Biotronix Hi Low Traction Table Motorized ( Electrical ) Remote Controlled Deluxe Model Dual Function ( Hi Low Height Adjustable and Head Rest Remote Controlled ) used in Physiotherapy and Rehabilitation Make in India 3 Year Motor warranty

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Biotronix Hi Low Height Adjustable Traction Table Motorized ( Electrical ) Remote Controlled Deluxe Model Dual Function ( Hi Low Height Adjustable and Head Rest Remote Controlled ) used in Physiotherapy and Rehabilitation Make in India with 3 Year Motor Warranty

Product Description

FEATURES

Electric adjustable height available ( Hi low From Wheel Chair height to Higher ) with 4 section table is fit for lumber & manipulation treatment Technique.
Table available with adjustable lower ( Manual Mechanical Lever ) & Head Section ( Remote Controlled Motorized ) .
Lumbar section separates to eliminate to friction during lumbar traction.
Table has four sections with Heavy foams & Cover of good quality Rexene.

Product Details:

Model Name/Number	Biotronix 2725
Type	Traction Table Hi low Motorized
Usage/Application	For Cervical & Lumbar Traction
Usage	Cervical & Lumbar Traction
Packaging Type	CARTON
Voltage	220V AC
Country of Origin	Made in India

SPECIFICATIONS:- Hi-Low TRACTION TABLE;
* Traction Table : Hi-Lo Electric, Four section table is suitable for TRACTION and TREATMENT Manipulation. Traction mount platform can also be adjusted in height
* Height Adjustment: Electrically, with Hand-switch, from 50 cm to 95cm.
* Upholstered Top Size: 195cm long x 70cm wide.
* Traction-Mount Plateform: Adjustable in Height manually .
* Sections: Four Sections, drop end section with Nose cut out adjusts from -20 to + 20 deg.
* Traction Support: Traction unit can be bolted on mounted board, for Cervical and Lumber traction.
* Power Supply: 220V AC.
* 4 Heavy Duty Imported Castor Wheels

Table available with adjustable lower ( Manual Mechanical Lever ) & Head Section ( remote controlled motorized ) .

Dual Function : One Motor with Remote control to lift the Table from wheel chair height to desired height and One Motor to adjust Head Section of Table

Package Contents:

1 pc Biotronix Hi Low Height Adjustable Traction Table Motorized ( Electrical ) Remote Controlled Deluxe Model Dual Function ( Hi Low Height Adjustable and Head Rest Remote Controlled ) used in Physiotherapy and Rehabilitation Make in India with 3 Year Motor Warranty
1 Flexion Stool
1 Hand Remote Control
1 Complementary Physio chart Set ( 6 wall pasted physio charts )

Lumbar Traction

The purpose of this blog is to review the literature on lumbar traction and its effect on pain, function, and disability. We will discuss the different types of lumbar traction, the theories behind its use, and its effects on low back pain, function, and disability, and adverse events.

What is lumbar traction?

Lumbar traction is a modality in which are forces applied in an attempt to create some form of separation between lumbar vertebrae. Force is generally applied in a superior-inferior direction, with one side typically “fixed” in place while the force is applied to the other side.

The earliest historical records of spinal traction being utilized for treatment are from 1800 BC, and by 500 BC Hippocrates created the first known spinal traction device. In the 1950s James Cyriax, one of the earliest orthopedic rehabilitation practitioners, promoted lumbar traction for treatment of various back issues – particularly lumbar disc lesions. Since that time, devices and treatments have progressed in complexity and theorized specificity.

What are the categories of lumbar traction?

There are 37 main types of lumbar traction reported in the literature. These types can be divided into different divisions across 3 main categories: duration, direction of force, and type of force application.

Duration

There are three subcategories of duration – continuous, sustained, and intermittent.

Continuous traction
- This is generally from multiple hours to days.
Sustained traction
- This is generally 20-60 minutes.
Intermittent traction
- This is generally a few seconds to a few minutes with multiple cycles.

Direction of Force

There are three subcategories within the direction of force category – axial, positional and distraction-manipulation.

Axial
- A longitudinal force is applied and the patient is typically able to adjust and regulate the force (for example gravity assisted or pool traction).
Positional
- This may be off-axis, and the patient or clinician may vary the direction.
Distraction-manipulation
- This is a longitudinal force in which the clinician determines the magnitude and direction.

