Effect of spinal traction with oxygen therapy in patients with lumbar disc problems.

Treatment was given for 2 weeks with 4 number of session (2 sessions a week). The treatment was given by a team of Physiotherapist. The sequence of treatment session was given as below: 1. Transcutaneous electric nerve stimulation was applied in prone lying position on treatment table. Four electrodes were placed at lower back region at the site of pain parallel to lumbar spine. TENS applied with 4 electrodes and maximum output supplied with 200 Hz for 10 minutes. Intensity of both channels is adjustable from level one to level nine. Intensity was set according to patient comfort 2. WHF-312 infrared lamp model was used for Infrared therapy, applied in continuous mode for 10 minutes. Intensity and height of lamp was adjusted according to patient comfort. 3. Treadmill walk was done by patient for 10 minutes at comfortable pace before decompression therapy and it was use to assess the patient capability to walk for how many minutes without pain and numbness. 4. Neuro-oxy motorized lumbar spinal decompression therapy with Oxygen therapy was applied with a session of 25 minutes. An adjustable specialized form of split table was used to decompress the spine by pulling the vertebrae apart. Patient was lying in spine position pelvic and thoracic harness fasten for stabilization. Split table has a fixed and (lower end) moveable part. Lumbar spine was placed between the fix and moveable part of split table. A wedge was placed under patient knees. Decompression was applied at the level of disc bulge confirmed by MRI. Legacy 6 was applied which is most relaxing as it has 30 seconds hold and 20 seconds relax time. Nasal canola was used for oxygen treatment and 4 liters per minute of oxygen was delivered to patient during decompression. 5. Shortwave diathermy applied at lumbar region in prone position for 10 minutes. Pulse width was adjusted at 200-400 µs and pulse rate 400-800 pulse per second. Intensity was adjusted according to patient comfort level.