120 patients with low back pain with associated leg pain and signs of nerve root compression were randomized to an extension-oriented treatment approach (EOTA), either with or without the addition of mechanical traction for a duration of 6 weeks. Follow-up was assessed at 6 weeks, 6 months, and 1 year. Findings indicated that both groups improved in Oswestry Disability Index, leg pain intensity, and low back pain intensity; however, the addition of mechanical lumbar traction to EOTA had no benefit, providing no significant between-group differences in the Oswestry Disability Index, leg pain intensity, or low back pain intensity.