Breakthrough Research on SMAT: A Novel Lumbar Traction Technique by Dr. Michael Epstein

Welcome to the research archive of Dr. Michael A. Epstein, founder of Epstein Chiropractors and a certified Chiropractic BioPhysics® (CBP®) practitioner based in St Ives, NSW. In this featured publication, originally published in the Chiropractic Journal of Australia (Volume 45, Number 3), Dr. Epstein introduces a novel chiropractic intervention known as Supine Mid-Abdominal Traction (SMAT).

This peer-reviewed case report documents the clinical application and outcomes of SMAT—a gentle yet targeted form of lumbar traction designed to reduce anterior translation of the lumbar spine and relieve both axial and radicular leg pain. Using a combination of digital X-rays, CT imaging, and 3D reconstructions, the study outlines measurable improvements in lumbar disc height, vertebral alignment, and patient-reported pain outcomes. Notably, SMAT was shown to be safe, effective, and well-tolerated under controlled compressive loads.

The research is especially valuable for practitioners and patients exploring alternatives to surgical intervention for lumbar disc issues and postural distortions. As part of our commitment to evidence-based care, we are proud to share this groundbreaking study that reflects our clinic’s dedication to spinal biomechanics, radiographic diagnostics, and non-invasive chiropractic innovation.

We invite you to read the full article below and explore how SMAT and CBP® techniques are shaping the future of chiropractic spinal correction.