Type of Force Application

There are two main types of force application done with traction – either mechanical or manual.

Mechanical
- This is the most popular and well-researched form of traction. In this type of traction, the machine provides the force which is controlled and regulated. We will focus on this method moving forward as there is more robust research on it than manual traction.
Manual
- Manual traction is commonly used by clinicians, and it is claimed that it can deliver a more individualized dosage to specific, isolated joints. We will only discuss this type of traction briefly as it is not as well-researched as mechanical traction due to control limitations.

What are the parameters for traction?

Across each of the categories there is a huge range of parameters that are used. The duration varies from a few minutes to many hours. The force applied will range from a few pounds to 50% of bodyweight. The cycle time will vary from a few seconds, to minutes, to none at all. The rest duration will fluctuate from none to minutes.

It appears that the majority of parameters were decided quite arbitrarily as there is little to no justification for them provided in the research. Airwaily et al. report that there is a challenge in suggesting any dosage or parameters based on the evidence as there is little consistency per condition or type of traction. As we will demonstrate in future sections, there does not seem to be a significant difference in effects between the various parameters.

What is the theory of lumbar traction?

There have been several theories on the various benefits of traction dating as far back as ancient times. There are several theories across different beliefs on the mechanism of traction from a mechanical perspective:

Increasing in intervertebral space
Increasing in intervertebral foramen
Greater tension across the posterior longitudinal ligament
Reduction in lumbar lordosis
Suction of a disc herniation back to disc space

Due to these various mechanisms theorized, there are different forms of traction with different protocols claimed to provide a range of effects – some arguing superiority over others. We have pulled in the best studies on these topics to examine the theories and their effects.

What are the treatment effects?

Up to this point, we’ve focused on general knowledge of the topic. Now we are going to be more critical and analytical of the evidence. In considering the treatment effects, there is a range of information that is shared from studies, typically looking at outcomes across anatomical changes, pain changes, and functional/disability changes. As we go forward, it is important that we consider them both separately and collectively.

Anatomical Effects

There are a few different anatomical effects claimed by early proponents of modern spinal traction methods. A main one was the retraction of herniated material from the spinal discs. Onel et al 1988 examined this with a high load spinal traction to patients with recent lumbar disc herniations and did find that there was a reduction in herniated disc material – ranging from 57-78% depending on the location of the herniation. Ozturk et al. 2006 had similar findings when examining spinal traction with continuous parameters for patients experiencing back pain and sciatica.

The Ozturk study differed though as it also had a control group. Now the traction group did in fact have a greater reduction in herniation size than the control group, but both groups had improvements across the short time span of the study. This study did not examine effects on pain or function.

Kamanli et al. 2010 conducted a similar study, except this time it was with the use of intermittent traction where the force was provided for 10s, then relaxed for 10s, and repeated. Similar to the other studies, there was a reduction in disc herniation size in 5 of the 26 patients, however there was no significant change in 18 patients, and 3 patients actually had an increase in disc herniation size.

Other anatomical theories on the effects of traction are on the gapping effects and tensioning of the ligaments of the spine. Twomey 1985 examined this and found that when providing a sustained traction to cadavers, there was a creep effect, providing tensioning to the ligaments.

Janke et al. 1997 had patients perform gravity dependent traction with a device to put them in an inverted position to their control. The authors then measured changes in the lumbar spine and found lumbar lengthening and spinal curvature degree changed with the intervention.

Kane et al. 1985 found that with gravity dependent traction there was a significant separation between lumbar segments after 10 minutes of time spent dependent. There was no control group or variation to compare to, so we have this limited information to go with.

Most of the studies reviewed found these differing changes, which are assumed to be benefits (we will see in the next section whether these show positive benefits or not), but did not examine if they are retained. Santos et al. 2010 compared two different traction protocols – one using 10% of bodyweight and one using 50% of bodyweight. The authors found that stature was increased immediately following traction, which was presumably due to increased spacing at the intervertebral discs, and that this effect was more prominent in the 50% bodyweight condition than in the 10% bodyweight condition. However, Santos followed up testing just 10 minutes later and saw a decrease to almost baseline.

Pain & Disability Effects

Traditional beliefs on pain were heavily focused on a direct link to the anatomical state of the human – which we’ve learned is not accurate. In our previous section, we saw that there is a mix of information, but a general trend in favor of anatomical effects that should be “beneficial.” However, as we’ve seen in other literature on pain and anatomy – there is not a direct link or causation.

