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Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...

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Related Experiment Video

Updated: May 8, 2026

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
04:42

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

Published on: June 26, 2018

Traction for low-back pain with or without sciatica.

Inge Wegner1, Indah S Widyahening, Maurits W van Tulder

  • 1Department of Otorhinolaryngology - Head and Neck Surgery; G05.129, University Medical Center Utrecht, Heidelberglaan 100, Utrecht, Netherlands, 3584 CX.

The Cochrane Database of Systematic Reviews
|August 21, 2013
PubMed
Summary
This summary is machine-generated.

Traction offers little to no benefit for low-back pain (LBP), whether used alone or with other therapies. Current evidence suggests it does not significantly improve pain, function, or return to work, making its use difficult to justify.

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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Published on: December 13, 2024

Area of Science:

  • Orthopedics and Sports Medicine
  • Physical Therapy and Rehabilitation
  • Evidence-Based Medicine

Background:

  • Traction has been a common treatment for low-back pain (LBP), often combined with other interventions.
  • This review encompasses both manual and machine-delivered traction methods.
  • It serves as an update to a previous Cochrane review first published in 1995.

Purpose of the Study:

  • To evaluate the effectiveness of traction compared to placebo, sham traction, other treatments, and no treatment for individuals with LBP.
  • To assess traction's impact on pain intensity, functional status, global improvement, and return to work.
  • To analyze adverse effects associated with traction therapy for LBP.

Main Methods:

  • Conducted a systematic review of randomized controlled trials (RCTs) identified through extensive database searches (Cochrane, MEDLINE, EMBASE, CINAHL) up to August 2012.
  • Included RCTs focusing on acute, subacute, and chronic non-specific LBP, with or without sciatica.
  • Performed independent study selection, risk of bias assessment, and data extraction by two reviewers; descriptive analysis was used due to insufficient data for pooling.

Main Results:

  • 32 RCTs with 2762 participants were included; 16 trials had a low risk of bias.
  • Low- to moderate-quality evidence suggests traction provides little to no difference in pain or function for mixed LBP patterns compared to placebo, sham, or no treatment.
  • For LBP with sciatica, traction showed no probable impact on pain or function. For chronic LBP without sciatica, moderate evidence indicated little difference in pain intensity compared to sham treatment.
  • Adverse effects were reported in seven studies, including increased pain and neurological issues; four studies reported no adverse effects.

Conclusions:

  • Traction, alone or combined with other treatments, demonstrates minimal to no significant impact on pain, function, or return to work for LBP patients.
  • The existing evidence is limited by small sample sizes and moderate to high risk of bias, with observed effects being clinically insignificant.
  • The current evidence does not support the use of traction for non-specific LBP, and further large, high-quality studies are unlikely to alter this conclusion significantly.