Concerns About Weight-Based Spinal Decompression Therapy - Rehabilitation

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Lifting the waist with 1/4 of body weight issue?


Hello, doctor.
I have a very mild herniated disc and underwent spinal traction at a clinic.
I remember my weight being around 58-62 kg, but their scale was faulty, and it registered my weight as 68 kg.
Today, during my first session, they started the traction at 17 kg (based on the calculation of 1/4 of my weight: starting at 15 kg).
During the traction, I felt a slight discomfort, and afterward, I noticed some discomfort in my lower back.
When I got home, I weighed myself and confirmed that I was indeed 62 kg.
I called the therapist to inform them about the faulty scale, and they later confirmed it was incorrect.
Now that my weight is about 2 kg more, I am quite worried about what to do.
The therapist said it was fine if the initial weight was 1 or 2 kg more than 1/4 of my weight.
They advised that if I feel uncomfortable, I should just lie down for a while.
Is this correct? Doctor, will this cause any harm to my treatment? Thank you.

FL, 40~49 year old female. Ask Date: 2016/04/20

Dr. Yin Xinbei reply Rehabilitation


There shouldn't be any serious issues; at most, the muscles may be too weak to handle the strain and could get strained.
If a strain occurs, resting, applying heat, or taking anti-inflammatory medication should help speed up recovery.
Adding 1 or 2 kilograms for the first time really won't make much of a difference.

Reply Date: 2016/04/20

More Info


When considering spinal decompression therapy, particularly for individuals with mild disc herniation, there are several factors to take into account, especially concerning weight and the potential impact on treatment outcomes. Your experience raises valid concerns about the appropriateness of the weight used during the therapy and the discomfort you felt during and after the session.

First, it’s important to understand that spinal decompression therapy is designed to relieve pressure on the spinal discs and nerves. This is typically achieved through mechanical traction, which aims to create negative pressure within the disc, allowing for the retraction of herniated material and promoting healing. The general guideline for traction is to use a force that is approximately 25-50% of the patient's body weight. However, this can vary based on individual tolerance and specific clinical circumstances.

In your case, the initial weight used for traction was based on an incorrect measurement of your body weight. While the therapist indicated that a slight overage (1-2 kg) from the calculated weight is generally acceptable, it’s crucial to listen to your body. If you experienced discomfort during the treatment, it could indicate that the force applied was too much for your current condition, especially since you mentioned feeling "a bit uncomfortable" during the session.

Here are some considerations and recommendations moving forward:
1. Monitor Symptoms: Pay close attention to any changes in your symptoms following the treatment. If you experience increased pain, numbness, or weakness, it’s essential to contact your healthcare provider promptly.

2. Communicate with Your Therapist: Since you have already reached out to the therapist regarding the weight discrepancy, continue to communicate any discomfort you experience. They may need to adjust the treatment plan based on your feedback.

3. Rest and Recovery: If you feel discomfort after the treatment, resting and applying ice to the affected area may help alleviate any inflammation or soreness. Gentle stretching and mobility exercises, as advised by your healthcare provider, can also be beneficial.

4. Consult a Specialist: If discomfort persists or worsens, consider consulting a spine specialist or a physical therapist who can provide a comprehensive evaluation and tailor a treatment plan specific to your needs. They can also assess whether spinal decompression therapy is the best option for your condition.

5. Weight Management: Maintaining a healthy weight is crucial for spinal health. Excess weight can increase the load on your spine and exacerbate disc issues. If you are concerned about your weight, consider discussing a weight management plan with a healthcare provider or a nutritionist.

6. Alternative Therapies: If spinal decompression therapy does not yield the desired results or if you continue to experience discomfort, other treatment options such as physical therapy, chiropractic care, or even acupuncture may be worth exploring.

In conclusion, while a slight overage in weight during spinal decompression therapy may not be inherently harmful, it is essential to prioritize your comfort and well-being. Always communicate openly with your healthcare providers about your symptoms and concerns, and do not hesitate to seek further evaluation if needed. Your health and comfort should always come first in any therapeutic intervention.

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