Beattie et al. 2008 published a study examining 296 patients who had low back pain with evidence of disc degeneration and/or a herniated disc at 1 or more levels in the lumbar spine. The patients received 8 weeks of lumbar traction consisting of 30 minute sessions, 5 times a week for the first 4 weeks and then 1 time a week for the second 4 weeks. The patients reported significant improvements in both pain and disability at a 30 day and 180 day follow up. Unfortunately this study has some major limitations – particularly that it did not have any control group.

Pal et al. 1986 looked at a trial of continuous lumbar traction for those experiencing back pain and sciatica and did find favorable results for the treatment. However, the control group had the same results as the traction group and the authors stated:

“The findings of this study question the justification of admitting patients with back pain into hospitals for purposes of traction.”

Similarly, Matthews & Hickling 1975 completed a double blinded study examining the effects of sustained lumbar traction on a group of patients with back pain and sciatica compared to a control group. Both groups received treatment 5 times a week for 3 weeks, but the traction applied to the control group did not have enough force to overcome friction. There was a trend towards improvements in pain and a straight leg raise test in both groups, and no statistically significant difference between groups.

In the prior section on changes in anatomical factors, we discussed the Kamanli et al. 2010 paper which found individuals had a decrease, no change, or an increase in disc herniation size following 15 treatments of intermittent traction. Fascinatingly, the patients saw improvements in pain, reduction in sleep disturbances, and increase in global assessments – regardless of anatomical changes.

Ljunggren et al. 1992. Performed a study examining the effects of manual traction vs isometric exercises on patients with herniated lumbar discs. This study found both groups improved at a similar pace and had no significant difference.

Interestingly, Borman et al. 2003 ran a study comparing physical therapy and physical therapy with the addition of sustained traction. At the end of the study, both groups had significant changes for disability, pain, and satisfaction rates, with maintained results at a 3 month follow up. Most of the time when we see a study that does A vs A + B, the latter is favored to have a greater effect.

Interestingly, the group that did not receive the additional intervention of traction had an overall greater outcome than the physical therapy + traction group. Furthermore, the patients who reportedly continued exercises at home from time of study completion to the follow up (51% of patients) had a greater reduction in disability than those who did not continue their exercises

Similarly to the Borman et al. 2003 study, Rattantham et al. 2004, Harte et al. 2007, Beurskens et al. 1997, Beurskens et al. 1995, and Schimmel et al. 2009 conducted similar studies of “regular” physiotherapy and physiotherapy plus traction. These studies also found no difference in pain or disability after weeks of treatment.

Unlu et al. 2008 studied a comparison on effects of traction, ultrasound and low-power laser for the treatment of acute leg pain and low back pain after confirmation of a disc herniation. All groups had significant reductions over 3 weeks of treatment, with no difference between the groups.

When is traction contraindicated?

There are various reasons traction is contraindicated with the main reasons being spinal compromise (malignancy, infection, osteoporosis, inflammatory condition, fracture), systemic risk (hernia, pregnancy, severe hypertension, severe cardiovascular or respiratory disease), and fear of traction.

Adverse Effects

There is risk with any treatment. We always need to deem if the benefit outweighs the risk of harm. In the case of traction, there are some considerations that need to be addressed.

Our first one is from the points discussed prior in the Kamanli et al. 2010 paper in which we saw a similar number of patients had an increase in disc herniation size as those who had a reduction in size. If we practiced on a biomedical model with an emphasis on anatomical changes for treatment effects, this would be a serious concern.

Many might think this is a one-off study, but we actually have more information reaffirming this is possible – regardless of the suction theory. Deen Jr, et al. 2003 report a case in which an individual who was performing vertebral axial decompression traction therapy had experienced sudden, severe radicular pain and required immediate surgical intervention. Further, a case study from Kim et al. 1999 report a patient who sustained a lumbar disc herniation and cauda equina syndrome following a self traction treatment, resulting in serious symptoms and requiring immediate surgery.

Wegner et al. conducted a systematic review of the randomized control trials on traction and found that the majority of studies did not report whether or not adverse events occurred. In the studies that did report them, there were adverse events of increased pain, aggravation of neurological factors, and surgery following traction. Most of the studies on traction are of moderate to low quality with a moderate to high risk of bias, which means there are likely many adverse events not being reported.

