Cervical Traction: Cervical traction is delivered through manual or mechanical methods and offers relief for neck pain, typically within 15 to 20 minutes. By utilizing devices like over-the-door pulley supports or motorized units, this therapy is effective in managing neck pain associated with herniated discs. Longitudinal studies have shown comparable outcomes to surgical interventions, which emphasizes its importance in nonsurgical management.
Lumbar Traction: Lumbar traction targets the posterior aspect of vertebrae, especially where nerve roots are located. It is particularly beneficial for patients with disc herniation and radicular signs. Studies utilizing MRI have demonstrated its efficacy in reducing disc herniation and improving associated symptoms. It is most effective for mobilization and stretching of soft tissue or opening of the neural foramen.
Benefits of Lumbar Traction: Spinal traction, especially in the lumbar region, has shown promising results in reducing disc protrusion and relieving symptoms of spinal nerve root compression. Some studies suggest a suction effect due to decreased intradiscal pressure during traction therapy.
Traction with the McKenzie Approach: Together with postural correction and lumbar extension exercises, lumbar traction complements the McKenzie approach. While some patients may experience peripheralization of symptoms with exercise protocols, lumbar traction can facilitate patient progression within the program when correctly administered.
Navigating Treatment Modalities: Initially, daily lumbar traction sessions may be required due to its temporary effects. However, as the condition improves and exercise tolerance increases, the frequency of traction can be adjusted. For chronic conditions, ongoing traction management may be necessary to manage symptoms effectively. Home lumbar traction offers the flexibility of multiple daily sessions, allowing patients to tailor their treatment according to their needs.
In conclusion, spinal traction, both cervical and lumbar, plays a significant role in the conservative management of neck and low back pain. By addressing intervertebral space and disc-related issues, it offers relief and improves functional outcomes, providing patients with a non-invasive treatment option for their condition.
References
1. Sharrak S, Al Khalili Y. Cervical Disc Herniation. [Updated 2023 Aug 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546618/
2. Abi-Aad KR, Derian A. Cervical Traction. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470412/
3. Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Clinical Efficacy of Mechanical Traction as Physical Therapy for Lumbar Disc Herniation: A Meta-Analysis. Computational and Mathematical Methods in Medicine, 2022, 1–7. https://doi.org/10.1155/2022/5670303
4. Yoon, Y.-S., Lee, J.-H., Lee, M., Kim, K.-E., Jang, H.-Y., Lee, K.-J., Bajgai, J., Kim, C.-S., & Cho, I.-Y. (2021). Mechanical Changes of the Lumbar Intervertebral Space and Lordotic Angle Caused by Posterior-to-Anterior Traction Using a Spinal Thermal Massage Device in Healthy People. Healthcare (Basel), 9(7), 900-. https://doi.org/10.3390/healthcare9070900