Cox Technic Flexion Distraction Decompression Spinal Manipulation is evidence-based spinal care, a form of spinal manipulation in which the human spine is placed in distraction (a type of measured controlled traction of the spine) delivered on a specialized spinal manipulation instrument. The Cox Table is the well-designed instrument of choice.

Five specific changes in spine mechanics occur in the intervertebral disc and nerve openings with this procedure (1):

1. The height of the intervertebral disc is increased.
2. The size of the nerve opening which is called the intervertebral foramen is increased up to 28% in area.
3. The pressure within the intervertebral disc which is created by the fluid within the disc is reduced from a positive pressure to a negative pressure gradient. This aids in dropping the pressure on the pain sensitive nerves within the disc and the pressure on the nerve which lies behind the disc which causes sciatic or leg pain when compressed over 20 mm of mercury pressure.
4. The movements of the spine are restored. A specific spinal vertebral level (consisting of the intervertebral disc and the moveable joints lying behind the disc) is placing into its normal physiological ranges of motion. Remember that loss of spinal mobility is a part of back pain whether it be acute or chronic. Restoring normal spinal mobility offers improved activities of daily living and diminishing spinal stress that causes back pain.
5. Nervous system tracts of nerves from the spine to the human brain are stimulated when spinal manipulation is administered. These nerve tracts respond to touch, motion, temperature, and pressure to initiate nerve reflexes that relieve pain and allow for normal spinal motion. Such nerve tracts can also affect balance and equilibrium that are so often affected with spinal pain.

The goal of Cox® distraction spinal manipulation is summarized as follows: Attain and maintain physiological range of spine motion with the greatest relief of pain. It is also vital to note that some spinal conditions are not cured, that is to say all the pain is relieved and the person can do any activity without pain recurrence. NO, some spinal conditions that are congenital (born with) or acquired from injury or degenerative spine changes are controlled not cured. In such cases it is important that the patient follow the training given by the chiropractor concerning proper ergonomics (how to move, bend, lift, twist the spine) to avoid pain, perform the specific exercise program developed for your spine condition, and in many cases have dedicated times for undergoing Cox® distraction spinal manipulation so as to maintain relief. Cox Flexion Distraction may well be a beneficial alternative to back surgery for back pain patients.

Respectively submitted,

James M. Cox, DC, DACBR

A new video with snippets from Cox Seminars shares the content and intent of Cox Seminars for back pain specialists. Chiropractic physicians will appreciate the cutting edge information and research and applicability of the course content. Lead by experienced chiropractic physicians whose clinical practices involve the use of Cox Technic for neck pain and back pain and leg pain and arm pain relief, Cox Seminars are practical and filled with information applicable on Monday morning. Attendees experience flexion distraction protocols as the "doctor" and the "patient" in practical, hands-on sessions.  Check out the video. Check out the calendar of courses. Choose a course, and join us for a weekend to enhance your clinical practice enthusiasm as well as your enthusiasm for chiropractic!

"This program includes excellent use of evidence to not justify but to determine procedures to achieve the most effective, safest clinical outcomes possible." – Chelsea Drda DC

Click here for the video. 

"If you truly want to know why we treat patients, why this treatment can help patients and how to progress the profession in the future, come to a Cox Seminar." – Vincent Pankonin DC

Contact Cox Technic for more information. 

Join Dr. James Cox for this special hands-on demonstration webinar of live treatment protocol demonstration as the protocols relate to the ICD-10 code classifications. You may also ask questions throughout!

October 28, 2015

12:30pm EST

Wednesday

Register now! 

DC 1: "Flexion distraction. Yeah, I do that. It works great for low back pain and disc herniations."

DC 2: "Have you used flexion distraction for neck pain and arm pain? Cervical spine conditions?"

DC 1: "No. I didn't know it was for that."

DC 2: "The research is amazing, and the technique is so gentle!

Yes, Cox Technic flexion distraction for cervical spine conditions was introduced in 1991 (thanks to Dr. Cox's wife whose C5-6 disc herniation made him venture beyond his beloved L5-S1!). Since then, clinical cases have been published, federally funded studies (both clinical comparison and biomechanical) have been completed, and colleagues have shared their treatment skills with each other formally in workshops and informally in clinics. The Cox Table has also evolved from unwieldy and awkward occipital cups/ropes to simpler long-y axis and straps.

Check out just what Cox Technic flexion distraction offers cervical spine pain patients and their neck pain and arm pain! Then register for a seminar or workshop to learn more.

Dr. James Cox well developed Cox® Technic's reputation for managing low back pain and sciatica. Most everyone who uses it says they'd turn to flexion distraction to manage low back pain and leg pain and disc herniation. But the evolution of Cox Technic to caring for the other regions of the spine has grown! Flexion Distraction Cox® Technic for cervical spine disc herniations and disc degeneration and headache and arm pain is well researched biomechanically and clinically. Its research progresses with federal funding via NIH and HRSA chiropractic research grants at NUHS and Palmer Research with Loyola Stritch School of Medicine/Hines VA Hospital and others like University of Iowa and University of Illinois. It's so exciting!

