
Neck pain has become an issue for many individuals due to the excessive time spent on screens as well as bad posture. One form of therapy that can be done at home without the need for a doctor’s appointment is neck traction. This treatment involves the gentle stretching of the cervical region of the spine, creating a traction effect, which decompresses the spine.
In this guide, we will discuss the working principle of neck traction, its benefits, various types, associated risks, safety tips, and effective use.
What Is Neck Traction?
Neck traction is a device or mechanically driven form of decompression therapy that specifically aims to relieve tension in the neck area. It does this by separating the head from the neck, which results in the space being created between the cervical vertebrae, thereby pulling away from the neck. The decompressed state experiences a reduction in pain, mobility restrictions, and overall better healing of the neck.
There are two main types of neck traction:
- Manual Traction: This is where it is performed by a healthcare provider who uses their hands to apply force.
- Mechanical Traction: It involves using devices such as over-the-door pulleys, motorized tables, or inflatable collars that apply controlled force. [2]
How It Works
Neck traction reduces the compression of nerves and increases the space between spinal columns. Specifically, its primary effects include:
- Widening the spaces between vertebrae enhances the alleviation of nerve root compression. [1]
- Stretching muscles and ligaments, which alleviates stiffness.
- Improve blood flow, facilitate healing.
- Fix misalignments first and afterward enhance posture, movement, and flexibility.
Conditions Treated with Neck Traction
Individuals with the following conditions may find neck traction beneficial:
- Herniated or bulging cervical discs
- Cervical spondylosis (arthritis of the neck)
- Pinched nerves (cervical radiculopathy)
- Muscle spasms and stiffness
- Poor posture and forward-head syndrome
- Certain cervical fractures and alignment issues (under professional supervision) [4]
Benefits of Neck Traction
- Pain Alleviation: Enhanced traction therapies relieve discomfort associated with compressed nerves, muscle tightness, or issues with spinal discs. This form of traction decompresses the cervical spine, mitigating the inflammatory process and pressure on pain-sensitive structures, thus reducing pain. [4]
- Increases Mobility: Enhances the range of motion of the neck and helps restore mobility for a stiff neck due to chronic conditions or recovery from an injury. This is particularly beneficial for people suffering from long-standing neck stiffness. [5]
- Muscle Relaxation: Pain and discomfort from severe strains of the neck and upper and back muscles can be aggravated by tension and fatigue in the muscles. The neck traction stretches muscle groups that promote relaxation. [1]
- Non-Invasive: In comparison to surgery or the use of long-term medication, neck traction therapy does not require any forms of cuts or medication, making it a far safer option for a wider variety of people. [3]
- Posture Correction: For individuals suffering from a forward head posture or poor neck alignment, traction helps in re-aligning the cervical spine. This helps reduce the chances of muscle and joint strains and therefore aids in maintaining proper posture over time. [2]
- Enhanced Circulation: Decompression in specific areas and stretching the spine increases blood flow towards the region, which in turn enhances the tissues and the health of the neck, greatly improving its overall condition. [4]
- Adjunct to Physical Therapy: Neck traction is used along with physical therapy, which helps in recovery and also makes the therapy more efficient. Through physical therapy, the therapy’s benefits are maximized, and accompanying exercises to strengthen the neck and upper back enhance recovery. [2]
Clinical Evidence and Effectiveness
There is research evidence regarding the short-term use of neck traction for pain relief. For example, a 2025 clinical trial showed that patients with cervical radiculopathy experienced remarkable symptom improvement following 10 days of mechanical traction treatment.[6] Other researchers have confirmed increased ranges of motion with decreased pain levels. [5]
Potential Risks and Side Effects
When used incorrectly or excessively, neck traction may cause:
- Increased pain or muscle strain
- Headaches or dizziness
- Nerve irritation
- Rare but serious issues like vision problems or seizures [7]
Always consult a healthcare provider before starting traction therapy, especially if you have underlying conditions.
Who Should Avoid Neck Traction
Neck traction is not suitable for everyone. Avoid it if you have:
- Spinal instability or recent fractures
- Osteoporosis
- Tumors or infections in the spine
- Recent neck surgery
- Vascular disorders or severe hypertension
- Pregnancy (depending on the device) [8]
Tips for Safe and Effective Use
Traction should be performed under low tension and for a short duration. Intermittent traction, which permits a combination of pulling and resting, often proves to be the most beneficial and best tolerated.
Discontinue traction if there is an increase in pain, dizziness, or numbness.
For optimum results, physical therapy exercises focused on strengthening and stretching the neck and upper back are recommended to complement traction. This approach will facilitate more lasting recovery and improved posture.
Key Takeaways
Neck traction is one of the safest and most effective procedures for managing cervical pain, enhancing mobility, or addressing issues in the cervical spine region. Caution and professional guidance should be exercised when using traction.
Used together with physiotherapy, posture training, ergonomic modifications, and other surrounding practices, traction may serve as a valuable addition to the wider comprehensive framework aimed at enhancing preventative care of the neck.
References
- https://www.webmd.com/pain-management/what-to-know-about-neck-traction
- https://www.verywellhealth.com/over-the-door-cervical-traction-for-neck-pain-4111054
- https://my.clevelandclinic.org/health/treatments/23093-cervical-traction
- https://www.healthline.com/health/cervical-traction#procedure
- https://www.ncbi.nlm.nih.gov/books/NBK470412/
- https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-025-04801-5
- https://www.byteplus.com/en/topic/575762?title=neck-traction-risks-benefits-more
- https://www.jospt.org/doi/10.2519/jospt.2017.6914