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How to Perform Traction for Neck and Arm Pain

Dr. Z • Aug 17, 2020

Traction for Neck and Arm Pain

Traction for neck and arm pain is a common therapy most physical therapists use every day. That's because sometimes the problem of pain in the arm to your fingertips may not originate in your neck -- and not in your arm at all. 


A good proportion of people suffering from arm and hand pain think they have carpal tunnel symptoms. Those symptoms  are hand, wrist or finger pain, numbness tingling and weakness.


But cervical (neck) radiculopathy can cause these identical symptoms. So how do you tell the difference?


First, you can check yourself for carpal tunnel syndrome with specific self-tests. These self-tests will not be positive if you have cervical radiculopathy.


nerve pain

What is cervical radiculopathy?

Cervical radiculopathy is also called a "pinched nerve" in the neck. The most common cause of cervical radiculopathy is a narrowing of the passageway where nerves exit the spine. This can happen due to abnormal bone accumulation, bone spurs, or a herniated disc among or other causes.


The neck and arm pain due to cervical radiculopathy can result from an unknown pathology. But it can also result from specific behavioral factors. For example, those who stand for hours at a time or sit at a computer are the most likely to suffer. 


In the general population, cervical radiculopathy most often comes about due to poor sitting or standing posture. In fact, any worker who maintains a constantly forward-tilted head (like on an assembly line) can suffer with cervical radiculopathy. Simple preventative measures can avoid this condition (including carpal tunnel syndrome).

Why use neck traction for neck and arm pain?

Doctors use neck traction for neck and arm pain when cervical radiculopathy is suspected. In fact, it's very common for therapists to begin treatment with neck traction.


Neck traction pulls the vertebral bones apart rather than compressing them. This takes the pressure off the pinched nerve. As a result, it's not unusual to see neck and arm pain relieved instantly when traction is applied. 


Many doctors and therapists confuse cervical radiculopathy symptoms with carpal tunnel syndrome symptoms. The common factor in both of these conditions is that the symptoms are not in the region where the pain actually seems to be. In other words, even though the painful symptoms are "downstream":

 

  • The pinched nerve in cervical radiculopathy occurs in the neck.
  • The crushed nerve in carpal tunnel syndrome occurs in the wrist.
hand pain

As a result of poor sitting or standing posture, many people create musculoskeletal stress problems in their neck and shoulders. Actually, a more severe disturbance can produce so much pressure in that area that it causes a condition known as thoracic outlet syndrome. Its symptoms are similar to both cervical radiculopathy and carpal tunnel syndrome.


When a therapist rules out carpal tunnel syndrome and thoracic outlet syndrome, the likely reason for pain is cervical radiculopathy. And this is when neck traction is used. Today, traction for neck and arm pain due to radiculopathy is one of the few medical therapies that can bring almost instant pain relief. 

How to perform neck traction for neck and arm pain

You will need a helper in order to properly perform at-home traction for neck and arm pain. Don’t allow your helper to EVER force your neck in any direction or produce fast motions or jerks in your neck.


Also, you will need a quiet room that has a smooth floor. A kitchen floor is usually best.

neck traction at home

What you’ll need

  1. A willing partner
  2. A smooth surface like a kitchen floor
  3. One large towel or blanket to lie on
  4. Two lightweight towels, each approximately 2 feet long
  5. Heavy cord or rope, approximately 4 feet long to anchor your feet
neck traction

Procedure

 

  1. Find a place on the floor where you can anchor the rope to your feet. This is your anchor point. Usually, you can use the post between two kitchen cabinet doors or drawers.
  2. Lay the blanket down in this area. You will lie on it. It should let you slide on the smooth floor.
  3. Loop one towel around your ankles and tie the rope to the towel. The towel will cushion your feet and ankles. Then tie the rope to the anchor point.
  4. Tie the other towel around your neck, loosely, like a scarf.
  5. Lie back on the blanket, facing up. Make sure your feet pull tight on the anchor point.
  6. With your partner NOT on the blanket, have them grasp the left and right side of the neck towel and pull slowly and gently backward. You must relax and be completely limp while they maintain a steady pulling force. Do not bend your head forward or backward. Your partner should be able to pull you away from the anchor point. You and the blanket will slide a little on the floor
  7. Use only enough pulling force as is comfortable. Note: doing neck traction like this should never hurt. Stop if it does.
  8. Keep the pulling force steady for 3-4 minutes. Relax for one minute and repeat 4-5 times.
  9. Most people with cervical radiculopathy see symptoms resolve almost instantly. Whether they do or not, you should still perform this neck traction for neck and arm pain twice daily for about 5 days for best results.
carpal tunnel surgery

Your results

If you were successful in using neck traction for neck and arm pain relief then the cause was probably due to cervical radiculopathy. And most likely, the radiculopathy resulted from how you sit or stand and hold your head, neck, shoulders and back. Since poor posture is a leading cause of neck and arm pain, you should take measures to correct your posture in the workplace.


Finally, if your symptoms persist then you may have a more serious condition like carpal tunnel syndrome or thoracic outlet syndrome. But don’t worry because there are highly successful ways to treat both of those disorders. In fact, the best treatments for either of them don’t even involve surgery.

Conclusion

In some cases you can use traction for neck and arm pain to successfully relieve symptoms. Such symptoms may result from cervical radiculopathy. And the most common reason for radiculopathy is poor posture. Poor posture produces abnormal stresses in your neck and shoulders. Cervical radiculopathy symptoms are similar to carpal tunnel syndrome and thoracic outlet syndrome.

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