Cox® Technic
a discussion place for spinal pain management with Cox® Technic

The Nervous System by Dr. Cox

August 2, 2017 10:53 by jamesmcoxdcdacbr

In my 55 years as a chiropractic doctor I have seen great controversy but none greater than that of the role of the nervous system in human disease origin. Nerve compression today is being studied and its conclusions regenerate the early chiropractic concepts of human disease. Let’s look at the following two papers published and in this pearl.

James M. Cox, DC, DACBR, FACO(H)

INTERVERTEBRAL DISC GENERATED PAIN DUE TO SYMPATHETIC NERVE SUPPLY

INTERVERTEBRAL DISC DISEASES (IVDDS) AFFECTING PATHOLOGICAL CHANGES LEADING TO DISC HERNIATION, PROLAPSE AND DEGENERATION AS WELL AS DISCOGENIC PAIN IS STUDIED FOR SYMPATHETIC NERVE INVOLVED IN PAIN SIGNALLING IN IVDD PATIENTS. PIGS WERE GIVEN AN INJECTION OF THE OMINIPAQUE CONTRAST AGENT AND FAST BLUE (FB) RETROGRADE TRACER INTO THE L4-L5 INTERVERTEBRAL DISC AND EUTHANIZED AT 2, 1, AND 3 MONTHS POST INJECTION. FOLLOWING EUTHANASIA, BILATERAL SYMPATHETIC CHAIN GANGLIA (SCHG) TH13 TO C1 WERE COLLECTED. THE PRESENCE, DISTRIBUTION AND NEUROCHEMICAL CHARACTERISTICS OF RETROGRADELY LABELLED SCHG NEURONS WERE EXAMINED. THE MAJORITY (88.8%) OF ALL FB+ CELLS WERE FOUND IN THE L3-L5 SCHG. MOST FB+ NEURONS STAINED FOR DOPAMINE BETA HYDROXYLASE (DBH); ONE-THIRD TO ONE-QUARTER STAINED FOR SOMATOSTATIN (SOM), NEUROPEPTIDE Y (NPY) OR LEU-ENKEPHALIN (LENK); AND ONLY A FEW STAINED FOR GALANIN (GAL). COMPARED WITH THE CONTROL, THE GREATEST DECLINE IN NEUROCHEMICAL IMMUNOSTAINING WAS OBSERVED 2 WEEKS POST INJECTION, AND THE LOWEST DECLINE WAS NOTICED 1 MONTH POST INJECTION. OUR STUDY, FOR THE FIRST TIME, PROVIDES INSIGHT INTO THE COMPLEX PATTERNS OF INTERVERTEBRAL DISC SYMPATHETIC INNERVATION AND SUGGESTS THAT THE BEST TIME FOR NEUROCHEMICAL BALANCE RESTORATION THERAPY WOULD BE 1 MONTH POST-INJURY, WHEN THE NEURONAL CONCENTRATION OF ALL STUDIED SUBSTANCES IS CLOSE TO THE INITIAL PHYSIOLOGICAL LEVEL, THUS PROVIDING FAVOURABLE CONDITIONS FOR SUCCESSFUL RECOVERY.

 

Barczewska M, Juranek J, Wojtkiewicz J. Origins and Neurochemical Characteristics of Porcine Intervertebral Disc Sympathetic Innervation: a Preliminary Report. J Mol Neurosci. 2017 Jul 31. doi: 10.1007/s12031-017-0956-3. [Epub ahead of print]

