Lumbar traction
Hello Doctor, about 4-5 years ago I had surgery for a herniated disc.
The pain significantly improved after the surgery, but recently I've started experiencing back pain again.
I can't stand up straight, and sometimes I can't turn over while sleeping.
Is it appropriate to undergo lumbar traction rehabilitation in this situation? Thank you!
cyy, 20~29 year old female. Ask Date: 2016/04/15
Dr. Li Weiqiang reply Rehabilitation
Hello: Are you here to check if your lumbar spine is stable? You can consult the surgeon.
If it is stable, you can start with light weights and gradually increase the load.
If you experience any discomfort, stop immediately.
Wishing you safety and health.
Sincerely, Dr.
Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2016/04/15
More Info
Spinal traction can be a useful therapeutic modality for certain back pain conditions, but its safety and efficacy, particularly for individuals with a history of spinal surgery, require careful consideration. Given your history of disc herniation surgery and the recent resurgence of pain, it is crucial to approach spinal traction with caution.
Firstly, spinal traction aims to relieve pressure on the spinal discs and nerve roots by gently stretching the spine. This can help alleviate pain and improve mobility. However, for individuals who have undergone spinal surgery, such as a discectomy or spinal fusion, the situation is more complex. The surgical site may have altered biomechanics, and the presence of hardware (like screws or rods) can influence how traction affects the spine.
In your case, since you are experiencing significant pain that limits your ability to stand straight and affects your sleep, it is essential to consult with your orthopedic surgeon or a physical therapist who specializes in post-surgical rehabilitation. They can assess your current condition, including any potential complications such as scar tissue formation, recurrent disc herniation, or other underlying issues that may be contributing to your pain.
If spinal traction is deemed appropriate for your situation, it is typically performed under the supervision of a trained professional. They will determine the appropriate amount of force and duration of traction based on your specific needs and tolerance. It is also essential to monitor your response to treatment closely. If you experience increased pain or discomfort during or after traction, it may not be suitable for you.
Additionally, other rehabilitation strategies may be beneficial in managing your pain. These can include:
1. Physical Therapy: A tailored physical therapy program can help strengthen the muscles supporting your spine, improve flexibility, and enhance overall function. Therapists may use modalities such as heat, ice, ultrasound, or electrical stimulation to alleviate pain.
2. Core Strengthening Exercises: Strengthening the core muscles can provide better support for the spine and reduce the risk of future pain episodes. Exercises should be introduced gradually and under professional guidance.
3. Postural Training: Learning proper body mechanics and posture can help reduce strain on your back during daily activities.
4. Pain Management Techniques: Depending on the severity of your pain, your healthcare provider may recommend medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants, to help manage discomfort.
5. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, chiropractic care, or massage therapy. However, it is vital to ensure that these practitioners are aware of your surgical history.
In conclusion, while spinal traction may offer some benefits for back pain relief, its application in post-surgical patients must be approached with caution. A thorough evaluation by your healthcare provider is essential to determine the most appropriate treatment plan tailored to your specific needs. Always prioritize open communication with your medical team to ensure that any interventions align with your recovery goals and overall health.
Similar Q&A
Understanding Herniated Discs: Safe Traction Techniques and Precautions
Hello, Director! I am currently undergoing rehabilitation for a herniated disc and would like to ask some related questions. If lumbar traction is not performed correctly, could it cause nerve damage or other side effects? Under what physical conditions should traction be stopped...
Dr. Chen Xianchang reply Rehabilitation
1. If the patient has osteoporosis, compression fractures, or free-floating cartilage, it may lead to nerve damage. 2. If there is an increase in numbness or pain in the lower extremities, traction should be discontinued. 3. Activities such as pull-ups are not suitable; lumbar tr...[Read More] Understanding Herniated Discs: Safe Traction Techniques and Precautions
Is Spinal Manipulation Safe for Lower Back Pain Relief?
In the past year or two, I occasionally experience tightness in my lower back, and I find that rotating my torso from side to side helps to release some tension, often accompanied by audible sounds. In October and November 2019, I noticed that the rotations felt deeper, and I had...
Dr. Wang Zhaomin reply Rehabilitation
1. Lower back rotation that produces sound generally does not lead to a strain, but individual conditions may vary, and there is indeed a risk of disc herniation; therefore, clinical evaluation is necessary for proper assessment. 2. Magnetic resonance imaging (MRI) is a static ...[Read More] Is Spinal Manipulation Safe for Lower Back Pain Relief?
Can Lumbar Traction Help Relieve Sciatica from Herniated Discs?
Hello, Director Chen! Is lumbar traction effective for improving sciatica caused by a herniated disc? If so, how long should lumbar traction be performed to see results? Thank you!
Dr. Chen Xianchang reply Rehabilitation
1. Herniated disc can be treated with lumbar traction (except in cases of osteoporosis, pregnancy, or cancer), with approximately eighty percent showing improvement. 2. Start with a weight of one-quarter of the body weight, gradually increasing to one-half (or slightly more), dep...[Read More] Can Lumbar Traction Help Relieve Sciatica from Herniated Discs?
Is Twice Daily Lumbar Traction Safe for Spine Health?
I have bone spurs at the L2-L3 vertebrae and experience pain and weakness in my entire right leg, especially tightness in the nerves behind the knee, making walking very painful. I am currently undergoing lumbar traction. I would like to ask the physician if undergoing lumbar tra...
Dr. Li Weiqiang reply Rehabilitation
Hello Ms. Hsuan: To assess the weight of the traction, it is necessary to implement the standard procedures for traction, and it takes time to see results. If there is no improvement, further evaluation is needed. As for performing traction twice in one day, it is best to space t...[Read More] Is Twice Daily Lumbar Traction Safe for Spine Health?
Related FAQ
(Rehabilitation)
Lumbar Spine(Rehabilitation)
Lower Back Pain(Rehabilitation)
Back Soreness(Rehabilitation)
Sciatica(Rehabilitation)
Post-Spinal Surgery(Orthopedics)
Coccyx Pain(Rehabilitation)
Neck Stiffness(Rehabilitation)
Bone Spur(Rehabilitation)
Torticollis(Rehabilitation)