The goals of Cox Technic protocols are attainable with the right understanding and cooperation between patient and doctor and time. It takes time to heal a disc and time to recover from spine involved injuries. The pain from an inflammed disc may go away in a day or two, but it takes time to let that disc heal sufficiently to withstand all the normal pressure of day-to-day living.
Disc Related Pain Conditions
For patients with a "slipped/bulging/ruptured/herniated" disc (without cauda equina syndrome or progressive neurological deficit), Cox® Technic sets the following goals:
1. increases the intervertebral disc height (B) to remove anular tension on the anular fibers and nerve (D) by making more room and improving circulation;
2. allows the nucleus pulposus (A) -- the center of the disc -- to assume its central position within the anular fibers (E) and relieves irritation of the spinal nerve (D);
3. restores vertebral joints (C) to their physiological relationships of motion;
4. improves posture and locomotion while relieving pain, improving body functions, and creating a state of well-being.
Non-Disc Related Pain Conditions
For patients with other conditions causing back pain (facet syndrome, spondylolisthesis, sprain/strain, scoliosis, transitional vertebra, sacroiliac subluxation, stenosis), Cox Technic works toward all of the above goals plus the ability to place the spinal joints into normal, painless movements so as to restore spinal motion without pain.
- The posterior disc space increases in height.
- Flexion decreases disc protrusion and reduces stenosis. Note: Discs protrude and degenerate into the concavity of a curve, into the side of extension.
- Flexion stretches the ligamentum flavum to reduce stenosis.
- Flexion opens the vertebral canal by 2 mm (16%) or 3.5 to 6 mm more than extension.
- Flexion increases metabolite transport into the disc.
- Flexion opens the apophyseal joints and reduces posterior disc stress.
- The nucleus pulposus does not move on flexion. Intradiscal pressure drops under distraction to below 100 mm Hg. On extension the nucleus or anulus is seen to protrude posterior into the vertebral canal.
- Intervertebral foraminal openings enlarge giving patency to the nerve.
[for references for the above, see Cox JM, Feller JA, Cox-Cid JA: Topics in Clinical Chiropractic 1996; 3(3):45-59)
Your pain relief may be in the hands of your local Cox Technic physician.