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

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

Rene Caillet – Forward Head Posture and Chiropractic Equipment

Rene Caillet and the controversy of forward head posture

By Dr Anthony Gambale

It’s been over twenty-five years since Dr. Rene Caillet published his landmark book for health care consumers The Rejuvenation Strategy–and most of us including many chiropractors–haven’t learned one of the good doctor’s biggest lessons:

Head posture matters.

Dr. Caillet is the Director of the Department of Physiological Medicine and Rehabilitation at the University of Southern California. It’s in the book The Rejuvenation Strategy, that Caillet outlined the dangers of forward head posture. Dangers like decreased lung capacity, nervous system irritation to digestion, and increased downward force loads on the neck, causing a pulling on the entire spine.

So, why is this information so controversial? It’s controversial because decades later, chiropractors, physical therapists, and other manual therapists still don’t agree on the best way to correct forward head posture.

That may be one reason why some chiropractors say that forward head posture is bad, but then never take a focused approach to correcting it.

Depending on who you talk to you and the emphasis of their profession, muscular rehabilitation, chiropractic adjustments, movement therapy, soft tissue work, and traction are the key ingredient to solving the problems created by forward head posture.

Spinal Curve Solutions, couldn’t agree more. Which is why the Gambale Chair contains as many of these elements as possible so that chiropractors can provide the best structural re-education of the spine, in an all-in-one tool that patients can use in the office, and at home.

You provide the adjustments to the spine. You or your therapist provides soft tissue release. And the patient completes their own extension-compression traction and muscular rehabilitation, first under your guidance—then on their own in the maintenance phase of their care.

The correction of forward head posture doesn’t need to be difficult or controversial with Spinal Curve Solutions.

The Gambale Chair : a non-surgical option in spinal curve restoration?

The Gambale Chair ( a Spinal Decompression Product): a non-surgical option in spinal curve restoration?

By Dr Anthony Gambale


What does the neurosurgeon Alf Brieg have to do with the Gambale chair?


European neurosurgeon Alf Brieg wrote about loss of cervical curve in his famous work Adverse Mechanical Traction in the Central Nervous System. Published in the end of the 1970s, the book tells how the doctor was correcting loss of cervical curve by using a posterior surgical approach to spinal fusion.  He used a special extension table to allow the patient to heal with his or her head and cervical spine in the position of lordosis or proper cervical curve.


Brieg believed that loss of cervical curve creates mechanical tension on the nervous system, leading to pain and disease. By correcting this loss of cervical curve, Dr. Brieg saw astounding changes in his patients.


At Spinal Curve Solutions, we believe that same thing that Alf Brieg does about loss of cervical curve. And we have seen the same changes in the symptoms and lives our patients.


The big difference between chiropractic spinal curve restoration and Dr. Alf Brieg, of course, is our solution is 100% non-surgical, and comes fromm the chiropractic paradigm.


Spinal curve restoration also uses a special extension table to allow the patient to heal with his or her head and cervical spine in the position of lordosis. Not in healing from surgery, like in the work of Brieg, but through self-healing through chiropractic care.


A transformation or increase in the lordotic configuration of the cervical spine is possible without surgery!


Extension-compression traction, combined with chiropractic adjusting procedures can improve lordosis in about 10-14 weeks. The tool that we use for extension-compression traction for healing in the lordotic position, are the Gambale Chair in the chiropractic office, and the Mini-Chair in the patient’s home.


The chair technology uses a combination of gravity, traction, angle of forces, and two-way compression to achieve reproducible curve improvements. With the patient in a seated and reclined position, the patient can feel secure while healing in the lordotic position.

The technology can accommodate any configuration of the spine in order to pull the head posture backward, move the rib-cage upward, and restore optimum curvature along the length of the spine.


What does the neurosurgeon Alf Brieg have to do with the Gambale chair? Spinal Curve Solutions recognizes the same problem that Dr. Alf Brieg, did. And we have a chiropractic solution for it.


Find the research behind our Spinal Decompression 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.

Quantifying Treatment Outcomes for Optimal Care

Beyond Symptom Relief:

Quantifying Treatment Outcomes for Optimal Care

By Dr Anthony Gambale


We chiropractors are good at relieving pain. We perform standard procedures such as orthopedic and neurological tests on the patients. We adjust, use manipulation, trigger point therapy, exercise, or icing to help the patients feel better. But once the symptoms are relieved and the patients feel better, the average chiropractor has trouble quantifying the continuance of care, even though the continuance of care is desirable and beneficial to the patients.

Furthermore, the average chiropractor instinctively knows the importance of having a healthy neck curve, but doesn’t know how to convey that importance to the patients, and doesn’t have the confidence to help patients achieve a healthy neck curve.


