In this 4th video on The Meeks Method® for the Management of Osteoporosis, Sara Meeks and her husband John Harrison present the details of positioning for the DeCompression Exercise which is the first exercise for people with Osteoporosis or other spinal pathology. Lying supine (on the back) in this gravity-eliminated position with the hips and knees bent, feet flat on the supporting surface isolates the vertebral column from the pull of the muscles of the lower extremities. This positioning allows the spine to relax and lengthen into its optimal alignment with the curves of the back as intact as possible with any given patient. The patient is encouraged to relax, focus on, and slow down the breath. This exercise is especially good for patients with anxiety, fear, and confusion about how to deal with the diagnosis of Osteoporosis.