Intervertebral disc diseases (IVDDs) form a group of a vertebral column disorders affecting a large number of people worldwide. It is estimated that approximately 30% of individuals at the age of 35 and approximately 90% of individuals at the age of 60 and above will have some form of disc-affecting pathological changes leading to disc herniation, prolapse and degeneration as well as discogenic pain. Here, we aimed to establish the origins and neurochemical characteristics of porcine intervertebral disc sympathetic innervation involved in pain signalling in IVDD patients. Pigs were given an injection of the Ominipaque contrast agent and Fast Blue (FB) retrograde tracer into the L4-L5 intervertebral disc and euthanized at 2, 1, and 3 months post injection. Following euthanasia, bilateral sympathetic chain ganglia (SChG) Th13 to C1 were collected. The presence, distribution and neurochemical characteristics of retrogradely labelled SChG neurons were examined. The majority (88.8%) of all FB+ cells were found in the L3-L5 SChG. Most FB+ neurons stained for dopamine beta hydroxylase (DBH); one-third to one-quarter stained for somatostatin (SOM), neuropeptide Y (NPY) or leu-enkephalin (LENK); and only a few stained for galanin (GAL). Compared with the control, the greatest decline in neurochemical immunostaining was observed 2 weeks post injection, and the lowest decline was noticed 1 month post injection. Our study, for the first time, provides insight into the complex patterns of intervertebral disc sympathetic innervation and suggests that the best time for neurochemical balance restoration therapy would be 1 month post-injury, when the neuronal concentration of all studied substances is close to the initial physiological level, thus providing favourable conditions for successful recovery.

 

CHRONIC CONSTRICTION INJURY OF SCIATIC NERVE DORSAL HORNS CHANGES CIRCULAR RNA (CIRCRNA)EXPRESSION IN RAT SPINAL DORSAL HORN TO CAUSE NEUROPATHIC PAIN AT THE LUMBAR ENLARGEMENT SEGMENTS (L3-L5). CIRCRNA MICROARRAYS SHOWED THAT 469 CIRCRNAS WERE DIFFERENTIALLY EXPRESSED BETWEEN CCI AND SHAM-OPERATED RATS. THREE OF THEM (CIRCRNA_013779, CIRCRNA_008008, AND CIRCRNA_003724) OVEREXPRESSED >10 TIMES AFTER CCI INSULT. CCI RESULTED IN A COMPREHENSIVE EXPRESSION PROFILE OF CIRCRNAS IN THE SPINAL DORSAL HORN IN RATS. CIRCRNAS IN THE DORSAL HORN COULD BE HELPFUL TO REVEAL MOLECULAR MECHANISMS OF NEUROPATHIC PAIN.

Cao S, Deng W, Li Y, Qin B, Zhang L, Yu S, Xie P, Xiao Z, Yu T. Chronic constriction injury of sciatic nerve changes circular RNA expression in rat spinal dorsal horn. J Pain Res. 2017 Jul 17;10:1687-1696. doi: 10.2147/JPR.S139592. eCollection 2017.

BACKGROUND: Mechanisms of neuropathic pain are still largely unknown. Molecular changes in spinal dorsal horn may contribute to the initiation and development of neuropathic pain. Circular RNAs (circRNAs) have been identified as microRNA sponges and involved in various biological processes, but whether their expression profile changes in neuropathic pain condition is not reported.

METHODS: To test whether neuropathic pain influences circRNA expression, we developed a sciatic chronic constriction injury (CCI) model in rats. The CCI ipsilateral spinal dorsal horns of lumbar enlargement segments (L3-L5) were collected, and the total RNA was extracted and subjected to Arraystar Rat circRNA Microarray. Quantitative real-time polymerase chain reaction (qPCR) was used to confirm the circRNA expression profile. To estimate functions of differential circRNAs, bioinformatics analyses including gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes Pathway analyses were performed for the top 100 circRNAs and circRNA-microRNA networks were constructed for the top 10 circRNAs.

RESULTS: circRNA microarrays showed that 469 circRNAs were differentially expressed between CCI and sham-operated rats (fold change ≥2). In all, 363 of them were significantly upregulated, and the other 106 were downregulated in the CCI group. Three of them (circRNA_013779, circRNA_008008, and circRNA_003724) overexpressed >10 times after CCI insult. Expression levels of eight circRNAs were verified using qPCR. GO analysis revealed that thousands of predicted target genes were involved in the biological processes, cellular component, and molecular function; in addition, dozens of these genes were enriched in the Hippo signaling pathway, MAPK signaling pathway, and so on. Competing endogenous RNAs analysis showed that circRNA_008008 and circRNA_013779 are the two largest nodes in the circRNA-microRNA interaction network of the top 10 circRNAs.