Cumulative consideration – Where does all of that information guide us?

Madson et al. 2015 surveyed physical therapists in the US and found that 58% used traction therapy for nerve root compression. This is a very high rate, which should be supported by quality evidence demonstrating efficacy in the intervention.

We’ve reviewed numerous papers that highlight a few key things:

Traction can have a mechanical and anatomical effect.
It may be superior to placebo, but it may be equivalent or inferior to it as well.

Krause et al. 2000 reviewed literature on the intervention and found that if traction were to be of any benefit it should be applied in the acute time frame. The authors report that there isn’t a dose response relationship, so a low dose treatment should be more than sufficient.

In trying to determine who is most likely to respond to traction, Cai et al. 2009 made a clinical prediction rule which gave a positive likelihood ratio of 9.36 for increased response rate to traction. This rule was centered on four variables

Non-involvement in manual work as a profession
Low level fear avoidance beliefs
No neurological deficit
Above 30 years of age

Why these four things? We are not sure and we could postulate but the best thing we can take away from it is if your client doesn’t match up to these things, traction is likely not going to be beneficial at all.

An interesting result from the Twomey 1985 study we mentioned in the prior section was that the greatest amount of separation occurred at the disc levels with the least amount of disc degeneration. If we were practicing through a biomedical model, we would want to see the distraction effect occur at the levels with degeneration, but not the other levels. This result provides an unique challenge to that working model

Lumbar Traction for Back Pain

However, a study published in the Journal of Orthopaedic and Sports Physical Therapy (JOSPT) in 2016 calls into question its effectiveness for these conditions. Researchers say lumbar traction with exercise didn't improve outcomes compared to physical therapy (PT) exercises alone.

What Is Lumbar Traction?

Lumbar (low back) traction helps to separate the spaces between your vertebrae, the bones that make up your spine. In theory, slightly separating these bones can help take the pressure off pinched nerves (such as the sciatic nerve) to decrease your pain and improve your mobility.

It sounds like a logical approach to the problem, but research and logic don't appear to agree.

What Does the Research Show About Lumbar Traction?

The study examined the effect of adding lumbar traction to an extension-based exercise program for back pain.

A group of 120 people with back pain and nerve root impingement was randomly selected to undergo either lumbar traction with exercises or simple exercises for pain. The exercises were extension-based, meaning that they focused on bending the spine backward, a movement considered effective for many people with back pain and pinched nerves.

The results indicated that adding lumbar traction to PT exercises offered no significant benefit over extension-based exercise alone for back pain.3 Lumbar traction may simply be a waste of time (and resources) for back pain involving lumbar nerve root impingement. (Fancy machines like lumbar decompression fall into the category of traction, and so they likely offer no benefit to your back treatment regimen.)

For many years, lumbar traction was used to treat low back pain, but in the past decade Physical Therapists have begun using more promising research-based protocols. Lumbar traction seeks to relieve lumbar spinal pressure by stretching soft tissue and creating a “suction” force mechanically. Empirical based results have been the reason some clinicians have continued to use traction though evidence-based studies have not supported the theory.

The lumbar spine consists of 5 vertebra that are positioned in a “C” shape curve. These 5 bones are separated by shock absorbing discs that have a hard outer shell (annulus) and a gel like inside (nucleus pulposus). These discs are extremely durable, but they can suffer damage. As we age or if the sheer or compressive force is too great, the outer shell can crack or rupture. The function of the disc is lost if it “ruptures” and the outer wall or Annulus tears. The tearing of the Annulus enables the inner material, nucleus pulposus, to escape and put pressure on a nerve root at the level of the damage.

In the past, therapists used lumbar traction to reduce this pressure on the nerve and thereby reduce low back pain. Lumbar traction is supposed to increase intervertebral space, the tension on the posterior spinal ligament which places more force on the back of the joints and produce a suction force that can draw a protrusion (disc material) back into the center of the disc. This is based on the theory that the “pull” of the lumbar traction is able to separate the vertebra sufficiently to increase the size of the foramina (nerve root exits through the foramina) and remove the pressure on the root. The deep paraspinal musculature is thought to relax via a stretch/relax reflex secondary to a prolonged stretch produced by the lumbar traction device.

