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Цель — увеличить расстояние между позвонками, улучшить кровообращение и снизить давление на нервные корешки [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/). \n\n**Механизм действия**: процедура основана на создании отрицательного давления в межпозвонковых дисках, что способствует уменьшению размеров грыжевых выпячиваний, снижению компрессии нервных окончаний, восстановлению нормального анатомического положения позвонков [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/).\n\n\n\n## Виды\nНекоторые виды вытяжения позвоночника: \n* **Сухое** — осуществляется с помощью специального медицинского оборудования — тракционных столов и кушеток [5](https://gutaclinic.ru/terms/v/vytyazhenie-pozvonochnika/). \n* **Подводное** — сочетает лечебное воздействие пресной или минеральной воды с вытяжением, считается более щадящим методом [5](https://gutaclinic.ru/terms/v/vytyazhenie-pozvonochnika/). \n* **Аппаратное** — вытяжение происходит под контролем компьютера, сила, с которой устройства вытягивают позвоночник, определяется индивидуально [1](https://reamed.su/media/articles/chto-takoe-vytyazhenie-pozvonochnika-i-ego-vidy/). \n\n**Важно**: процедура проводится исключительно под контролем врача, попытки самостоятельного вытягивания позвоночника могут привести к серьёзным последствиям [11](https://pt-med.ru/professionals/articles/364/).\n\n## Показания\nВытяжение позвоночника рекомендуется при следующих состояниях [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/): \n* дегенеративно-дистрофические заболевания: остеохондроз, спондилоартроз, спондилёз [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* межпозвонковые грыжи и протрузии (умеренные размеры без секвестрации) [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* искривления позвоночника: сколиоз, кифоз, лордоз [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* миофасциальный синдром — хронические мышечные боли [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* посттравматические состояния — реабилитация после травм и операций на позвоночнике [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* начальные стадии болезни Бехтерева (анкилозирующий спондилит) [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/). \n\n**Перед назначением процедуры** необходимо пройти обследование, включающее рентгенографию или МРТ, для уточнения диагноза и исключения противопоказаний [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/).\n\n## Противопоказания\nНекоторые состояния, при которых вытяжение позвоночника не рекомендуется: \n* сужение позвоночного канала, вызванное дегенеративными изменениями 3 стадии [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* крупные межпозвонковые грыжи с тенденцией к секвестрации [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* свежие травмы или операции на позвоночнике (до полного заживления) [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* онкологические заболевания, особенно с метастазами в позвоночник [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* острые инфекции или обострения хронических заболеваний [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* беременность из-за возможного риска для плода [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* нарушения свёртываемости крови (повышенный риск кровотечений) [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* возраст старше 75 лет из-за возрастных изменений в костной ткани [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/); \n* нестабильность позвонков (угроза смещения) [2](https://almed24.ru/uslugi/fizeoterapiya/traktsiya-pozvonochnika/).\n\n## Эффективность\n**Результаты клинических исследований, посвящённых эффективности тракции, неоднозначны** [6](https://tkachevmoscow.ru/articles/vytyazhenie-pozvonochnika). Некоторые исследования показывают незначительное улучшение состояния пациентов, но **долгосрочная эффективность не доказана** [6](https://tkachevmoscow.ru/articles/vytyazhenie-pozvonochnika). \n\n**Некоторые причины**: \n* Анатомическая сложность позвоночника и окружающих его тканей делает эффект тракции трудно предсказуемым и контролируемым [6](https://tkachevmoscow.ru/articles/vytyazhenie-pozvonochnika). \n* Метод не устраняет первопричину заболевания — если причина давления (дегенеративные изменения в диске или костные разрастания) не устранена, боль вернётся, как только прекратится воздействие тракции [6](https://tkachevmoscow.ru/articles/vytyazhenie-pozvonochnika).","linksData":[{"sourceId":1,"url":"https://reamed.su/media/articles/chto-takoe-vytyazhenie-pozvonochnika-i-ego-vidy/","shownUrl":"https://reamed.su/media/articles/chto-takoe-vytyazhenie-pozvonochnika-i-ego-vidy/","title":"Тракционное вытяжение позвоночника – что это, польза и вред | 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