A spinal treatment apparatus for applying a force to a patient includes a base portion, a telescoping support, a spinal distraction device and an actuator. The telescoping support is mounted on the base portion and includes a bottom member and a top member. The top member is engaged with the bottom member so that the top member has a retracted position and an extended position. The telescoping support is capable of withstanding a force, corresponding to the spinal treatment force, imparted on the top member, while in both the retracted position and the extended position. The spinal distraction device is mounted on the top member and applies the spinal treatment force to the patient. The actuator moves the top member vertically relative to the bottom member.