Non-surgical knee traction with Knee On Trac® · North Beach, San Francisco

Knee Decompression Therapy in San Francisco

Gentle, non-surgical knee traction for arthritis, worn cartilage and stiff, painful knees. Knee On Trac® opens space inside the joint to take pressure off, as part of a chiropractor-led plan to help you walk, climb stairs and stay active again.

5.0 from 272 Google reviews $49 initial appointmentNo injections or surgeryNo downtime
TruSpine chiropractor examining a patient's lower leg and knee before knee decompression therapy in San Francisco
Technology
Automated Knee On Trac®
Session
15 minutes, 2–3x a week
Initial appointment
$49 consultation and exam
Where
50 Francisco St, Suite 257

How it works

What is knee decompression therapy?

Knee decompression therapy, also called knee traction, is a non-surgical treatment that gently separates the bones of the knee to take pressure off the joint.

When cartilage wears down, the space inside the knee narrows. The thigh bone and shin bone press harder on the cartilage and meniscus, and the joint gets stiff, swollen and sore. A gentle, controlled pull opens that space a little, which eases pressure, helps the joint move more freely and lets fluid and nutrients move back into the cartilage.

At TruSpine we use Knee On Trac®, an automated knee traction device that isolates the knee, so the stretch goes exactly where it is needed while you sit back and relax.

Patient relaxing during a Knee On Trac knee decompression session at TruSpine San Francisco

Who it helps

Knee problems we treat with decompression

Knee decompression works best when pain comes from pressure inside the joint. These are the problems we use it for most.

Knee osteoarthritis

Worn cartilage that causes aching, stiffness and swelling, especially after walking or standing.

Learn more →

“Bone-on-bone” knees

Joint space narrowing seen on X-ray. Decompression works with the space that is still there.

Worn or degenerative meniscus

Pain from a meniscus that has frayed over time, without locking or giving way.

Learn more →

Stiff, swollen knees

Knees that feel tight and puffy and are slow to warm up in the morning.

Pain on stairs and hills

Aching that flares going down stairs, walking San Francisco hills or getting up from a chair.

Lingering stiffness after injury

A knee that has healed from an injury but never moved freely again, once you are cleared for care.

Is it right for you?

Are you a candidate for knee decompression?

If two or more of these sound like you, it is worth coming in for an evaluation.

After your exam we tell you honestly whether knee decompression is the right tool. If it is not, we will say so and recommend what is.

  • You have been told you have knee arthritis or that your knee is “bone on bone.”
  • Your knee is stiff and achy, especially in the morning or after sitting.
  • Stairs, hills or getting out of a chair hurt.
  • You want to avoid or delay injections or knee replacement.
  • Exercise or physical therapy alone has stalled and the joint still feels compressed.
  • You want to keep walking, hiking, golfing or playing with your kids without your knee deciding for you.

What to expect

Your knee decompression visit, step by step

  1. 01

    Exam hip to toe

    We check your knee, hip, ankle and foot, because the knee often takes the load for joints above and below it. Then we confirm decompression is safe and right for you.

  2. 02

    Get comfortable

    You sit back with your leg supported in the device. There is nothing to undress and no needles.

  3. 03

    Gentle traction

    Knee On Trac® applies a slow, controlled pull to open the knee joint, then releases. A session takes about 15 minutes, and most patients come 2 to 3 times a week.

  4. 04

    Build lasting strength

    We pair decompression with soft tissue work and exercises for the hip, thigh and calf so your knee stays supported.

Dr. Supreet Shah checking leg length and alignment during a knee pain exam at TruSpine San Francisco

Free download

Get our Knee On Trac® guide

Learn which knee conditions Knee On Trac® is used for, how sessions work, its benefits and who it is not right for. Fill out the form and we will send the guide to you.

  • Conditions it helps
  • What a session feels like
  • Who should not use it

The research

Does knee traction work?

A clinical trial on knee osteoarthritis found that mechanical knee traction followed by therapeutic exercise reduced pain and improved function more than exercise alone.

That is why we never use decompression on its own. It is one part of a plan that also strengthens the muscles that protect your knee.

Safety

Is knee decompression safe?

For the right candidates, yes. It is non-invasive and low risk, and every patient has a full exam first.

It is not recommended if you have a knee replacement or other hardware in the knee, a recent fracture, an acute ligament tear, a joint infection, a blood clot, a tumor or severe osteoporosis.

Knee decompression vs. injections and knee replacement

There is more than one way to treat an arthritic knee. Here is how the common options compare.