Quantifying Outcome

One solution to this predicament is to quantify outcomes in treatment programs. To quantify outcome is to have a clear picture of where the patients stand at the beginning of care, have a clear end point to work towards, and have the means to objectively monitor progress along the way.

A simple way to quantify outcomes is to take pre- and post- lateral cervical x-rays. With the x-ray taken before treatment, a chiropractor can objectively show how much a patient’s neck curve deviates from the healthy, optimal neck curve, and can demonstrate how the symptoms that the patient is experiencing is related to the loss of neck curve. With x-rays taken several months down the road, a chiropractor can show the quantifiable change that is made through adjusting, exercising, and traction.

When patients can see with their own eyes where they were and what they should strive for in terms of neck curve, it is easy to transition them from the mindset of Symptom Relief to the mindset of Curve Restoration.

At the stage of Symptom Relief, our goal is to decrease the level of pain that a patient experiences. At the stage of Curve Restoration, however, we ask the patient to go through some discomfort in order to remedy the underlying problem that is causing the pain. We as chiropractors should help a patient realize that pain by itself is not the problem. It is the body’s warning sign that something is amiss. If we could motivate the patients to see past the discomfort and focus on the potential health gain, then we are on the right track for curve restoration. The best way to motivate patients is to have confidence in ourselves, and there is nothing like being able to take a couple of pre- and post- x-rays, and see measurable changes in the patients neck curve before and after treatment.


Who Could Benefit from This Approach

The biggest benefit I see for my patients is their level of relief and their sense of control. It gives them the means to take their health into their own hands. It gives them a positive attitude, which is reinforced by seeing other patients going through a similar process and a similar discomfort in order to obtain better health down the road.

The biggest benefit for myself as a chiropractor is to see patients level of enthusiasm go up, and watch their overall health improve. I do very little promoting, and the excitement I generate in my patients causes them to refer more and more patients to me, with no prompting on my part.

Another advantage of quantifying outcomes is billing. Today we live in a world where it is getting more and more important to document, demonstrate, and support the ongoing care that a patient receives for us to be reimbursed by insurance companies. We have coding information that we can talk to you about as far as getting paid through a mechanical traction code or a therapeutic exercise code, or bundling those codes together. It is a bonified, legitimate procedure that is done in the office and the insurance carriers have little to no problem with. From the perspective of billing, it is a simple in-office procedure to implement.


What Does An Average Chiropractor Have to Do to Have More Quantifying Outcomes? 

An average chiropractor does not have to change the technique that he or she has been using at all. He or she simply adds another component to the existing technique. All the chiropractor has to do is to realize that curve restoration is not necessarily something we want to do, but something we have to do, in order to generate the greatest health benefit for the patient.


Dr. Gambale is a researcher, educator, and a practicing chiropractor. If you want more information on what Dr. Gambale is talking about, you can call 877-602-7248 or visit www.spinalcurvesolutions.com.


Find the research behind our Chiropractic Spinal Decompression 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.

No Pain, No Gain With or Without Chiropractic Equipment

No Pain, No Gain

By Dr Anthony Gambale

A patient of mine that initially came in indicating neck pain, back pain, and radiating pain down his leg started seeing results after five days of care and asked me, “Dr. Gambale, I don’t have pain in my legs anymore, but how come I am feeling kind of sore and stiff?”

This is a common comment from patients dealing with major health concerns as we work to get them on track. And how you deal with these comments will have a great influence on their desire to remain under your care.

If you fail to answer this question, or don’t answer it properly you risk allowing patients to make their own judgment as to any pains they may be experiencing. Addressing the comment properly and in a timely manner will increase the likelihood that they understand and accept some of the discomfort that may arise due to your treatment plan with chiropractic equipment use.

First, this potential pain should be addressed pre-care in your report of finding. By bringing the potential soreness up beforehand, you reduce it becoming an issue later. But if it does come up, the best way to address it is to use the exercise analogy.

Here’s what I tell them
Soreness and stiffness as we correct your spinal curves, get your body functioning properly, and get you feeling better are no different than how your body feels when you first work out after a long period of inactivity, or when you increase the level of your exercise.

The soreness and stiffness is simply an indicator that changes are occurring. In fact, if there is no soreness at all, we have to wonder whether we are doing enough to get you better again. Spinal Curve Correction done with chiropractic equipment is no different than a very good trainer.



Find the research behind our Chiropractic Equipment 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.

Chiropractic Equipment – Video Testimonial (The Dr’s TV)

Our Chiropractic Equipment has been featured on The Doctor;s TV. Take a look at this video to see how one of the doctors on set is using our Chiropractic Equipment. Have any questions? Call our Toll Free number Today 877-602-7248

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