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Phase 4: Traction Therapy Mechanical Remodeling On the same evening following first injection session, patients begin daily PTT with the RestoreX TM device (PathRight Medical, USA) for a total duration of 90 minutes, consisting of sequential straight traction (15 min) followed by progressive counter-bending at 30 (15 min), 60 (15 min), and 90 (45 min), to optimize mechanotransductive remodeling while preserving treatment tolerability