traction for low back pain with or without sciatica. It does not guarantee disc resorption, disc repair or correction of stenosis. Alternatives, contraindications, functional goals and stopping criteria should be discussed before any trial.
Medical references
- Prasad et al. — Disability and Rehabilitation, 2012. Inversion therapy in patients with pure single level lumbar discogenic disease: a pilot randomized trial.
- Mayo Clinic — Augusta Health. Inversion therapy: Can it relieve back pain?.
- NICE. Low back pain and sciatica in over 16s: assessment and management (NG59).
References document the topic; their inclusion does not imply endorsement of TAGMED services by those organizations.
Educational information from The Spine Page. This entry does not replace an individual assessment. Documentary version: October 12, 2026. Sylvain Desforges, B.Sc., D.O., N.D., osteopath and naturopath.
TAGMED clinic contact details
For non-urgent consultations and information about available services.
Clinique TAGMED — Terrebonne
1150, rue Lévis, Suite 200
Terrebonne (Québec) J6W 5S6
450‑704‑4447
Clinique TAGMED — Montréal
1140, avenue Beaumont
Mont-Royal (Québec) H3P 3E5
1‑877‑672‑9060
