Jillian B. – Revere MA – Curve Restoration Device

“I have been a patient at Essential Chiropractic Care for over ten years. I initially came to see Dr. Gambale with complaints of severe headaches and neck pain. He recommended a care program that involved me coming into the office a few times a week. I couldn’t believe my eyes when Dr. Gambale pointed out to me how far my head carried forward from my body. He explained that along with adjustments and use of his in-office curve restoration device that I would see a significant difference in not only how I looked but how I felt. I decided to give his care program a shot. I started going regularly for care and using his curve correction device and within several weeks I felt like my old self again. I was sleeping better, pain free and carrying myself like a whole new person. As my care program started to wind down, Dr. Gambale gave me the option to be able to continue with his curve restoration device at home. I purchased a mini unit and am proud to say that I use it several times a week. It has helped me take control of my own health. Now when I go into see Dr. Gambale on a maintenance visit I am so proud to show him my progress. I can do 15 minutes on the curve restoration device without even batting an eyelash unlike when I first started I could barely hold the position for 2 minutes. Thank you Dr. Gambale for putting me in and keeping my spine in great shape!!”

Jillian Amari Revere, MA

Dr. Radermacher (Total Practice Management International LLC) – Talking about our Traction Unit

“The traction unit I purchased from Spinal Curve Solutions  is the most mobile, easy to use, and most comfortable traction unit on the market. For the price and the small footprint it occupies, this traction unit delivers for the new practitioner as well as the advanced. Whether low patient volume or high patient volume, this traction unit offers an unparalleled advantage for advanced chiropractic care. Order one unit and try it yourself, there’s nothing like it anywhere on the chiropractic market.”

Dr. Radermacher ( Founder & President – Total Practice Management International LLC )

Dr. Radermacher (Total Practice Management International LLC) “ Talking about our Traction Unit



Find the research behind our Chiropractic Traction Unit Here:

Journal of Manipulative and Physiological Therapeutics
J Manipulative Physiol Ther. 1994 Sep;17(7):454-64.

The efficacy of cervical extension-compression traction combined with diversified manipulation and drop table adjustments in the rehabilitation of cervical lordosis: a pilot study.

Two unacceptable excuses for not addressing forward head posture/spinal curves

Two unacceptable excuses for not addressing forward head posture/spinal curves

By Dr. Anthony Gambale

There may be a few good reasons why you should not become your community’s expert on forward head posture or cervical curve right now.


But here are two excuses for not getting involved in Spinal Curve Solutions that just don’t work:


  • You’re too busy with patients
  • You just don’t have enough space


You’re too busy with patients. Dr. Anthony Gambale’s landmark research into the restoration of cervical curve didn’t take place in calm, low-key practice environment. It took place in the laboratory of one of the largest practices in chiropractic history: a practice that saw as many as 1,300 patient visits per week between two different doctors.


Dr. Gambale intended to show that a doctor could see a high volume of patient visits and still show improvement in cervical curve using chiropractic adjustments together with extension-compression traction in the Gambale Chair.


And ultimately, the research showed that an improvement of 30% in cervical curve was possible in as little as 10-14 weeks.


If you’re too busy with patients, it’s no excuse for not trying to reduce forward head posture and improve the cervical curve in your patients.


You don’t have enough space. Unlike other apparatus and equipment that is intended to improve the head posture and neck curve, the Gambale Chair is built for convenience.


  • There is no permanent installation of any fixture into your wall or floors,
  • The chair is mobile and easy to move,
  • The chair has a small footprint,
  • And it is easy to use and intuitively designed.


Finally, the chair’s design and features come packaged in a smaller, at-home patient version called the Mini-Chair, so that your patients never have to do without maintenance routine once they are stable in the protocol.


If you’re looking for reasons not to address forward head posture and cervical curve with the Gambale Chair, being too busy and not having enough space simply will not work

What Parkinson’s Disease taught me about Forward Head Carriage

What Parkinson’s Disease taught me about Forward Head Carriage

By Dr. Anthony Gambale


Recently I have worked with two different cases of Parkinson’s Disease with encouraging results. The experience has taught me three important things that will be helpful for any practicing chiropractor, especially those involved in curve restoration and the reduction of forward head posture (FHP).

Who are these Parkinson’s patients? Karen and Donald both have Parkinson’s, but Donald is older and presented more severely. He had significant arm pain, muscle rigidity, and was highly medicated. Karen on the other hand, was about twenty-five years younger and actively managing her Parkinson’s to reduce her dependence on medication. In spite of the difference in severity, both Parkinson’s patients show marked improvement by using my curve restoration protocol in conjunction with chiropractic adjustments. (Read the case summary: Parkinson’s Disease and Curve Restoration in a 50 year old female. And Parkinson’s Disease and Curve Restoration in a 75 year old male.)

What did I learn interacting with and treating these two unique patients?

#1 Parkinson’s involves forward head carriage

It is not news to many chiropractors that forward head posture is an epidemic, with many consequences for human health. Although many of us have had Parkinson’s patients with forward head posture and loss of cervical curve, we might not have known how medicine views this relationship. By co-managing a patient who was already seeing a Parkinson’s specialist, I learned that medicine recognizes that there is a connection between FHP and Parkinson’s.

What is the relationship between FHP and Parkinson’s? At this point in time, we can only say that we have a chicken/egg problem. I can argue that reduction of the cervical curve, forward head posture, disc degeneration, and underlying nervous system stress and changes in cerebrospinal fluid set up an environment for Parkinson’s to develop. Someone else could say that the muscle spasticity created by the degenerative brain disease simply worsens an unrelated problem, causing the head to come forward.

