Abstract: A spinal treatment table includes a head support, a leg support, and a contoured spinal support there between defined by separate support segments of different heights. The segments are supported within a frame and connected by a scissors hinge. A first end segment is anchored to the frame, and the other segments are movable longitudinally within the frame. A linear drive is connected to a second end segment. All the segments are moved by the same amount relative to adjacent segments whenever the second end segment is moved by the linear drive to adjust the length of the spinal support for supporting spines of different lengths. A spinal manipulation device is movable within a longitudinal slot in the spinal support for evenly applying therapy to the length of the spine. The spinal manipulation device may be a reciprocating device, a roller device, or a water jet device.