While the theory may be good, it has not been confirmed in actual research. In many studies the separation of the vertebra does not occur. As a result, Physical Therapists have been less likely to use this treatment. In fact, many insurance companies will not pay for it due to the lack of scientific evidence that supports its use. Folks who continue to use lumbar traction rely heavily on empirical results of their previous treatments to fortify their support of its use in their practice.

Over the past decade, Physical Therapists have shifted from the passive treatment of lumbar traction to a regimen of manual techniques and therapeutic exercises that are supported by empirical results and scientific evidence. The lumbar spine paraspinal musculature must be active to support and stabilize the joints of the lumbar spine. The use of manual techniques and specific exercises geared towards re-establishing the normal neuromuscular activity, strength and motion of the spine have been proven to be very successful. The results of this newer approach are promising for most patients who suffer from low back pain with or without referred symptoms into their legs.

Lumbar traction was the treatment of choice for many years for people who suffered from low back pain. The transition to a more active and aggressive treatment protocol can be attributed to the need to “prove” the efficacy of all treatment protocols. When a procedure is not supported by medical science, the use of that procedure slowly dissipates and eventually is no longer considered a viable option in the standard treatment protocols used by most healthcare professionals. Lumbar traction appears to be a procedure that has slowly and steadily lost its appeal in many Physical therapy settings.

ADVANTAGES TO TRACTION THERAPY

Traction therapy, or spinal decompression therapy, is a nonsurgical treatment that uses manual or mechanical means to stretch the spine and relieve pain among affected discs. This treatment repositions herniated or bulging discs, decreasing pressure on the back.

Traction therapy can be performed two ways:

Manual traction – when a therapist uses their hands to apply force on the spinal joints
Mechanical traction – a special device stretches the spine

Traction therapy can treat a variety of conditions and injuries, some of which include sciatica, herniated or bulging discs, facet disease, pinched nerves, and degenerative disc disease. Most physiotherapists include this treatment with other forms of therapy as part of a total care plan.

When this therapy is applied properly, patients can enjoy a number of benefits. Some of them are:

1. Pain relief. Applied force helps straighten the spine in a controlled manner, relieving pressure that often causes pain. It also allows a better physical environment for the healing process.

2, Treatment for several conditions. Traction therapy can be used as a treatment plan for several medical conditions, including herniated discs, spinal stenosis, and spinal arthritis.

3. No surgery required. Treatment doesn’t require invasive surgery but instead relies on applying controlled force to the patient’s spine. Patients merely lie on a table while a therapist or machine applies force. Clothing is sometimes repositioned but rarely removed.

4. Can be used with other treatments. Traction therapy can be used alongside other treatments for a more personalized and holistic health plan. Some therapies that may be included are electric stimulation, cold or hot therapy, and ultrasound application (during or after the session).

5. Promotes overall healing. Pressure properly applied to the disc releases healing nutrients that speed the body’s natural healing process. Traction therapy also increases the effectiveness of other treatments, resulting in faster overall recovery.

Spinal decompression therapy is a very effective treatment. For eligible patients, therapists must first make a thorough physical assessment to prevent further injury. Some patients who are not qualified for spinal stretching include pregnant women, patients with tumors on their spine, and any those who have experienced unsuccessful back surgery.

Benefits of Traction Therapy

Traction Therapy for Pain Management

Patients who have constant back pain or neck pain can have a difficult time dealing with the disruption it causes to their lives. The pain makes it hard to complete everyday activities and can make it a burden at times to maintain a healthy lifestyle as even simple exercises can be affected. If you suffer from back or neck pain you’ve probably heard about different types of pain management treatment including traction therapy. At Total Chiropractic Care and Wellness, we’d like to let you know about how this treatment works and what the benefits of traction therapy are. We’d also like to give you information about spinal decompression, a modern form of traction therapy that is available at our practice. We hope this information will help you decide if traction therapy is right for you.

What is Traction Therapy

The website Spine-health defines traction as “a therapeutic method to relieve pain by stretching and realigning the spine.” Spinal traction straightens the spine and helps to improve the body’s ability to heal itself. In addition to treating the spine and neck, traction is also used in the treatment of fractures, but according to Healthline, traction is primarily used to relieve pain in the cervical or lumbar spine.

