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Traction: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Back pain that occurs because of certain disorders that affect the back or spine can be categorised as compressive and/or mechanical. A compressive pain is mainly because of a compressed nerve root like that in Sciatica and a mechanical pain roots from an injury affecting muscles, ligaments, discs and joints. Traction is the most common treatment for skeletal, muscle and spinal pain. It is the procedure of applying a typical force, manually or mechanically, to a particular spinal segment to relieve pressure on the neuro-musculoskeletal system and the spine. The procedure can be done also at home but prior to that, it must be practised in a safe and monitored environment like that of a physiotherapists’. The traction is mostly used to treat sciatica, pinched nerves, herniated discs, degenerative disc diseases and other spinal conditions. The manual or mechanical force can be chosen depending upon the force that would be required for a particular condition. Traction is helpful in reducing the persistent pressure on the skeleton and certain muscles on the back due to any injury or disease or even from daily activities. A mechanical traction is applied using a traction table and the procedure is called auto-traction. Every patient must be evaluated for the particular type of therapy that they require based on the severity of their pain. Based on the evaluation the therapist would decide the traction type to be applied, the weight of the distraction to be used and the treatment duration. As the severe back pain causes patient to be more sedentary and restricts his activities, the motive of traction must be to make the patient more functional, without, of course, causing any further pain or injury. So, the treatment is started initially with using light weight during the distraction which is increased gradually.

How is the treatment done?

The treatment actually involves stretching the spine that takes the pressure off from the compressed discs in case of spinal traction. Spinal traction also called cervical traction is relieves the pressure on the nerve roots of the spine. In manual traction, a gentle traction or tension and pressure is administered on the head and limbs of the patient to give a pull on the skeleton and muscles. Also, sometimes the patient’s own weight can be used to apply an additional traction called inversion therapy. A mechanical traction with the help of a traction table that consists of several tools and is controlled with computer is used to provide a complex spinal traction to the required patient. These traction tables administer intermittent and continuous tension with a combination of massage, heat and vibration. Mechanical traction has been proved beneficial in some cases over manual traction because it can be used at home also with appropriate traction equipment and proper training from the doctor. So, in this type of traction method, the patient is made to wear a harness that has two rings that supports the patient. In auto-traction, the patient himself applies a traction weight by either pushing with the feet or by pulling with the arms.

Who is eligible for the treatment? (When is the treatment done?)

The treatment can be given to patients with sciatica, slipped discs, degenerative disc diseases, pinched nerves, facet disease, herniated discs, bone spurs, bulged or protruded discs, spinal arthritis, spondylosis and foramina stenosis.

Who is not eligible for the treatment?

Patients who have certain complications like tumour in the spine, osteoporosis, cervical rheumatoid arthritis or an infection, or pregnant women, people with hernia and cardiovascular diseases are not eligible for the traction treatment.

Are there any side effects?

Although there aren’t any long term risks associated with spinal traction but certain short term side effects may occur like muscle spasms and pain which could be worse than the one before receiving traction. Some patients may experience a shooting pain down the limbs after a traction treatment. Everybody with a severe back ache cannot opt for traction treatment because of the side effects that are caused after the treatment. So, it is the physician who has to decide whether such a treatment is required by a patient or not. The stretch during the traction can cause these side effects and are normally expected by the physician.

What are the post-treatment guidelines?

Traction therapy significantly improves the patient’s movement and activities. Even then, after the therapy, it is advisable to carry on with light exercise and walking which should be continued throughout their life. There is normally no such restrictions in food intake since only includes the treatment of the structure. In cases where the patients acquire side effects like excess pain after or during the therapy must not panic as the pain subsides on its own or may be reduced with the help of a pain killer.

How long does it take to recover?

Patients may require just two sessions of therapy to be beneficial but in case the pain progresses, 6-10 sessions would be sufficient to heal it completely, but some patients may require therapy all through their life.

What is the price of the treatment in India?

The cost of traction therapy can start from somewhere around Rs. 300 and can go upto Rs. 2000 depending upon the severity of the pain and the price includes consultation and the therapy as well.

Are the results of the treatment permanent?

The results are permanent in a few cases but in other it may not be and the patient may require therapy throughout their life.

What are the alternatives to the treatment?

Usually there is no such alternative to the traction treatment because its severityis the factor that draws in treatment for the pain and other related conditions. but, in some cases it may be managed with regular exercises and yogasanas.

Popular Questions & Answers

Sir/ madam I am sekhar. I have dysthymia, anxiety disorder, moderate mania, l5-s1, slipped disc, urge incontinence (overactivebladder) chronic fatigue syndrome. Last 18 years I tired so many medicines 3 months due to I discontinued medicines. I am severe lazy and very severe procrastinate. Last 6 months back psychiatrist gave me tab duloxetine20 mg, tab olanzapine 5 mg, divalproex sodium500. For 20 days. I take these medicines now. Due to corona situation I don't want to consult psychiatrist. How continue and increase dosages. I am a pharmacist. Age 40 years. Can I take lamictal instead of divalproex sodium. Quetiapine or olanzapine which is the beat for me.

MBBS Bachelor of Medicine and Bachelor of Surgery, Post Graduate Diploma in Mental Health (PGDMH), Diploma in Clinical Psychiatry, (DCP), Member of College of Psychiatrists,Ireland, (MCPsychI), Master of Psychiatry - MPSY
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Dear sekhar, what are your current dosages of psychotropics and the clear indication of each? What are your current active symptoms, though it is understandable that you have bipolar disorder but what type, I don’t know yet. As being a pharmacis...