CONCLUSION: CCI resulted in a comprehensive expression profile of circRNAs in the spinal dorsal horn in rats. CircRNAs in the dorsal horn could be helpful to reveal molecular mechanisms of neuropathic pain.


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What Are Patient’s Treatment Options For Back And Extremity Pain And Disability?

January 26, 2016 15:55 by jamesmcoxdcdacbr

patient consultation about back pain conditions and chiropractic relief optionsThis inaugural blog on the mechanism, diagnosis and treatment of spine and radicular pain appropriately opens with discussion of the most important element of spine care in the United States and the world for that matter – THE PATIENT.

Do you ever empathize with a person in spine pain who is seeking care – the stressful decisions to be made with sometimes with little knowledge of the problem? Can you blame him or her? Fact-filled alternatives are missing for such hard decisions. Just consider the following truths about spine care today.

SURGERY CONSIDERATION

Surgery yields varying feelings and opinions by patients and for good reason. Consider the following scientific papers on surgeons’ disagreement on spine surgery. The better trained the surgeon the less spine surgery is performed. More surgery is done by private clinics and 4 times less in academic and teaching institutions. (1) Degenerative lumbar scoliosis has variability in both non-operative and operative management. The appropriateness of surgery and specific surgical procedures have not been defined for this important pathology of the aging spine. (2) Such statistics support the patient’s plight in treatment decision making.

PATIENT CHARACTERISTICS IN CHOOSING CHIROPRACTIC CARE

Patients seeking chiropractic care are known to be intelligent seekers of their best care. In a study of non-Hispanic black patients who went to chiropractors, they tended to be female, be older, be college educated, be employed, and have a positive viewpoint on their interactions with their chiropractor. (3) Other studies have documented this as well. So successful is spinal manipulation that physical therapists now practice all forms of chiropractic manipulation from high velocity to Cox® Technic flexion distraction and publish peer reviewed papers on it. In Germany, study of manual therapy by general medical doctors for nonspecific low back pain benefits is to be conducted. (4)

COX® TECHNIC FLEXION DISTRACTION AND DECOMPRESSION SPINAL MANIPULATION

Cox® Technic flexion distraction and decompression spinal manipulation is a popular and growing form of spine care for people suffering from disc degeneration, disc herniation and spinal stenosis that cause leg pain called sciatica and arm pain and other spinal conditions such as spondylolisthesis, transitional segments, scoliosis, facet disease, pregnancy, spondylolysis, osteoporosis, arthritis, and so many more diagnoses.

Spinal mobilizations - low velocity passive oscillatory movements such as Cox® flexion distraction decompression spinal manipulation - are reported to reduce spinal pain in some patient subgroups by an endogenous pain inhibition system mediated by the central nervous system. Cox® flexion distraction low velocity low amplitude spinal manipulation shows short-term, remote antinociceptive effect similar to clinical findings in a rat study. (5,6) This author financed the building of a Cox® spinal manipulation instrument that is 1/12 the size of a regular Cox® manipulation instrument. It was built at the University of Iowa with input from Ram Gudavalli, PhD, and is used for rat experimentation as described here. Quite exciting to see how many years of study and research can lead to new approaches.

