The Oregon Chiropractic Association is kindly co-sponsoring this Cox® Seminar on September 18-19, 2010. Dr. Lee Hazen leads this weekend in the discussion of the research support for Cox® flexion-distraction and decompression protocols as well as guides your hands-on practice with the protocols.

Some things to consider about Cox® Technic's being RESEARCHED and SUPPORTED:

Dr. Robert Rice presents the case of a patient suffering with an L4/5 disc protrusion with scoliosis who was treated for a year with VAX-D with little relief.  Following Cox® protocols, Dr. Rice states reports that "The patient has attained 50% relief of pain in twelve visits, and four weeks of care. She states she has noticed a decreased sensation of heaviness in her low back and has also noticed that she can stand for longer periods of time with decreased low back pain."

Read the whole report which includes pre and post-treatment MRI images at this link.

Thanks for writing, Dr. Rice!

The American Academy of Orthopaedic Surgeons states that "acupuncture or chiropractic manipulation can also be attempted" prior to surgery for stenosis.  [from    http://orthoinfo.aaos.org/topic.cfm?topic=A00329 accessed on 6/8/09, American Academy of Orthopaedic Surgeons website, "Lumbar Spinal Stensosis"]

Guidelines sponsored by the American Pain Society and the American College of Physicians recommends spinal manipulation as an effective treatment option for low back pain.

from Chou, R; Loeser, JD; Owens, DK; Rosenquist, RW; Atlas, SJ; Baisden, J; Carragee, EJ; Grabois, M; Murphy, DR; Resnick, DK; Stanos, SP; Shaffer, WO; Wall, EM:   Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back Pain An Evidence-Based Clinical Practice Guideline From the American Pain Society.  SPINE 2009; 34 (10):1066-1077

The 2009 National Board of Chiropractic Examiners Survey results have been published. Survey participants reported that 63.7% use flexion-distraction.

Past years' surveys revealed

1991    53.7%   (It is termed "Cox flexion-distraction" in the list of techniques.)

1998    58.0%   (It is termed "Cox flexion-distraction" in the list of techniques.)

2003    56.5%   (It is termed "Cox flexion-distraction" in the list of techniques.)

2009    63.7%   (It is termed "flexion-distraction" in the list of passive adjunctive procedures.)

* from Practice Analysis of Chiropractic 2010, page 134.

June 23, 2010

For release:    Immediately

Contact:          Lori Leipold, Media Relations; Palmer College of Chiropractic; phone (563) 884-5726; fax (563) 884-5225; e-mail lori.leipold@palmer.edu; College website at www.palmer.edu

Palmer College of Chiropractic, Loyola University, Hines VA researchers and Dr. James Cox work together to understand Cox® distraction procedure for neck pain

In a ground-breaking study, medical and chiropractic researchers are joining efforts to study the effects of a form of non-surgical treatment for neck pain, more specifically Cox distraction manipulation. This study is one of three projects that are part of a four-year, $2.8 million grant awarded in 2008 to the Palmer Center for Chiropractic Research (PCCR), headquartered on the Palmer College of Chiropractic campus in Davenport, Iowa. The grant is from the National Institutes of Health (NIH) National Center for Complementary and Alternative Medicine to establish a multidisciplinary Developmental Center for Clinical and Translational Science in Chiropractic, and the principal investigator is Christine Goertz, D.C., Ph.D., who also serves as Palmer’s vice chancellor for Research and Health Policy. Co-leaders of the Cox distraction manipulation project are M. Ram Gudavalli, Ph.D., PCCR, and Avinash G. Patwardhan, Ph.D., Loyola University Stritch School of Medicine and Edward Hines Jr. Veterans Affairs Hospital.

This study is in progress and funded through May 30, 2012. It combines the efforts of medical doctors, chiropractors, biomechanists and clinical researchers, in order to document the effects of the Cox distraction chiropractic procedure on neck pain and develop sham and active treatment parameters for conducting clinical studies.

The project, titled Cervical Distraction Sham Development: Translating from Basic to Clinical Studies, consists of three main parts. After completing the pilot studies, the formal basic research study began in March 2010 on the Cox distraction procedure for neck pain at Edward Hines VA Hospital and Loyola University Stritch School of Medicine. This study is a collaborative effort between researchers at these facilities, researchers from Palmer College of Chiropractic, clinicians who perform this technique in their practices, and Dr. James Cox, the originator of the procedure. 

“As the manipulation procedure is performed, we are measuring the variability between four different clinicians trained in this procedure by measuring the loads and the controlled displacements of the table using a basic science approach as well as a clinical approach,” said Dr. Gudavalli from Palmer. “According to practicing doctors of chiropractic, this chiropractic procedure has provided relief for musculoskeletal conditions such as neck pain. However, there is a need for studies that provide information on the biomechanical characterization of such therapies, the biomechanics of normal and pathological joint and muscle systems, and the development of new technologies that study such biomechanics in real time. In other words, what physiological effect does the procedure have that is responsible for its clinical successes?”

The results of this study will aid in the planning and development of controlled procedures in the clinical setting, and test the validity of delivering the controlled procedures by conducting clinical studies and obtaining patients’ perception on the controlled intervention. This knowledge has the potential to guide the future conduct of clinical research in this area and impact training of students and doctors in the chiropractic profession.

- end -

Lori Leipold

Media Relations Manager

Palmer College of Chiropractic

Office: (563) 884-5726

Cell: (563) 343-0665

More details will come, but the date has been set.

February 19-20, 2011 at the beautiful Hyatt Regency Maui Resort & Spa where millions of dollars of renovations are to finish up by December 2010, just in time for our visit!

Plan to join Dr. James Cox as he makes a unique weekend presentation on current clinical and research topics influential to your Cox® spinal pain practice.

Check this link for the latest news and details on the Cox® Technic Seminar in Maui, Hawaii.

Join Dr. Ralph Kruse, our much published cervical spine and pregnancy back pain treatment author and instructor, in Boston this summer on July 17-18, 2010, for the Part I Cox® Technic Certification Course. Fro details on the hotel (the uniquely located Hyatt Harborside) and the fun to be found in Boston when you aren't studying with us, please click here.

The Part I course shares the foundation of Cox® protocols from the biomechanical influences to the diagnostic essentials to the treatment skills necessary to handle the disc herniation and stenosis patients as well as the non-disc related spine pain patients confidently. Treatment for lumbar spine and radiculopathy, cervical spine and arm pain, thoracic spine pain, pregnancy back pain are demonstrated. For a video description of the weekend, please click here.

Join us for the Cox® Technic Seminar in Boston!

                 Dr. Cox and Dr. Kruse

Check our the Cox® Technic Facebook® Page! Use this link.