Traction

The Tractioning technique in manual therapy and massage refers to the use of gentle, sustained pulling or stretching forces to elongate soft tissues and create space in joint structures. It is most often applied to the spine or joints, but can also be used to stretch limb muscles and fascia.​

Key Features

  • Involves applying gentle, controlled pulling or stretching along the axis of a limb or the spine. It is usually performed with hands, a belt, or specialized devices.

  • Can be performed manually by a therapist (manual traction) or with mechanical assistance for longer, more sustained decompression.​

  • Traction may be continuous or intermittent, held for several seconds to minutes and then released.​

  • The force is always carefully monitored and adapted to client comfort and safety. It should never be sudden or jerky.​

Purposes and Benefits

  • Reduces pressure in joints, including the spine, by gently separating articular surfaces; relieves nerve impingement and disc compression.​

  • Stretches muscles, ligaments, and fascia, promoting relaxation, pain relief, and increased mobility.​

  • Facilitates circulation and tissue hydration in compressed or restricted regions.​

  • Calms muscle spasms, helps restore joint alignment, and may decrease postural restrictions.​

  • Used therapeutically for herniated discs, degenerative joint conditions, sciatica, pinched nerves, and postural imbalances, as well as relaxation of chronic muscle tension.​

Typical Use in Massage Therapy

  • Frequently used as a finishing or transition technique in massage sessions on the spine (especially cervical and lumbar regions), hip, shoulder, or digits.​

  • Integrated in manual therapy, orthopedic massage, myofascial release, and even gentle stretching protocols.​

  • Traction is always adapted to client needs and response. The therapist would monitor feedback for comfort and adjusts accordingly.​

  • Not used in acute injuries with instability, fractures, or undiagnosed pain, but highly effective in chronic and sub-acute musculoskeletal pain syndromes.