Vertebral axial decompression therapy (VAX-D) is a non-invasive treatment for back pain that offers an alternative to surgery. It works by stretching and relaxing the lower spine to relieve pressure on spinal structures. Patients lie face down on a special table that separates in two, creating a stretch in the lower back. Each session lasts about 45 minutes, and discomfort can be managed by releasing hand grips that halt the treatment. Developed by Dr. Allan E. Dyer, VAX-D is recommended for those with herniated or degenerated disks, but not for people with conditions like spine tumors or osteoporosis. Some studies suggest it is effective, but their quality has been questioned. While some patients report significant relief, others find the benefits short-lived. It's crucial to choose a clinic that combines VAX-D with physical therapy for the best results, and patients should follow recovery protocols carefully to avoid reinjury.