LITERATURE STATISTICS ON BENEFITS OF SPINAL MANIPULATION COMPARED TO SURGERY

Favorable outcomes of back pain and radiculopathy are attained in the vast majority of patients under non-operative care. Surgical intervention is reserved for patients who have significant pain that is refractory, non-responsive to at least 6 weeks of conservative care. This author finds this window of time adequate to reverse back and extremity pain in the majority of cases with Cox® Technic Flexion Distraction and Decompression spinal manipulation. Patients who have a severe or progressive motor deficit, or patients who have any symptoms of bowel or bladder dysfunction are surgical candidates but this occurs in a small minority of cases, less than 1% with the condition called cauda equina syndrome. (7)

The Bone And Joint Decade 2000-2010 Task Force On Neck Pain and its associated disorders searched 5 databases from 2000 to 2014 finding 8551 citations for study. New evidence suggests that mobilization, manipulation, and clinical massage are effective interventions for the management of neck pain. It also suggests that electroacupuncture, strain-counterstrain, relaxation massage, and some passive physical modalities (heat, cold, diathermy, hydrotherapy, ultrasound) are not effective and should not be used to manage neck pain. (8)

DEPRESSION IN CHRONIC LOW BACK PAIN PATIENTS

Chronic low back pain is known to cause anxiety and depression for the patient. Can you blame them? Suffering without relief will make anyone anxious. The complex, bidirectional correlation between chronic low back pain and generalized anxiety disorder, common in primary care, can increase the risk of inadequate treatment. (9) Chronic low back pain participants have lower working memory performance and higher pain catastrophizing  compared to pain-free controls.  (10) This author finds patient confidence and understanding of their condition reduces depression; some patients state their relief to now just understand their condition as it had not been explained to them by any prior healthcare consultant, doctor or surgeon in an understandable language.

CONSIDERATION OF HIGH VELOCITY LOW AMPLITUDE VERSUS LOW VELOCITY VARIABLE AMPLITUDE SPINE MANIPULATION BY SPINE CONDITIONS

Classic side posture high velocity low amplitude spinal manipulation was compared to Cox® flexion distraction non thrust spinal manipulation in a study of 192 participants, mean age 40 years, 54% male with subacute and chronic low back pain. Similar effects in short-term low back pain improvement for both were superior to a wait list control. (11) This author notes the mean age of the 192 patients was 40, and Cox states that the older the patient the more reliable is flexion distraction decompression spinal manipulation due to degenerative spine disease and inability of the patient to tolerate high velocity thrust adjustment. Also no radicular patients were part of this study and radicular patients, show Cox® flexion distraction decompression non thrust adjusting has great superiority because side posture thrust adjusting is not well tolerated and is shown to aggravate disc herniation and spinal stenosis. Here is seen the erudite decision making of the chiropractor in determining spinal manipulation use and application. (11)

CONCLUDING PATIENT INTERESTS IN CHIROPRACTIC MANIPULATION

Lastly, evidence based clinical practice is three entities:

  1. research
  2. clinical expertise
  3. patient satisfaction and preference.

Chiropractic must persist in the research for documentation of its contribution to the epidemic problem of spine pain. Dissemination of this research to the chiropractic field doctor is an absolute necessity so he or she can implement the principles taught. Patient satisfaction with chiropractic research and clinical superiority will maintain the leadership role for chiropractic in spine care management.

Cox® Technic flexion distraction and decompression spinal manipulation has published scientific papers on the biomechanics and clinical outcomes of the technic for spine and radicular pain. Standards of care for cervical, thoracic and lumbar spine spinal manipulation are published as well as tutorials in the application of the flexion distraction and decompression technic. For full study of the work, go to the website www.coxtechnic.com. There you will find copies of the research papers, descriptions of Protocol I and II applications of the technic, clinical outcome studies, and case presentations of spinal conditions such as spinal stenosis, intervertebral disc herniation, spondylolisthesis, Bertolotti’s syndrome, facet syndrome, synovial cyst, Tarlov cyst, scoliosis, and subluxation. Cox Technic Complete® program websites like this one more fully go into the examination, physical, orthopedic, neurological and diagnostic imaging of spine pain patients which are shown in video for patients to study and then arrange care with the physician. These studies are designed to lead to the most prudent diagnosis of the patient’s condition. Study opportunities with Dr. Cox and other certified chiropractors for those interested in the procedures are given. Certification following 32 hours of hands on and didactic study is available for international referral directory opportunities.

