Hi,
Have you tried a trial of mechanical assessment and therapy useing the
McKenzie method.
It is a quick and effective way of deciding if a patient will respond to
therapy. It also gives the patient
responsibility for their problem, not reliant on someone else to fix it for
them.
Ref: Donelson, Aprill, Metcalf, " A prospective study of centralization of
lumbar and referred pain - a predictor of symptomatic discs
and anular competence". Spine Vol 22 No. 10,1115-1122, 1997.
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> From: [log in to unmask]
> To: [log in to unmask]
> Subject: Mechanical Lumbar Traction
> Date: 09 December 1998 22:10
>
> In a message dated 12/9/98, [log in to unmask] writes:
>
> >How much force is a safe starting point for administering mechanical
lumbar
> traction (prone, supine, unilateral)?
>
> Do you select the force based on patients body mass; characteristics
such as
> body type, patients percieved tolerance, gender, symptomology - or
utilize
> other criteria?
>
> ***First of all, it is a good idea to establish if traction is the best
course
> of action, since the location of any herniation or swelling relative to
the
> spinal nerves will determine whether or not the traction will exacerbate
the
> pressure and strain exerted on the nerves or other soft tissues. Only
then
> can we start to tak about magnitude, pattern and duration of tractional
force
> (e.g. see Calliett "Low Back Pain Syndrome" for more information on this
> issue).
>
> Dr Mel C Siff
> Littleton, CO, USA
> [log in to unmask]
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