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Traction is offered as a non-surgical method of spinal decompression. [4] A 2021 meta-analysis showed physiotherapy was an effective method of managing prolapsed lumbar intervertebral discs; [5] but was unable to establish the source of the pain relief reported.
A review of non-surgical spinal decompression found shortcomings in most published studies and concluded that there was only "very limited evidence in the scientific literature to support the effectiveness of non-surgical spinal decompression therapy". [59] Its use and marketing have been very controversial. [60]
Identifying the level of entrapment is an important consideration for surgery as decompressing the wrong area will lead to a failed surgery (e.g. performing back surgery for extra-spinal sciatica), [2] [3] failure to treat nerve entrapment early can lead to permanent nerve injury, [4] and the patient may be unnecessarily exposed to surgical ...
Spinal traction as a means of spinal decompression is often applied without directly touching bones as other methods of traction do. This is sometimes isolated inside-out by inflatable girdles or use of the transversus abdominis muscle. It is also done in conjunction with thigh-supported flexed-hip traction (inversion chairs, back ...
Surgery is generally reserved for patients whose symptoms do not improve with nonsurgical treatments, and the main objective of surgery is to relieve pressure on the spinal nerve roots and recover normal mobility and quality of life. [10] Lower spinal decompression is considered the mainstay of surgical treatment. [2]
Surgery is currently used to provide stability to the injured spinal column or to relieve pressure from the spinal cord. [1] [6] How soon after injury to perform decompressive surgery is a controversial topic, and it has been difficult to prove that earlier surgery provides better outcomes in human trials. [1]
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Nerve compression syndrome, or compression neuropathy, or nerve entrapment syndrome, is a medical condition caused by chronic, direct pressure on a peripheral nerve. [1] It is known colloquially as a trapped nerve, though this may also refer to nerve root compression (by a herniated disc, for example).
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