Types of Traction Therapy and Uses

There are generally two types of traction therapy, manual traction and mechanical spinal traction therapy. Manual spinal traction therapy involves a doctor or physical therapist using their hands to put their patients in a state of traction, according to Healthline. Mechanical spinal traction is a therapy in which patients are asked to lie on a table that is equipped to stretch the spine. According to WebMD, spinal traction is used to treat:

Herniated Discs
Sciatica
Degenerative Disc Disease
Pinched Nerves
And Many Other Conditions Related to Back and Neck Pain

Spinal Decompression and The Benefits of Mechanical Traction

Total Chiropractic Care and Wellness uses a spinal decompression system. It’s like an old-fashioned traction table, but it uses advanced technology which allows your doctor to treat you more precisely and accurately. Patients will be strapped onto the decompression table which moves and produces a force onto targeted areas. The system will gently pull the patient’s spine apart creating a vacuum between the vertebrae which will pull discs back into place.

A 2014 study examined the benefits of traction therapy among patients with neck pain. Patients were divided into three groups. One group was treated with only an exercise program, another group added mechanical traction to their exercise program and a third group added over-door traction, a device that manipulates the neck that can be used in the home or office. The study found that adding mechanical traction to exercise resulted in lower disability and pain particularly in instances where there were long-term follow-up checks to the patient. Spinal traction therapy can also benefit patients as a way to relieve pain without having to resort to surgery. The vacuum effect helps circulate blood and nutrients through the injured area. It also reduces inflammation allowing for natural healing and pain relief.

Cervical Traction for Neck Pain

Traction of the spine, known as cervical traction, is a popular treatment for neck pain and related injuries. Essentially, cervical traction pulls your head away from your neck to create expansion and eliminate compression. It’s considered to be an alternative treatment for neck pain, helping people avoid the need for medication or surgeries. It can be used as part of a physical therapy treatment or on your own at home.

Cervical traction devices lightly stretch the neck to reduce pressure on the spine by pulling or separating the vertebrae. It’s said to be both highly effective and fast-acting. Read on to learn more about this technique and how it can be of benefit to you.

Benefits of cervical traction

Cervical traction devices treat different types and causes of neck pain, tension, and tightness. Cervical traction helps to relax the muscles, which can significantly relieve pain and stiffness while increasing flexibility. It’s also used to treat and flatten bulging or herniated disks. It can alleviate pain from joints, sprains, and spasms. It’s also used to treat neck injuries, pinched nerves, and cervical spondylosis.

Cervical traction devices work by stretching the spinal vertebrae and muscles to relieve pressure and pain. Force or tension is used to stretch or pull the head away from the neck. Creating space between the vertebrae relieves compression and allows the muscles to relax. This lengthens or stretches the muscles and joints around the neck.

These improvements may lead to improved mobility, range of motion, and alignment. This will allow you to go about your daily activities with greater ease.

A 2017 meta-analysis of studies analyzed the effectiveness of cervical traction in relieving neck pain. This report found that the treatment significantly reduced neck pain immediately following treatment. Pain scores were also reduced in the follow-up period. More in-depth, high-quality studies are needed to learn more about the long-term effects of this treatment.

How it’s done

There are several ways to do cervical traction, either with a physical therapist or on your own at home. Your physical therapist can help you to decide upon the best method to suit your needs.

Your physical therapist may recommend that you buy cervical traction equipment to use at home. Certain devices may require you to have a prescription. Cervical traction devices are available online and in medical supply stores. Your physical therapist should show you how to use the device properly before you use it on your own.

It’s important that you check in with your physical therapist even if you’re doing a home treatment. They’ll make sure you’re doing the best treatment, measure your progress, and adjust your therapy as necessary.

Manual cervical traction

Manual cervical traction is done by a physical therapist. While you’re lying down, they’ll gently pull your head away from your neck. They’ll hold this position for a period of time before releasing and repeating. Your physical therapist will make adjustments to your exact positioning in order to get the best results.

Mechanical cervical traction

Mechanical cervical traction is done by a physical therapist. A harness is attached to your head and neck as you’re lying flat on your back. The harness hooks up to a machine or system of weights that apply traction force to pull your head away from your neck and spine.

Over-the-door cervical traction

An over-the-door traction device is for home use. You attach your head and neck to a harness. This is connected to a rope that’s part of a weighted pulley system that goes over a door. This can be done while sitting, leaning back, or lying down.

Side effects and warnings

Generally, it’s safe to perform cervical traction, but remember that results are different for everyone. The treatment should be totally pain-free.

