Which of the following represents the acute-phase cervical traction force for joint distraction?

• A. 10-15 pounds
• B. 20-30 pounds
• C. 5-10 pounds
• D. 15-20 pounds

Answer: (B)

When aiming to distract the cervical facet joints, you need enough traction to actually separate the vertebrae and open the facet joints. That level of force is typically in the 20–30 pound range. This amount helps unload the joint surfaces and reduce impingement while still being within what many patients can tolerate in the acute phase.

Lower forces (such as 5–10 or 10–15 pounds) are generally used for soft-tissue effects or when you want gentler unloading, not reliable joint distraction. The 15–20 pound range may provide some stretch or soft-tissue effects but is usually not enough to achieve meaningful joint separation in most adults.