Lumber Traction:-

Lot of confusion about Lumber Traction۔according to new research or Evidence-based studies Lumber Traction is not beneficial for the treatment of lumber disk bulging۔ If lumber Traction is necessary than How to give Traction we will discuss the step and method

1 position:- supine Lying and Prone Lying

A : supine Lying position:-

Traction in supine Lying position is applicable when spinal Forman opening or vertebral Separation is our basic Target۔ Pillow behind the knee or stool sports the lower leg-90⁰ hip flexion ۔

Time: 10 To 15 mint Traction through Traction unit

B : Prone Lying position:-

Prone Lying position is preferable in case of posterior herniated lumber disc۔some Target area specificity may be achieved by varying the angle of pull i۔e increase intervertebral space at

 L5 to S1 up to 45⁰to 60⁰ of hip flexion

 or at L3 to L4 up to 75⁰to 90⁰

Time: 15 mint continuous

Treatment Force:-

(A) Acute Phase 30 -40 pounds

(B) Disc protrusion ،spasm؛elongation of soft tissue “ 25% of body weight

(C) Joint distraction 50 pounds or 50% of body weight

Reference:-

1. Bogduk N. On the definitions and physiology of back pain, referred pain, and radicular pain. Pain. 2009;147(1):17–19. Doi:10.1016/j.pain.2009.08.020. [PubMed] [Google Scholar]

2. Effectiveness of mechanical traction in supine versus prone lying position for lumbosacral radiculopathy]

National Library OF science]

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