Can Lumbar Traction Help Relieve Sciatica from Herniated Discs?

Lumbar traction

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!

Zi Ying, 30~39 year old female. Ask Date: 2006/11/12

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), depending on the individual's body weight to determine the treatment regimen.
3.
If ineffective, further evaluation with a CT scan or MRI should be conducted.

Reply Date: 2006/11/12

More Info

Lumbar traction can indeed be a beneficial treatment option for relieving sciatica caused by herniated discs. Sciatica is characterized by pain that radiates along the path of the sciatic nerve, which runs from the lower back down through the hips and buttocks and down each leg. When a herniated disc occurs, it can press on the nerve roots that contribute to the sciatic nerve, leading to pain, numbness, or weakness in the legs.

Understanding Lumbar Traction:
Lumbar traction involves the application of a pulling force to the spine, which aims to relieve pressure on the intervertebral discs and nerve roots. This technique can help to create space between the vertebrae, potentially alleviating the compression caused by a herniated disc. The traction can be performed manually by a physical therapist or using mechanical devices designed for this purpose.

Effectiveness and Duration:
The effectiveness of lumbar traction can vary from person to person. Some individuals may experience significant relief after just a few sessions, while others may require a longer duration of treatment. Generally, a typical traction session lasts between 15 to 30 minutes, and it is often recommended to undergo multiple sessions per week for several weeks to assess its effectiveness. It is crucial to work closely with a healthcare provider to monitor progress and adjust treatment as necessary.

Risks and Considerations:
While lumbar traction can be helpful, it is not suitable for everyone. Individuals with certain conditions, such as osteoporosis, spinal fractures, or severe herniation, may be at risk for complications. Therefore, it is essential to have a thorough evaluation by a healthcare professional before starting traction therapy. If you experience increased pain or discomfort during traction, it is important to inform your therapist immediately.

Complementary Treatments:
In addition to lumbar traction, other treatments may be recommended to manage sciatica effectively. These can include physical therapy, which focuses on strengthening the muscles supporting the spine, improving flexibility, and teaching proper body mechanics. Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and pain. In some cases, corticosteroid injections may be considered to provide more immediate relief.

Self-Management Techniques:
Incorporating self-management strategies can also be beneficial. Gentle stretching exercises, heat therapy, and maintaining good posture can help alleviate symptoms. Activities that promote core strength, such as Pilates or yoga, may also be advantageous in the long term.

Conclusion:
In summary, lumbar traction can be a valuable part of a comprehensive treatment plan for sciatica stemming from herniated discs. It is essential to approach this treatment under the guidance of a qualified healthcare provider to ensure safety and effectiveness. Regular follow-up and adjustments to the treatment plan based on individual progress will help maximize the benefits of lumbar traction and improve overall outcomes. If you have any concerns or questions about your specific situation, do not hesitate to reach out to your healthcare provider for personalized advice.

Similar Q&A

Is Lumbar Traction Safe for Sciatica and Herniated Discs?

Dear Doctor: I have sciatica that radiates to my left lower limb, and it has been occurring frequently lately. I've heard that stretching the lower back can be effective. However, I have a hernia; is it safe for me to stretch my lower back?

Dr. Xu Zhenrong reply Rehabilitation
Dear Mr. Confused, I am pleased to receive your letter and happy to provide you with answers. A hernia occurs due to a weakness or tear in the abdominal wall, leading to the protrusion of fatty tissue or organs, such as the intestines, through this defect. This is especially not...

Exploring Treatment Options for Lumbar Disc Herniation and Sciatica

I had an examination of my lumbar spine at a hospital and was diagnosed with a herniated lumbar disc accompanied by sciatica. A physician recommended hospitalization for traction therapy, as it tends to yield better results. Since I live in Xinzhuang, which is closer to your faci...

Dr. Yin Xinbei reply Rehabilitation
Yes, but unless there is severe pain that causes difficulty in movement, traction therapy can be performed on an outpatient basis.

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...

Understanding Lumbar Rehabilitation: Conditions That Benefit from Stretching

I have very little knowledge about rehabilitation. What conditions can lead to lower back pain? Thank you!

Dr. Chen Xianchang reply Rehabilitation
Hello Sir: Thank you for your inquiry. I would like to address your question and provide the following recommendations: 1. Lumbar traction, referred to as "pulling the lower back," should not be performed solely for back pain; it is indicated when there are symptoms of ...