Which option best describes the starting lumbar traction force?

• A. Begin with a 60–80 lb load and adjust based on tolerance
• B. Apply no traction in the lumbar region
• C. Start with a light force (30–45 lb) and adjust based on tolerance and symptoms; progress gradually
• D. Use 90–120 lb for initial traction

Answer: (C)

Starting lumbar traction should be gentle and based on how the patient tolerates it, then increased gradually as symptoms allow. A typical starting force is about 30–45 pounds, which provides enough load to create separation and unloading of structures without overwhelming tissues. This cautious approach helps minimize nerve irritation, muscle guarding, or worsening symptoms while you gauge how the patient responds. If symptoms remain tolerable or improve, the force can be increased in small increments on subsequent sessions. Using a higher initial load risks aggravating pain or radicular symptoms and may make traction less effective or tolerable. Therefore, begin with a light force and progress gradually; applying no traction would defeat the purpose of the modality, and starting with very high loads is not safe without prior tolerance.