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The results of this study demonstrated that the real-time effects of continuous traction on herniated lumbar inter-vertebral disks and their surrounding structures can be visualized by using MR imaging.
If pains are less than 3 months, and there is no neurological progression, then neck traction using the correct flexion angle shows benefit. At least 3 sessions a week for 4 weeks.
Using exercise therapy, cold-packs, massage and specific gentle joint manipulation for 3 sessions a week over 4 weeks, shows benefit.
This paper evaluates a range of research articles to try and find the most accurate tests we can do in clinic to diagnose. It highlights how difficult our task is! There is a lot of uncertainty, trail and error and patience needed. We appreciate patients want very specific answers - but excellent quality medicine rarely works that way.
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