I. What is cervical traction
Cervical traction is the main symptom relief method for cervical spondylosis. There are many functions of cervical traction, it can relieve the compression of nerves, blood vessels, and spinal cord, and quickly relieve the symptoms of cervical spondylosis. Specifically, cervical traction is mainly to relieve neck muscle spasm, relieve pain symptoms, enlarge the intervertebral space and intervertebral foramen, and is conducive to the reset of the protruded nucleus pulposus and annulus fibrosus tissue, and relieve and relieve nerve root compression and irritation. Promote the absorption of nerve root edema, relieve the compression of the vertebral artery, promote blood circulation, help local congestion, swelling and hyperplasia to subside, loosen the adhesion of the joint capsule, improve and restore the uncinate joint, adjust facet joint dislocation and spondylolisthesis, adjust and Restore the internal and external balance of the damaged cervical spine and restore the normal function of the cervical spine.
Second, Cervical tractionmethod
1. Traction angle: Generally speaking, cervical traction Lean forward about 10°-30° from the longitudinal axis of the trunk (upper neck, middle neck, and lower neck) to avoid hyperextension (except for intervertebral disc herniation).
2. Traction (strength) weight: in principle, it is appropriate for the patient to endure. According to different ages, choose different traction weights (ranging from 2kg to 30kg).
3. Traction time: Generally, traction is performed 1-2 times a day, and each traction is about 30 minutes, which should be determined according to the patient’s physique.
4. Traction method: generally use sitting intermittent traction, and usually use horizontal intermittent traction for the elderly and infirm.
The traction weight can be started from 3-4 kg, depending on age, physical strength, neck muscle development, and the patient’s response to traction therapy, etc. Appropriately increase the traction weight and prolong the traction time, and the cervical traction device can be used. Adjust the weight according to actual needs. Course of treatment: 7 days of light weight traction is a course of treatment. Rest for 1-2 days between treatments. At the same time as the traction treatment, other treatments can also be combined, whichever does not harm the body.
Three, What is the principle of cervical spine traction device
1. Limiting cervical spine activities, there are Conducive to tissue congestion, edema subsides.
2. Relieve neck muscle spasms, thereby reducing the pressure on the intervertebral disc.
3. Enlarge the intervertebral space and intervertebral foramen, so that the irritation and compression of the nerve root can be alleviated, and the adhesion between the nerve root and the surrounding tissue may also be released.
4. It can buffer the pressure of the intervertebral disc tissue to the peripheral edge, and has the power to reduce the swelling of the annulus fibrosus tissue that has protruded outward.
5. Extend the vertebral artery twisted between the transverse foramen.
6. Traction the incarcerated facet joint synovium.
Four. Precautions for the use of cervical traction devices
For cervical traction at home, it is necessary to Master the sequence of cervical traction, the strength of traction, and make preparations before traction. When the gear self-locking retractor is used for traction, the traction force can be adjusted at any time. At the end of the traction, if the rope of the reset lever is pulled, the self-locking of the gear will be invalid instantly, the traction force will disappear suddenly, and there will be discomfort in the neck. The more comfortable method is for the patient to stand up on the chair, so that the traction force is gradually weakened.
The chin strap should be soft and have good breathability. When the traditional device is used for traction, the fixing of the traction frame should be reliable, and the traction rope should be strong and wear-resistant. The traction weight is about 30cm away from the ground, and the weight can fall on the ground when the patient is standing. The traction weight starts from 4kg and gradually increases to about 10kg. Daily traction time is 20 to 40 minutes, 10 times as a course of treatment. Depending on the condition, traction can be continued for 2 to 3 courses of treatment. Traction is effective when symptoms ease with treatment. When the symptoms basically disappear, it is necessary to insist on traction for a period of time to consolidate the curative effect.
V.Cervical tractionApplicable and contraindicated groups
Cervical tractionApplicable people
Mild cervical spondylosis, cervical disc herniation, changes in the physiological curvature of the cervical spine, over 18 years old (too young and not fully developed bones), no Severe osteoporosis, vertebral artery stenosis.
Cervical tractionContraindications
1. Patients with cervical spondylosis with severe cardiovascular and cerebrovascular diseases.
2. Patients with severe cervical degenerative changes and bone bridge formation.
3. Patients with cervical spinal canal bony stenosis more than 1/2.
4. Patients with severe osteoporosis and vertebral artery stenosis.
5. Teenagers under the age of 18.
6. Patients with cervical spine fractures and spondylolisthesis.
7. Sympathetic cervical spondylosis.
8. Cervical spondylosis of vertebral artery type.
9. Spinal stenosis.
10. Dislocation of the atlantoaxial joint.
11. Cervical spondylosis.
12, cervical spondylolisthesis.
