Is Twice Daily Lumbar Traction Safe for Spine Health? - Rehabilitation

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Lumbar spinal traction


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 traction twice a day (15 minutes + 15 minutes) while receiving rehabilitation from both orthopedic and rehabilitation departments will put too much strain on my lumbar spine and lead to injury?

Xuan, 40~49 year old female. Ask Date: 2023/07/19

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 the sessions 6-8 hours apart.
Thank you.

Reply Date: 2023/07/19

More Info


When it comes to lumbar traction, especially for individuals with existing spinal conditions such as bone spurs and nerve pain, it is crucial to approach treatment with caution. Your situation, involving lumbar traction twice daily, raises several important considerations regarding safety and efficacy.

Firstly, lumbar traction is a therapeutic technique used to relieve pressure on the spine and alleviate pain. It works by gently stretching the spine, which can help to reduce nerve compression and improve blood flow to the affected areas. However, the appropriateness of this treatment can vary significantly based on individual circumstances, including the specific spinal condition, overall health, and response to treatment.

In your case, with bone spurs at the L2-3 vertebrae and associated pain radiating down the right leg, it is essential to ensure that the traction is not exacerbating your symptoms. While some patients may find relief from traction, others may experience increased discomfort or complications, particularly if there are underlying issues such as spinal instability or significant nerve compression.

The recommendation for lumbar traction twice a day, for 15 minutes each session, should ideally be guided by a healthcare professional who is familiar with your medical history and current condition. Both orthopedic and rehabilitation specialists can provide valuable insights, but it is crucial that they communicate and collaborate to ensure a cohesive treatment plan. If one specialist recommends traction while the other has reservations, it may be beneficial to seek a consensus or a second opinion.

Moreover, the potential for overloading the spine with excessive traction should not be overlooked. While traction can provide temporary relief, it may not address the underlying issues causing your pain. If you are experiencing significant discomfort during or after traction sessions, it is vital to communicate this to your healthcare providers. They may need to adjust the treatment frequency, duration, or technique based on your feedback.

In addition to traction, it is essential to incorporate other therapeutic modalities into your treatment plan. Physical therapy can help strengthen the muscles supporting the spine, improve flexibility, and teach proper body mechanics to reduce strain on the lumbar region. Exercises that focus on core stability and pelvic alignment can be particularly beneficial in managing pain and preventing further injury.

Furthermore, consider the importance of posture and ergonomics in your daily activities. Maintaining a neutral spine position while sitting, standing, and lifting can significantly impact your spinal health. If you have a sedentary job, take regular breaks to stand, stretch, and move around to alleviate pressure on your spine.

Lastly, if you notice any worsening of symptoms, such as increased pain, numbness, or weakness in the legs, it is crucial to seek immediate medical attention. These could be signs of a more serious condition that requires prompt intervention.

In summary, while lumbar traction can be a helpful component of treatment for spinal issues, it is essential to approach it with caution, especially when performed twice daily. Ensure that your treatment plan is closely monitored by your healthcare providers, and consider integrating additional therapies to support your recovery. Always prioritize open communication with your medical team to ensure that your treatment is safe and effective for your specific condition.

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