Do not undergo lumbar traction, risk of traction; facts that pain doctors should know about

[@harrisgvm]

5:26 Knee traction good or bad

[@practicalpainmanagementwit8115]

Do you mean manual traction with gliding? Gentle manual traction with gliding would be benificial to relieve pain.

[@wa4aos]

Have you considered variations in traction techniques? I am a 67 male with severe stenosis at L4,5. I am NOT interested in having a fusion or laminectomy/decompression. I bought an inversion table 4 years ago and with mild traction at ~20° for ~ 5 min/day, my pain has lessened to the point, my life quality has improved. I suspect more extreme traction for longer periods of time may be what you have observed. Perhaps there is a balance where mild traction is beneficial; it has been to me. Any suggestions are appreciated.

[@practicalpainmanagementwit8115]

thank you for your comment

[@EricMark]

Thanks for your clear teaching.

[@practicalpainmanagementwit8115]

thank you

[@hollya3339]

Thank you for the explanation. What if there is just a mild fissure in a disc, is Traction also dangerous?

[@practicalpainmanagementwit8115]

t depends on the condition. If the disc is dehydrated with fissures, traction may not cause problems. However, a fresh nucleus pulposus with an annular tear could potentially worsen after traction.

[@briceispro3689]

@@practicalpainmanagementwit8115 but as what you are telling us is that that in the reality the whole video is based on your personal experience no real data or else? this is not than a real research based video but your perception. i don"t think it has a value as a video

[@tasos9460]

Great video and even better expanation , can you provide as with articles supporting the enlargement of herniation after traction therapy?

[@practicalpainmanagementwit8115]

It is a difficult issue, as it can be challenging to find information on this topic in published literature. However, based on my observations, I have witnessed cases where patients experienced worsening pain after undergoing certain procedures. I have personally experienced difficulty rising after manual traction for discogenic pain in the past.

[@briceispro3689]

@@practicalpainmanagementwit8115 in this work it is not normal to create ideas and topics based on personal bias. i think that it is better doing traction than doing corticosteroids or else with more troubles in the future

[@blarpieman]

What is the solution then can you please elaborate for disc injuries and back pain.

[@practicalpainmanagementwit8115]

The most important thing is to let them realize the altered biomechanics, such as poor working posture. I do intra-discal 50% dextrose and Botox with or without a low dose of steroids.

[@blarpieman]

@@practicalpainmanagementwit8115 You can push that solution right into the disc? Does this reinflate the disc or heal the disc itself and add integrity. Sorry to ask so many questions.

[@practicalpainmanagementwit8115]

@@blarpieman Minimize the volume not to expand the nucleus purpose or propulsion.

[@arrepuess]

Hello Doctor. Do the discs heal after a tear? How long does it take if so?

[@practicalpainmanagementwit8115]

Life is a one-way pass. It can not return but take a regenerative process or cellular apoptosis.

[@arrepuess]

@@practicalpainmanagementwit8115 i get it. However m,many can get better for years or indefinitely if they take correct posture and spine hygiene?

[@supermushroom3175]

@@practicalpainmanagementwit8115 was that a yes? :(

[@darylhill9400]

@@arrepuess Individuals Heal There spines every day! Why would anyone think that herniations and other back issues would not heal

[@phoenixregen7744]

Great video! Could you please share the articles that you referenced in this video?

[@practicalpainmanagementwit8115]

please put the some words that I showed at the video to the pubmed.

[@phoenixregen7744]

@@practicalpainmanagementwit8115 done and done. amazing videos Dr Lee.

[@live12617]

Hello, doctor i have loss of cervical lordosis will electro traction will help me

[@live12617]

I have loss of cervical lordosis

[@practicalpainmanagementwit8115]

No, cervical traction could not return to normal lordosis. The only way to return is to make a good posture, straighten your back and chin in, and perform an isometric exercise.

[@live12617]

@@practicalpainmanagementwit8115 doctor i also have disc bulge in c3 and c4 , then also i shouldn't take electro traction. Please suggest me . Thank you God bless u

[@karthikpandian4991]

May we decide, traction treatment is not good for disc bulge and avoid that sir?

[@practicalpainmanagementwit8115]

Yes, it is like a scraching in the dermatitis.