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Contraindications To Extension Traction








        • Patients with pathological lesions or congenital deformities of the                          • Patients with joint instability, hypermobility or spinal fracture
           vertebral column that disrupt the integrity and stability of the                            • Patients with severe osteoporosis
           vertebral and ligament structures                                                           • Patients with severe cardiovascular disease, vascular compromise,
        • Neoplasm, spinal tumors; both metastasis and primary                                            aortic aneurysm or severe respiratory disease
        • Spina bifida or pars defect.                                                                 • Patients where movement is contraindicated

        • Rheumatoid arthritis                                                                         • Patients with acute sprains, strains or inflammation that could be
        • Spinal cord compression                                                                         aggravated by traction
        • Malignancy                                                                                   • Stop traction if there is an increase in radiated pain to the
        • Patients with notable posterior spurring of their cervical vertebra                             extremities (radicular pain)
        • Patients with spondylolisthesis Grade 2 or greater                                           • Patients with large posterior disc bulges or herniations

        • Patients with connective tissue disease; i.e. Scleroderma                                    • Patients with cervical spinal stenosis
        • Post-surgical patients who have had spinal surgery and healing of                            • Patients with cervical vascular compromise
           tissue is still required.  (The period of time post spinal surgery will                     • Patients with acute sprain, strain and/or inflammation of the
           very between 6 months to a year)                                                               cervical joints
        • Pregnancy                                                                                    • Patients with internal spinal fixation hardware
        • Patients with any other conditions that may be made worse by                                 • Relative Contraindications (require special monitoring or should be

           distraction of the spine                                                                       avoided):
        • Patients with structural disease due to tumors or infection                                          • Hiatal hernia
           (e.g.,osteomyelitis, spinal caries, and ankylosing spondylitis)                                     • Claustrophobia





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