Knee decompressionInjectionsKnee replacement
Invasive?NoNeedle into the jointMajor surgery
What it doesEases joint pressure and stiffnessCalms inflammation or adds lubricationReplaces the joint surfaces
DowntimeNoneA day or twoMonths of recovery
Builds strength tooYes, paired with exerciseNoRehab afterward

Knee decompression FAQs

Straight answers from our San Francisco clinic.

What is knee decompression therapy?

Knee decompression therapy, also called knee traction, is a non-surgical treatment that gently separates the bones of the knee joint. Creating that small amount of space takes pressure off the cartilage and meniscus, which can ease pain and stiffness and help fluid and nutrients move back into the joint.

What is Knee On Trac®?

Knee On Trac® is the automated knee traction device we use at TruSpine. It isolates the knee and applies a gentle, controlled pull while you sit back and relax, so the joint can decompress without stressing your hips or back.

Where can I get knee decompression therapy in San Francisco?

TruSpine offers knee decompression with Knee On Trac® at 50 Francisco Street, Suite 257, in North Beach / North Waterfront, near Fisherman's Wharf, Russian Hill, the Marina and Telegraph Hill. Book online or call (415) 421-1115.

Does knee decompression help knee arthritis?

Yes. Knee osteoarthritis is the main reason patients come to us for knee decompression. Easing pressure inside the joint can reduce pain and stiffness and make walking and stairs easier, especially when it is combined with strengthening exercises. More on osteoarthritis of the knee.

Can knee decompression help a bone-on-bone knee?

Many people told their knee is bone on bone still have some joint space left, and that space is what decompression works with. It can help ease pain and stiffness for many of these patients. If your exam suggests your knee needs a surgical opinion, we will tell you and refer you.

Does knee traction help a torn meniscus?

It can help pain from a degenerative or worn meniscus by taking pressure off it. A recent tear with locking, catching or a knee that gives way needs an orthopedic assessment first. Read about meniscus injuries.

Does knee decompression hurt?

No. Most people find it comfortable and relaxing. You feel a gentle stretch through the knee. Some people notice mild soreness afterward that settles quickly.

How long is a knee decompression session?

Each Knee On Trac® session takes about 15 minutes. You sit back and relax while the device does the work, so it is easy to fit into a lunch break.

How often will I need knee decompression?

Most patients come 2 to 3 times a week. The total number of visits depends on your knee, how long it has hurt and how you respond. After your exam we recommend a plan built around your goals and check your progress along the way.

How much does knee decompression cost in San Francisco?

Your initial appointment is $49. It includes a consultation and a full knee exam so we can tell you if knee decompression is right for you. We explain your treatment plan and costs before you start, and we work with many in-network and out-of-network insurance plans.

Is knee decompression an alternative to knee replacement or injections?

For many people it is a reasonable treatment to try before injections or surgery. It is non-invasive and low risk. It is not right for every knee, and we will tell you honestly if your knee needs a different approach.

Who should not have knee decompression?

Knee decompression is not recommended if you have a knee replacement or other hardware in the knee, a recent fracture, an acute ligament tear, a joint infection, a blood clot, a tumor, or severe osteoporosis. Tell us your full health history so we can confirm it is safe for you.

Is knee decompression the same as spinal decompression?

It works on the same principle, gentle traction that creates space in a joint, but it is designed for the knee. We also offer spinal decompression therapy for disc and nerve pain in the back and neck.

What else is combined with knee decompression?

We usually pair it with shockwave therapy, Graston soft tissue work, laser therapy and a home exercise program for the hip, thigh and calf, so your results last.

Do I need an X-ray or MRI first?

Not always. A hands-on exam often tells us what is going on. If you already have imaging, bring it. If we need it, we will order it or refer you.

Does insurance cover knee decompression?

Coverage varies by plan. We work with many in-network and out-of-network insurance plans, and our team can check your benefits before your visit.

What kind of doctor should I see for knee pain?

It depends on how the pain started. Our guide knee pain doctor: who to see and when walks through your options.

Find out if knee decompression is right for you

Your $49 initial appointment at our North Beach clinic includes a consultation and exam. We will examine your knee from hip to toe and give you a clear answer and plan.

TruSpine Knee Decompression
50 Francisco St, Suite 257, San Francisco, CA 94133
North Beach / North Waterfront · Mon–Fri, 8am–6pm

Individual results vary. Knee decompression is not right for every knee, and an exam is required to confirm you are a candidate. Knee On Trac® is a registered trademark of its owner. This page is for informational purposes and is not medical advice.