Pain Management. A practical Guide for Clinicians. Chapter 20: New Concepts in Back Pain Management: Decompression, Reduction, and Stabilization - Back Pain Research

Pain Management. A practical Guide for Clinicians. Chapter 20: New Concepts in Back Pain Management: Decompression, Reduction, and Stabilization
C Norman Shealy, M.D.,Ph.D.,F.A.C.S. Pierre L.LeRoy, M.D.,F.A.C.S.
St. Lucie Press - Boca Raton, Florida

ABSTRACT
A thorough evaluation 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. 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 nonslippage of the pelvic restraining belt; (5) comfort and nonslippage 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.

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