
Mathew Farrugia | Spinal Decompression Perth
BSc BChiro Dip Sports FICS ICSSD
Hi, I’m Mat. Owner and sole chiropractor at Spinal Decompression Perth by Perth Chiro Centre.
Over the past 21 years I have worked extensively with patients suffering from lower back pain, sciatica, disc bulges, nerve irritation and chronic spinal conditions.
As my clinical experience evolved, I became increasingly focused on patients whose symptoms appeared to be coming from spinal discs and nerve compression rather than general stiffness or routine musculoskeletal pain.
Many patients attending the clinic have already tried physiotherapy, massage, medications, injections or traditional chiropractic treatment without lasting improvement. Some are attempting to avoid surgery, while others are trying to better understand whether surgery may eventually be necessary.
This led me to build a more structured spinal decompression program focused specifically on MRI and CT-based assessment of disc and nerve conditions.
Not every patient is suitable for spinal decompression therapy. My role is to assess whether conservative care remains appropriate based on a patient’s symptoms, imaging findings and overall clinical presentation.
Our clinic currently operates four dedicated Hill DT spinal decompression tables and focuses primarily on lumbar and cervical disc-related presentations.
Why Patients Choose Our Clinic
Honest Assessment
Not every patient is suitable for spinal decompression therapy.
My approach is to provide honest guidance based on a patient’s symptoms, scan findings and clinical presentation. If I do not believe treatment is appropriate, I will explain why and discuss whether further medical or surgical opinion may be necessary.
Focused On Disc & Nerve Conditions
The clinic focuses primarily on:
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sciatica
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disc bulges
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nerve compression
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spinal stenosis
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degenerative disc disease
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pars defects
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grade 1 &2 Spondylolisthesis
MRI or CT imaging is required before treatment to help assess suitability and customise decompression protocols appropriately.
21 Years Of Clinical Experience
Over the past 21 years I have worked with many thousands of musculoskeletal presentations, including complex and chronic spinal conditions.
This experience has shaped a more cautious and structured approach focused on identifying which patients may still be appropriate for conservative care and which patients may require further medical investigation or surgical review.
Honest & Individualised Care
Every patient presenting to the clinic has different symptoms, scan findings and treatment histories.
For this reason, treatment recommendations are based on the individual patient rather than a one-size-fits-all approach.
Not all patients are suitable candidates for spinal decompression therapy, and where appropriate, further medical investigation or surgical opinion may be recommended.
MRI & CT-Based Assessment
Spinal decompression therapy is not appropriate for every type of back or neck pain.
MRI or CT imaging is required before treatment to help assess:
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disc injuries
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nerve involvement
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spinal stability
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severity of degeneration
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suitability for decompression therapy
This allows treatment protocols to be individualised based on the patient’s presentation and scan findings.
