Bernard Judovich

Traction therapy, a study of resistance forces: Preliminary report on a new method of lumbar traction

Abstract Physical evidence is presented to show that conventional hanging weight traction to the spine by means of head halter, pelvic belt or Bucks extension does not exert a stretch force upon the spine and in most instances no stretch upon the paraspinal muscles. Present methods of constant weight traction therapy to the cervical and lumbar spines do not provide traction at these levels. This is due to the fact that not enough weight is applied to overcome the surface traction resistance of the body segments. In the cervical spine, traction in the 30 to 45 pound range is the most effective form of therapy for herniated disks and other mechanical lesions in which traction is indicated. In the lumbar spine, 50 to 100 pounds or more is the most effective range. A new method of motorized intermittent lumbar traction is presented in which resistance is eliminated and unlimited stretch can be applied to the lumbar spine without the use of hanging weights. A brief preliminary clinical report is submitted. Clinical observations suggest that in these conditions reflex skeletal muscle spasm may have little to do with production of pain, or as commonly believed, the establishment of a vicious pain cycle.

Herniated cervical disc; a new form of traction therapy.

Abstract 1. 1. Differential diagnosis and clinical examination in brachial plexus pain have been discussed. Compression and traction maneuvers are stressed as valuable diagnostic signs in lesions of the cervical spine, particularly in herniated cervical discs. 2. 2. Clinical studies indicate that in the average intractable case the cervical spine should be stretched by force ranging from 25 to 45 pounds. Almost half the patients in a series of sixty cases experienced partial or complete momentary relief when this force was applied. 3. 3. Roentgen studies reveal that in the average patient the intervertebral spaces of the cervical spine begin to show measurable widening with traction force ranging from 25 to 50 pounds. 4. 4. The necessary force to relieve pain cannot be tolerated by the average patient when it is administered as a constant pull. If administered intermittently, adequate and much greater traction load can be tolerated without the discomfort which would normally accompany such force. 5. 5. A new method of motorized intermittent traction is presented. The clinical results of intermittent traction, because of adequate force, have been excellent as compared to conventional traction methods.

The scalenus anticus syndrome

Abstract In patients with brachial plexus pain, diagnostic infiltration of the scalenus anticus muscle with procaine must be interpreted very carefully. If, following injection, relief of pain is accompanied by a Horners syndrome, the entire result should be ignored, and surgical approach should be postponed until a successful muscle infiltration without the sympathetic anesthesia has been obtained. Anesthesia of the cervical sympathetics will stop pain which is not scalenus anticus in origin. Also, it is an effect not duplicated by section of the muscle. In our experience, surgical failures have predominated when these facts have been ignored. We have introduced a hyponeedle technic, in which the scalenus anticus muscle may be successfully injected with little likelihood of producing a Horners syndrome. Following these modifications of clinical interpretation and technic, our surgical efforts have been rewarded with gratifying results.

Pain in the shoulder and upper extremity due to scalenus anticus syndrome

Abstract 1. 1. Symptoms and clinical signs have been discussed which are dependent upon disturbances of anatomical structures in the vicinity of the scalenus anticus muscle. 2. 2. A new technic of infiltration of the scalenus anticus muscle has been presented.

SEGMENTAL NEURALGIA IN PAINFUL SYNDROMES

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