It’s possible that you can experience side effects such as headache, dizziness, and nausea upon adjusting your body in this manner. This may even lead to fainting. Stop if you experience any of these side effects, and discuss them with your doctor or physical therapist.

It’s possible for you to injure your tissue, neck, or spine. You should avoid cervical traction if you have:

rheumatoid arthritis
postsurgery hardware such as screws in your neck
a recent fracture or injury in the neck area
a known tumor in the neck area
a bone infection
issues or blockages with vertebral or carotid arteries
osteoporosis
cervical instability
spinal hypermobility

It’s important that you follow any safety instructions and recommendations provided by your doctor or by the manufacturer. Make sure you’re performing the movements correctly and using the appropriate amount of weight. Don’t overexert yourself by doing cervical traction for too long. Discontinue use if you experience any pain or irritation or if your symptoms get worse.

Cervical traction exercises

There are several exercises that can be done using cervical traction devices. Make sure to listen to your body and go to your own edge or threshold in terms of stretching and the duration of your exercises.

To use an air neck traction device, place it around your neck and adjust the straps as necessary. Then, pump it up and wear it for about 20–30 minutes. Do this a few times throughout the day. You can wear the device while doing activities where you tend to slouch.

To use an over-the-door neck traction device, you’ll usually you’ll start with about 10–20 pounds of pulling force, which can be increased as you gain strength. Your physical therapist can recommend the right amount of weight for you to use. Pull and hold the weight for 10–20 seconds and then slowly release. Continue this for 15–30 minutes at a time. You can do this a few times throughout the day.

A Posture Pump is used while you’re lying down. Do a warm-up before using this device. Slowly turn the head side-to-side, then forward and backward, and then lean the neck from side-to-side. Do each exercise 10 times. Then, attach the portable device to your head and increase the pressure so it tightens around your forehead. Once it’s pumped, wait 10 seconds before releasing the air. Do this 15 times. Then inflate the unit and relax in a comfortable position for up to 15 minutes. Make sure you’re not pumping it too much, especially in the beginning. Once you release yourself from the pump, keep your head in line with your spine as you come into a standing position. Repeat the warm-up routine.

You may also wish to incorporate stretching into your daily routine. You can use accessories such as exercise balls or resistance bands. Yoga is another great tool to relieve neck pain, and there are plenty of cervical traction exercises your physical therapist may be able to recommend that don’t require any equipment aside from a bed or table.

The takeaway

Cervical traction may be a safe, wonderfully effective way for you to resolve neck pain. It may provide you with numerous improvements to your body, inspiring you to do it often. Ideally it will be effective in relieving neck pain and enhancing your overall function.

What does spinal traction do?

Spinal traction stretches the spine to take pressure off compressed discs. This straightens the spine and improves the body’s ability to heal itself.

Candidates

People with spinal conditions benefit from this therapy because the traction reverses the force of gravity. It is most commonly used to treat:

slipped discs
bone spurs
degenerative disc disease
herniated discs
facet disease
sciatica
foramina stenosis
pinched nerves

Spinal traction can sometimes cause pain that is worse than the original condition. Those with osteoporosis and certain types of cancer should not use traction therapy.

Spinal traction is known to cause muscle spasms. Most doctors are prepared for this to happen during or after therapy.

How is spinal traction administered?

Spinal traction therapy can be administered manually or mechanically, depending on your needs.

Manual spinal traction

In manual spinal traction, a physical therapist uses their hands to put people in a state of traction. Then they use manual force on the joints and muscles to widen the spaces between vertebrae.

Mechanical spinal traction

In mechanical spinal traction, you will lie on a table that has special tools to stretch the spine. A physical therapist will attach a series of ropes, slings, and pulleys to your body to mechanically relieve pressure.

What are the benefits of spinal traction?

Spinal traction is a non-surgical way to relieve pain and correct problems in the spine. While it does have some potential side effects, spinal traction offers consistent relief for most people.

What are the risks of spinal traction?

There are no long-term risks of spinal traction. Some side effects may occur during or after treatment. Many people experience muscle spasms after traction. Some have pain in the treated areas.

Spinal traction is not for everyone. A physician can determine if the risks are worth the potential rewards based on your medical history.

Before undergoing spinal traction, you must speak with your doctor to create a total-management physical therapy plan. Spinal traction often works as an enhancement for other therapies.

A physician may recommend at-home exercises before spinal traction. This is usually not required.

