Traction is a traditional CLBP treatment that has fallen out of favor as better efficacy studies have become available.131 Anatomically, spinal traction enlarges the inte-vertebral space (theoretically decreasing forces on the intervertebral disk), stretches muscles and ligaments, separates apophyseal (facet) joints, and enlarges the intervertebral foramen. For CLBP, it appears to be no more effective than placebo, sham, or no treatment.131'132 [III] However, intermittent and continuous traction studies have been combined in systematic reviews. Proponents of traction suggest that intermittent traction may be beneficial. Currently, heavily marketed elaborate systems, such as VAX-D (VAX-D Medical Technologies LLC, Oldsmar, FL, USA) or DRX-9000 (Axiom, Tampa, FL, USA), await studies to support their claims of benefit, but use intermittent traction. Candidates for traction include those with discogenic radiculopathy and an x-ray that reveals no evidence of serious spine disease. Reports of various systems "pulling" a herniated disk back into the disk space are unsubstantiated.

Naturally Cure Your Headaches

Naturally Cure Your Headaches

Are Headaches Taking Your Life Hostage and Preventing You From Living to Your Fullest Potential? Are you tired of being given the run around by doctors who tell you that your headaches or migraines are psychological or that they have no cause that can be treated? Are you sick of calling in sick because you woke up with a headache so bad that you can barely think or see straight?

Get My Free Ebook

Post a comment