An extremely strong and rigid two section couch designed specifically for multidisciplinary practices that offer McTimoney Chiropractic treatment. The couch is available with a choice of hydraulic or electric height adjustment and features a manually adjustable backrest for supporting the patient in a sitting position, or it can be positioned negative for prone treatments. The McTimoney head cushion is easy to operate with manual release triggers and is completely removable in the event of a different therapist requiring use of the couch for other procedures.