Clinical validity of Cox® Technic is shown in the just published Clinical Practice Guideline: Chiropractic Care for Low Back Pain in the Journal of Manipulative and Physiological Therapeutics published online January 19, 2016. (12)  It shares that “currently, the most robust literature regarding manual therapy for low back pain is based primarily on high-velocity, low-amplitude (HVLA) techniques, and mobilization (such as flexion-distraction) therefore, in the absence of contraindications, these methods are generally recommended.” (12) This validation of Cox® flexion distraction decompression spinal manipulation is necessary for developing chiropractic’s role in spine treatment.

It is the leadership of superior spinal manipulation that will ultimately draw the public’s acceptance. It is my opinion that our path of research, clinical application and patient preference is large in the future of expanded chiropractic medicine.

Thank you for studying with me.

Respectfully submitted,

James M. Cox, DC, DACBR, FICC, Hon.D.Litt., FACO(H)

1/26/16 


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Video of Cox Technic - It's For More than Just Low Back Pain!

February 16, 2015 21:03 by juliecoxcid

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.


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"I heard Dr. Cox 30 years ago..."

November 18, 2014 15:07 by juliecoxcid

Dr. James Cox had the privilege to present to the 700+ attendees at the ANJC Fall Summit in East Brunswick NJ this past weekend. As he always does, he passionately shares his love of chiropractic and of the research and science behind its art of healing and pain relief. He loves to share his clinical experience over teh past 51 years. At the ANJC, I heard more doctors come up to me and say "I heard your dad / Dr. Cox speak 30 years ago!" While that is awesome, I am so glad they came to hear him again!!! His passion for chiropractic and its science and its art is amazing, and the stories that come after this conversation starter are always interesting. Those are for another blog post...

I have worked with Dad (Dr. Cox) for 22 years. In 22 years, so much has changed and evolved. I was hired to write a newsletter for him and the technique. Today, I get to talk to doctors from around the globe who share their personal patient success stories (which I wish I could get them all to write for me to share with all of you!) and plan training seminars and support our teaching team and coordinate clinicians who want to do research with researchers and connect patients (who are often at the end of their ropes) who need back pain and neck pain relief with Cox Technic certified physicians who can deliver that relief. 

Further, during these 22 years, I have likely sat in over 400 presentations with Dr. Cox and/or other members of our instruction team (Drs. Greenwood, Hazen, Joachim, Kruse, Olding et al). I learn something new at every single course. I hear a new insight or application of a protocol. I hear a new struggle or a new success. I have been on the scene when Dr. Gudavalli has announced reception of a new grant from NIH or HRSA or FCER (when it was in operation) or that a paper about flexion distraction (teaching tools or biomechanical research outcomes or clinical comparison study) is accepted for publication or that he is invited to present flexion distraction to fellow biomechanical engineers and/or chiropractors at conferences in places like Sydney, Dubai, Portugal, California, etc. I am able to watch new doctors to the technique grow in excitement and passion during the course of a seminar. I am honored to hear their stories throughout the course, their personal struggles with back pain and neck pain or those of a loved one, their professional uncertainty as to whether to keep practicing or retire, their journey for finding a better way to help their patients.

What a privilege it's been to be a part of all this excitement that often goes on behind the scenes yet is only known by a few. So thank you to everyone who gives Dr. Cox a second chance - even if it's 30 years later - to share his passion for chiropractic, its science and its art, its research and its clinical application. And I am so glad that you get that chance as he is my dad, and I am so honored to still have him in my life these 30 years, 40 years, almost (!) 50 years. 

I look forward to seeing you at a seminar or lunchtime LIVE webinar or hands-on workshop and hearing your story of hearing Dad teach you 30 years ago (or 2 years ago or 2 months ago!). I am confident you will hear something new to inspire you and your enthusiasm for your chiropractic practice and profession!

