Cox Flexion Distraction Decompression Technique
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Cox Flexion Distraction Technique

Cox Flexion Distraction Decompression Therapy is a gentle adjusting technique that can be used on the entire spine.  The procedures have been developed by Dr. James M. Cox over the last 40 years due to the many efforts of researchers, and fellow chiropractic physicians. The Cox Technique is indicated for the relief of pain from disc bulges and herniations, failed back surgery syndrome, leg pain, sciatica, spondylolesthesis, facet syndrome, rib subluxations,, thoracic pain, scoliosis, spinal pain due to arthritis, and spinal stenosis.  Patients with any of the above conditions, who's condition is also complicated by mild to moderate decreased bone density (also called Osteopena) are good candidates for this technique, when general manipulation is contraindicated.

Treatment is possible in any phase of the problem, acute, sub-acute, or chronic.

This technique is unique, adding decompression to the standard adjustment.  A unique table allows the doctor to to provide treatment in all ranges of motion as well as axial (in a vertical plane-head to toe).  

For research and more info just click on the above picture logo and it take you to the Cox Technique website.





Our clinical findings suggest that Flexion Distraction will create a relatively quick initial response in patients with uncomplicated problems.  These patients tend to feel a sense of relief within six-eight sessions.  This relief can be demonstrated as a decrease in direct pain or a centralization of pain and/or a reduction in to an ache or stiffness.  Full relief will usually result in 12-20 sessions. All treatment plans are supported by active exercise rehabilitation.

More complicated cases such as disc herniations are evaluated on the degree of pain reduction during early stages. Treatment in 4 weeks should result in a 50% improvement of symptoms.  Spinal stenosis cases may take up to six weeks, for significant improvement.  Reaching a 50 % improvement in pain levels indicates that the current treatment is effective and continued improvement is likely. Active exercise rehabilitation with more complicated cases begin at patient tolerance with stretching and progresses to an emphasis on strength and endurance.

Typical frequency is 3 sessions per week. The extent and seriousness of  your symptoms will determine if more or less than 3 sessions per week should be utilized.