#2 Physicians recognize structural problems related to degenerative brain diseases, like Parkinson’s

Regardless if a physician believes Parkinson’s came before the FHP, or after, that doctor is still recognizing that structure is influencing function. Now, do I need medical validation of what I know as a chiropractor? Not at all. However, working with other professionals who see the need for structural improvements in patients with progressive neurological diseases can be encouraging and lead to better patient outcomes. In the case of Karen, she was informed by her physician that FHP was related to Parkinson’s, and that stimulated her interest in chiropractic care and curve restoration.

Through a curve restoration protocol with chiropractic adjustments, Karen was able to get her Parkinson’s symptoms under control with little to no medication. That was part of her primary care directive by her Parkinson’s specialist.

#3 Even tough cases in fragile patients respond to curve restoration
Both Karen and Donald presented as difficult patients for their own reasons. Both had Parkinson’s and both found it very challenging to start on a curve restoration protocol using my curve restoration care. Their first time intervals were very short, and only after a time were they able to lengthen their time to approach fifteen minutes. I believe the quick and dramatic changes they experienced after starting the protocol kept them committed to the process.

For example, due to Donald’s severe neck and arm pain, as well as his age, my initial instinct was to reduce his pain before attempting any extension-compression traction. He seemed too fragile and despondent from his medications to be able to follow-through on a protocol. What is interesting is that soft tissue/muscle manipulation did little for him, and neither did gentle instrument adjustments. However, even with a just a minute or two of extension-compression traction at a time, his arm pain began to respond in about four days.

Both with Donald and Karen, I learned (again) that even fragile, tough cases can respond to a curve restoration protocol using our Curve Restoration chair. In Karen’s case, we learned that she needs to follow-up more frequently to avoid relapses, and an at-home protocol works for her even though she has a disease like Parkinson’s.

Spinal curve restoration isn’t just for the young, those who are in good shape, or are only complaining about pain. Curve restoration is an important part of the patient care team with anyone suffering from forward head posture and loss of cervical curve, including those with degenerative disease like Parkinson’s.

Find the research behind our  Forward Head Carriage Products Here:

Journal of Manipulative and Physiological Therapeutics
J Manipulative Physiol Ther. 1994 Sep;17(7):454-64.

The efficacy of cervical extension-compression traction combined with diversified manipulation and drop table adjustments in the rehabilitation of cervical lordosis: a pilot study.


True or false: Curve restoration is for everyone?

True or false: Curve restoration is for everyone?

By Anthony Gambale

Answer: false. Not every patient is suitable for a curve restoration program. But the reasons for this may not be the first that pop into your head.

Are they too young or too old?
In our office in Revere, Massachusetts, we have had patients as young as six and as old as 97 use some component of our curve restoration protocol. Age alone is not necessarily a determining factor. Patients shouldn’t be automatically discounted from a curve protocol based only on their age.

Are they too acute?
Some doctors believe that a curve restoration protocol is only appropriate for the rehabilitative stage of care. If the patient is in an acute situation, or their care plan is only a matter of weeks, not a matter of months, you may be tempted to not implement a curve restoration protocol. But even if the patient is on a short-term workers comp, Medicare, or auto-injury claim, curve restoration can still work. Especially if you are building a home-care component to the curve restoration program.

Length of care or stage of care alone shouldn’t disqualify your patient from curve restoration.

Are they committed?
While there are certain cases that often make it difficult to show changes in spinal curves, the toughest cases is really the non-compliant patient. With the proper combination of chiropractic adjustments, corrective exercises, and extension-compression traction almost every patient can show improvement in spinal curves. But they have to be willing to do the work.

If the patient is not willing to at least do a little bit of work to see the possible gains, then they may be the only patient that a curve restoration protocol may not help.

Extra TLC for non-compliant patients

Non-compliant patients need a little bit of extra TLC to find out what’s holding them back from taking your curve protocol seriously. For some, the time spent in the office may prevent them from really complying, so an at-home protocol may be need to be initiated sooner, as soon as they can do the traction and exercises safely. For others, actually doing the exercises at home may be too much to ask due to their home environment so continuing the protocol in the office may be the best option.

For those patients who are non-compliant because any kind of discomfort sends them running in the other direction, then curve restoration protocol simply may not work. Do your best to communicate no pain, no gain and make a game out of it. Sometimes that is simply all you can do with these kind of patients.

We believe only the patient who is persistently non-compliant cannot be helped by some aspect of our curve restoration protocol.

Find the research behind our Chiropractic Products Here:

Journal of Manipulative and Physiological Therapeutics
J Manipulative Physiol Ther. 1994 Sep;17(7):454-64.

The efficacy of cervical extension-compression traction combined with diversified manipulation and drop table adjustments in the rehabilitation of cervical lordosis: a pilot study.

Research that offers confidence

Spinal Curve Solutions offers you two reasons to have clinical confidence in curve restoration:

  • Research into extension-compression traction, and
  • The growing research linking poor spinal curves to decreased health outcomes

The Study of Extension-Compression Traction

The Efficacy of Cervical Extension-Compression Traction Combined with Diversified Manipulation and Drop Table Adjustments in the Rehabilitation of Cervical Lordosis: A Pilot Study

Journal of Manipulative Physiological Therapeutics 1994; 17:454-464

Study details:

  • A group of 35 chiropractic patients received cervical extension-compression traction in combination with diversified adjusting procedures. The control group only received adjustments.
  • Pre and post cervical x-rays were examined, specifically measuring the curve of the cervical spine.
  • Those measuring the x-rays were blinded to who received which care.
  • Length of time: about 12 weeks.
  • Number of treatments: 5 times per week.


  • The treatment group showed statistically significant change in all measurements of spinal curves, with 29 out of 35 patients showing cervical lordosis, wherease only 11 of 35 showed lordosis before treatment.
  • The average head translation of the treatment group was reduced by 6.8mm.
  • There was little change in the control group.