Check out this video that just shows snippets of lumbar spine flexion distraction application (It will look so familiar!) as well as cervical spine treatment (on The Cox8 Table) and side-lying treatment for pregnant patients (so comfortable and effective!) as well as patients who are in too much pain to  lie on their stomaches. 

Cox Technic is most effective biomechanically and clinically for lumbar spine back pain conditions. Check out what it offers the cervical spine related neck and arm pain conditions, the "newest" application of Cox Technic since 1991. Check out this video.

Haven Innovation recognizes that a tool is only as good as its user, an instrument is only as efficient as its handler. So Haven Innovation is offering a $500 credit toward the July 17-20, 2014 Cox Certification Seminar.

The purchasing physician may attend all 4 days, all 32 hours or just a day or two for as many hours as he or she wants. At the Cox Seminar in July 2014, physicians get a mix of didactics (biomechanics, anatomy, examination, diagnosis, clinical outcomes as documented in the medical literature for spinal care) as well as hands-on practice in small groups with dedicated hands-on instructors. Dr. James Cox leads Part II of the weekend on discogenic conditions while Dr. George Joachim and Dr. Ralph Kruse lead the didactics of Part I on the non-discogenic conditions. Hands-on is lead by Drs. Kruse, Joachim and Olding so that everyone gets to practice and experience the technique as performed on the Cox8 Table by Haven Innovation. Dr. Ram Gudavalli, principal investigator of flexion distraction research projects, will also be on hand with the pressure transducer to give objective feedback of your application of Cox Technic protocols on The Cox8 Table. 

So consider The Cox8 Table for your practice.

Check out the special financing rates NCMIC is offering. (Contact Emily Blair.) 

Get $500 credit toward a Cox Seminar (Part I or II or III) to hone your skills in applying Cox Technic flexion distraction.

Put July 17-20, 2014 on your schedule so you don't miss it! 

Dr. James Cox presented a webinar that included cases from his clinical practice and demonstration of their treatment on The Cox8 Table by Haven Innovation:

• degenerative scoliosis with osteoporosis
• compression fracture care and options
• disc herniation, spianl stenosis
• disc extrusion

It's always a comfort for both the doctor and the back pain patient to see that other doctors and patients have successfully dealt with the same condition or combination of conditions successfully for relief of pain. Dr. Cox shares the history, examination findings, imaging, diagnosis, treatment and ancillary care (exercise, nutrition, belt, electrical stimulation, hot/cold therapy, etc.)

In a practical way, Dr. Cox shows that these cases come into the chiropractor's office seeking relief and can get it.

The recording is now available of this presentation of 4 cases. Click here to register. You will receive personal log-in instructions and codes to watch the recording on your own time, computer and pace. 

Dr. James Cox, developer of the flexion distraction system of non-surgical protocols for the care of spine pain patients, hosts this low back webinar from his personal home-office which is equipped with The Cox Table to demonstrate treatment as well as share slides via his computer. Research updates - He is going to first present some of the most recent and the most exciting research published findings then patient cases, including imaging, history, treatment, outcome.

Dr. Cox presents actual patient cases from examination, diagnosis, imaging, treatment plans and goals to treatment demonstration of Disc Herniation, Fracture, Motor Weakness, Bilateral Stenosis, Bilateral Radiculopathy, Radicular Pain on side opposite the herniation. He shares a case of a Post Surgical Low Back patient he has cared for and followed for 16 years. This patient didn't want any more back surgery and chooses to be a chiropractic Cox Technic patient and modify his life ergonomically to control his back pain so it doesn't control him or his desired lifestyle.

One attendee of the LIVE webinar wrote "Thank you for the superb seminar. Wow. Dr Cox was on fire! I like the new look of the slides background and graphics. Keep it up. Amazing cases. Anxious to be attending the next webinar." Register to see the excitement yourself. The course is just an hour and 5 minutes that go by quite quickly.

Contact Julie if you have any questions on this chiropractic technique webinar for the care of low back pain patients.

On August 12, 2011, during Palmer's Homecoming weekend, Dr. James Cox on behalf of Cox Technic physicians and Mr. Don Wisner, president of Haven Innovation, presented Palmer College of Chiropractic's Academic Health Clinic with The Cox7 Table in memory of Dr. Sharina Gudavalli.

Dr. Ram Gudavalli, father of Dr. Sharina, is a respected member of the Cox Technic family as he has done so much in his professional life for chiropractic research and flexion distraction research. Upon her tragic accident and death, we wanted to do something in her name to honor her professional, chiropractic life.  Cox Technic physicians joined to collect funds to buy a table in her name. Haven Innovation donated the rest of the funds for the table.

Click here to read the press release.

Contact Julie for more information.

Just posted to the website and on YouTube, a new video about Cox Technic Flexion Distraction and Decompression with its developer, Dr. James Cox, is ready. Highlighting a demonstration of the proper protocols of Cox Technic, the video also emphasizes the research, the educational opportunities to learn more about it for doctors and patients, the tools availables to enhance the use of flexion distraction as well as the referral directory to certified Cox Technic physicians.

Check out the video today!