My free t4 comes in low while my tsh is normal. The initial set of antibody tests have all come back normal as well. I maintain a diet of 1300 calories or less each day, I swim for an hour, I get on the elliptical for 30- 40 min. I’m average on activity but very careful to stay away from carbs yet when I implemented the hour of pool time, while thinking I would lose weight, instead I gained 9 pounds in approximately 2 weeks. I have 3 nodules under 1 cm on my thyroid. My endocrinologist took the first set of labs and said to get off my biotin for 2 weeks so she could retest. Apparently the free t4 was slightly higher but still low and not within normal range. My 2 cousins have thyroid issues and one needed to have her thyroid partially removed. I think something isn’t right but, the Dr. said she will check back in with me in 6 months to see how my nodules are doing. She blames the labs being off a possible lab discrepancy on the ranges. I had a blood test before that at my ob where my free t4 was also showing low. She advised this would be reviewed for trends, but I feel like nothing really will be done. My cousin who has hypothyroid said to make a list of all my oddities and things i’ve noticed. Here it is. Any guesses at what may be wrong beside the fact i’m overweight but have no appetite? I feel like she looks at me now and does’t realize at all what I was like and how suddenly this came about. Any suggestions? I’m at a lose and with the fatigue and countless other issues, I just don’t know what do do or who may actually take the time to help. - [ ] high cholesterol even when I was 100 lbs (since teens) - [ ] always cold - very hard to get warm - [ ] recurrent sinus infections - [ ] fatigue that does’t go away regardless of any amount of sleep I have - [ ] joint pain - [ ] get really sick with colds - [ ] unexplained knee swelling and pain - crutches for a month (6 years ago - xray showed no issue) - [ ] insomnia (about 7 years) - [ ] after accident 7 years ago thyroid comment - appeared large in x-ray - had a Dr. ever mentioned? - [ ] swine flu - [ ] vitamin d deficiency (until recently) - [ ] anemic (until recently) - [ ] brittle nails - won’t grow - [ ] dry skin - [ ] feel puffy around face and eyes usually. - [ ] no appetite - [ ] always feel need to swallow and it’s gotten worse the last couple weeks - [ ] hand tingles - [ ] aches in muscles - [ ] foot cramps - [ ] after prednisone (post swine flu) - unexplained pain like fire shooting up my calves making it unbearable to walk for almost 6 months. Had to use scooter at stores. Told it was water retention - edema calves, feet, arms, face. - [ ] sudden weight gain after this incident. From a size 0 to where I am in 2-3 months. No matter what I do - it will not come off. I popped back from both pregnancies immediately. - [ ] seldom but sudden feeling of deflation - coolness around face (i feel good sometimes) I felt this after a round of corticosteroid shot briefly - [ ] tennis elbow - Dr. said prob water retention - [ ] Dr. zag referred me to psychiatrist for depression/ psyc felt it was add - [ ] no weight loss staying at 1300 cals (approx 2-3 years) - [ ] neck pain - feels swollen from front - [ ] hoarse voice often - [ ] tightness with swallowing - no other cold related symptoms - [ ] recurrent urticaria with fever - one Dr. said it was a man of war bite, another sunburn that I rubbed lemon on, another allergies 2-3 years - [ ] heavy periods over 2-3 years constant spotting / this ended with natazia (started last month) gyn recommenced ablation - [ ] advised by Dr. zag blood test results showed “borderline lupus” - [ ] 3 cousins say they have hypothyroid. One briefly mentioned an operation to one side - [ ] 2 of 5 aunts on mother’s side have thyroid issues. No specifics. - [ ] dad had lyphodema - [ ] rarely have an appetite - [ ] keto didn’t help with weight but helps somewhat with the inflammatory feeling - [ ] even killing myself with exercise makes no difference - [ ] I can juice for a week without losing weight - [ ] constipation - [ ] major pain in shoulders - I do weights, stretches, and have done the physical therapy I did after accident and it’s only gotten worse - [ ] fast weight gain initially - [ ] sudden weight gain over the past couple weeks of 5 pounds despite adding another hour to my workout which is now an hour and 45 minutes - [ ] sudden onset of snoring (feel no more fatigued than the usual) - [ ] waking up early for no reason.

MBBS, MD Internal Medicine, PhD (Endocrinology), FRCP(Edin)
Endocrinologist, Vellore
Dear lybrate-user, going through your very complex list of symptoms, it appears to me that you may only have obesity and may be situational depression along with vitamin d and calcium deficiency. I suggest that you go ona strict paleo diet complet...

Sir I am having vomiting and dizziness since past week. Weakness was from starting when I started this from 2015 and headaches also occurring. But weakness has increased and fatigue is also occurring. My daily life activities are getting distributed. Can't exercise properly and unable to do my study. What to do?

MS - Obstetrics and Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Shimla
I am sorry to hear about your concern but will be happy to assist you. Inner ear problems, which can cause a loss of balance, resulting in dizziness and vomiting. Heart conditions, such as a heart attack or stroke. Internal bleeding, which can res...

Is castord oil best ?to take relif from tight foreskin (para phimosis) plzz tell me yaa mujhe ayurveda se oil lena hoga yaa koe oil btaiye jisse mujhe relif mil jaye mai iss chij se depressed feel kr rha hu.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Hello- Castor oil won't help. It does not have any property to restore foreskin functioning. Traditionally medicine of ayurveda offers conservative treatment of phimosis. It is worth noting that in recent years, medicine has made great progress in...

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