Full Title: New Concepts in Back Pain Management: Decompression, Reduction, and Stabilization
Authors: Shealy-LeRoy MD
Affiliation: Duke University-Harvard Fellow
Publication: Pain Management, A Practical Guide for Clinicians
Abstract: A thorough evaluation [review] of previous traction techniques reveals no consistent pattern in prior literature. We have evaluated a variety of devices and found that seven major factors are important in achieving optimal clinical results [in back pain management]. These include: (1) split table design to minimize effects of gravity; (2) flexion of the knees for hip relaxation; (3) controlled flexion of the lumbar spine during treatment which alters the location of distraction segmentally; (4) comfort and non-slippage of the pelvic restraining belt, (5) comfort and non-slippage of the chest restraint; (6) concomitant use of TENS, heat, ice, and myofascial release; and (7) a graduated limbering, strengthening, and stabilization exercise program. Using this system, successful pain control was achieved in 86% of patients studied with ruptured intervertebral discs and 75% of those with facet arthrosis.