Cervical Traction: How Much Weight is Safe for Treatment? - Rehabilitation

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Cervical traction


Hello, Director! I have been undergoing cervical traction for three weeks.
My weight is 49 kg, and the therapist has pulled up to 12 kg, which makes me uncomfortable, so we have been staying at 11 kg.
What is the appropriate level of traction for my neck? Thank you!

barbara, 40~49 year old female. Ask Date: 2008/09/21

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions: 1.
Cervical traction is intended to relieve nerve root compression; treatment can be considered complete once the radiating pain and numbness are resolved.
2.
The theoretical values for traction begin at 1/7 of body weight and can go up to 1/4, but the final decision should still depend on symptoms and cervical X-rays to rule out conditions such as osteoporosis.
Lastly, I wish you peace and happiness~~

Reply Date: 2008/09/21

More Info


Cervical traction is a therapeutic technique used to alleviate pain and discomfort associated with cervical spine issues, such as herniated discs or nerve root compression. The goal of cervical traction is to relieve pressure on the spinal structures, which can help reduce pain, improve mobility, and promote healing. However, determining the appropriate amount of weight for traction is crucial to ensure safety and effectiveness.

In general, the recommended starting weight for cervical traction is about 1/7 of a person's body weight, with a maximum of around 1/4 of the body weight. For someone weighing 49 kg (approximately 108 lbs), this would translate to a starting weight of about 7 kg (15 lbs) and a maximum of around 12 kg (26 lbs). However, individual tolerance and specific symptoms play a significant role in determining the appropriate weight for traction.

In your case, you mentioned that your therapist initially set the traction weight to 12 kg, which caused discomfort. It is essential to listen to your body and communicate any discomfort to your therapist. If you feel uncomfortable at a certain weight, it is advisable to reduce the weight to a level that feels more tolerable. Staying at 11 kg, as you have been doing, seems to be a reasonable approach, especially if it does not cause significant discomfort.

The discomfort you experienced at higher weights could be due to several factors, including muscle tension, underlying cervical spine issues, or even anxiety about the treatment. It is not uncommon for patients to feel some discomfort during traction, but it should not be painful. If you experience pain, it is crucial to inform your therapist immediately so they can adjust the treatment accordingly.

Cervical traction can also have varying effects on individuals with different conditions. For example, patients with conditions like temporomandibular joint (TMJ) disorders may find that traction exacerbates their symptoms due to the interconnectedness of the cervical spine and jaw. Similarly, if there is significant muscle tightness or spasms in the neck, traction may initially cause discomfort as the muscles adjust to the stretching.

In your situation, it is essential to monitor how your body responds to the traction treatment. If you continue to feel discomfort or if your symptoms worsen, it may be beneficial to reassess your treatment plan with your therapist or physician. They may suggest alternative therapies, such as physical therapy, massage, or exercises to strengthen the neck muscles, which can complement the effects of traction.

Additionally, consider incorporating relaxation techniques or gentle stretching exercises into your routine to help alleviate muscle tension. Heat therapy, such as warm compresses or heating pads, can also be beneficial in relaxing tight muscles before traction sessions.

In summary, the appropriate weight for cervical traction varies based on individual tolerance and specific conditions. Starting with a weight that is approximately 1/7 of your body weight and adjusting according to your comfort level is a good practice. Always communicate with your therapist about any discomfort you experience during treatment, and consider complementary therapies to enhance your recovery. Your safety and comfort should always be the priority in any therapeutic intervention.

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