What are the results of spinal traction

The results of spinal traction include pain relief, proper spinal alignment, and decompressed joints. Spinal traction stretches the muscles and bones in the back to combat the effects of gravity. Under the right circumstances, this could significantly improve the way you move and feel throughout the day.

What is the outlook after spinal traction?

With the help of other physical therapies, many people find great success with spinal traction. Treatment reduces pain and the body is more capable of healing itself. Some people only need spinal traction therapy for a short period of time. Others need it throughout their lives.

What is the treatment?

Back pain that occurs because of certain disorders that affect the back or spine can be categorised as compressive and/or mechanical. A compressive pain is mainly because of a compressed nerve root like that in Sciatica and a mechanical pain roots from an injury affecting muscles, ligaments, discs and joints. Traction is the most common treatment for skeletal, muscle and spinal pain. It is the procedure of applying a typical force, manually or mechanically, to a particular spinal segment to relieve pressure on the neuro-musculoskeletal system and the spine. The procedure can be done also at home but prior to that, it must be practised in a safe and monitored environment like that of a physiotherapists’. The traction is mostly used to treat sciatica, pinched nerves, herniated discs, degenerative disc diseases and other spinal conditions. The manual or mechanical force can be chosen depending upon the force that would be required for a particular condition. Traction is helpful in reducing the persistent pressure on the skeleton and certain muscles on the back due to any injury or disease or even from daily activities. A mechanical traction is applied using a traction table and the procedure is called auto-traction. Every patient must be evaluated for the particular type of therapy that they require based on the severity of their pain. Based on the evaluation the therapist would decide the traction type to be applied, the weight of the distraction to be used and the treatment duration. As the severe back pain causes patient to be more sedentary and restricts his activities, the motive of traction must be to make the patient more functional, without, of course, causing any further pain or injury. So, the treatment is started initially with using light weight during the distraction which is increased gradually.

How is the treatment done?

The treatment actually involves stretching the spine that takes the pressure off from the compressed discs in case of spinal traction. Spinal traction also called cervical traction is relieves the pressure on the nerve roots of the spine. In manual traction, a gentle traction or tension and pressure is administered on the head and limbs of the patient to give a pull on the skeleton and muscles. Also, sometimes the patient’s own weight can be used to apply an additional traction called inversion therapy. A mechanical traction with the help of a traction table that consists of several tools and is controlled with computer is used to provide a complex spinal traction to the required patient. These traction tables administer intermittent and continuous tension with a combination of massage, heat and vibration. Mechanical traction has been proved beneficial in some cases over manual traction because it can be used at home also with appropriate traction equipment and proper training from the doctor. So, in this type of traction method, the patient is made to wear a harness that has two rings that supports the patient. In auto-traction, the patient himself applies a traction weight by either pushing with the feet or by pulling with the arms.

Who is eligible for the treatment? (When is the treatment done?)

The treatment can be given to patients with sciatica, slipped discs, degenerative disc diseases, pinched nerves, facet disease, herniated discs, bone spurs, bulged or protruded discs, spinal arthritis, spondylosis and foramina stenosis.

Who is not eligible for the treatment?

Patients who have certain complications like tumour in the spine, osteoporosis, cervical rheumatoid arthritis or an infection, or pregnant women, people with hernia and cardiovascular diseases are not eligible for the traction treatment.

Are there any side effects?

Although there aren’t any long term risks associated with spinal traction but certain short term side effects may occur like muscle spasms and pain which could be worse than the one before receiving traction. Some patients may experience a shooting pain down the limbs after a traction treatment. Everybody with a severe back ache cannot opt for traction treatment because of the side effects that are caused after the treatment. So, it is the physician who has to decide whether such a treatment is required by a patient or not. The stretch during the traction can cause these side effects and are normally expected by the physician.

What are the post-treatment guidelines?

Traction therapy significantly improves the patient’s movement and activities. Even then, after the therapy, it is advisable to carry on with light exercise and walking which should be continued throughout their life. There is normally no such restrictions in food intake since only includes the treatment of the structure. In cases where the patients acquire side effects like excess pain after or during the therapy must not panic as the pain subsides on its own or may be reduced with the help of a pain killer.

How long does it take to recover?

Patients may require just two sessions of therapy to be beneficial but in case the pain progresses, 6-10 sessions would be sufficient to heal it completely, but some patients may require therapy all through their life.

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