- Julie Cox-Cid 


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Chiropractic Recorded Course: Cases & Treatment with Cox Technic Flexion Distraction

August 19, 2013 14:11 by juliecoxcid

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. 


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Pelvic Pain and Organic Dysfunction - Book is Back In Stock!

April 10, 2012 14:24 by juliecoxcid

Pelvic Pain and Organic Dysfunction, the book by Dr. James Browning, is back in stock!

So many doctors find pelvic pain in their patients which makes this book so timely. For you and even PPOD patients who suffer, Dr. Browning writes in an easy-to-read and understand fashion about a new solution to chronic pelvic pain and disturbances of bladder, bowel, gynecologic, and sexual function that accompany it. You as the treating physician can replicate his protocols to help your patients, and your patients can read about how to help themselves as they heal.

Case presentations of actual patients are included with their examination findings, their treatment plans, and their results.

Treament with Cox Technic Flexion Distraction is detailed as well as the ancillary care that helps these patients get relief.

You will find this book an asset to your library. Click here to read more about it and purchase.


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War Veterans Suffering Back Pain and Leg Pain Like Never Before

March 15, 2012 10:41 by juliecoxcid

An eye-opening article in the Houston Press reports on the veterans coming home from wars in the Middle East, suffering with back pain and sciatica.

Back packs of 80 and 90 and 100 plus pounds that must be carried by on their backs plus the body armor of 30 to 40 pounds is being discussed as a culprit. Amazing that airport baggage over 50 pounds is considered too heavy and charged a surplus fee. Shipping companies charge extra for heavier loads, too. Military men and women carry these heavy loads daily and jump in and out of vehicles according to this article. No wonder lower back pain and leg pain (sciatica) is an issue.

The Veterans Administration does what it can. It seems that a suggestion was bantered around for a "back pain management clinic" to be added to all VA Hospitals. That didn't happen. Chiropractic is supposed to be available in all the VA Hospitals. It's coming slowly, it seems, but has never been in more demand. Chiropractic's non-surgical and non-drug approach may certainly meet the demand because these veterans don't want to take drugs and have surgery if they don't have to. Cox Technic may be the successful back surgery alternative for them.

Cox Technic is poised ready with certified and otherwise trained physicians to meet the demand for back pain relief for US veterans. A few bases even have Cox Tables and physicians on staff who treat the veterans with back pain, and these docs are busy.

We wish our veterans safety, thank them for their service, and hope more of them get access to chiropractic and even Cox Technic Flexion Distraction Spinal Manipulation care for their back pain.


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LIVE Webinar on January 25 with Treatment Demonstration

January 18, 2012 18:36 by juliecoxcid
Dr. James Cox hosts this  webinar from his personal home-office which is equipped with The Cox Table to demonstrate treatment as well as share slides via his computer. Focusing in cervical spine, Dr. Cox will show flexion distraction care of conditions like headache, degenerative disc disease, Klippel Feil syndrome, nutrition, mechanisms of anular failure, and multifidees muscles will be shared this time. In just an hour, you will come away ready to treat cervical spine pain conditions like never before!
Register online now. $30 attendee or $22.50 for CTC subscribers. You will receive instructions and your personal password on how to join this live webinar one hour before it starts.
date:January 25, 2012
day: Wednesday
time: 12:30pm-1:30pm Eastern Standard Time
We look forward to your joining this live webinar. If you want to see past webinars at your leisure, please see your choices for recorded webinars.

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Cox Technic Research At Loyola's Windy City Lab

November 29, 2011 14:49 by juliecoxcid

The Musculoskeletal Biomechanics Research Laboratory at the Loyola University Medical Center, endearingly known as the Windy City Lab, is a site of federally funded research into the biomechanical and clinical studies of flexion-distraction, the technique also known as Cox Technic developed by Dr. James M. Cox. The most current project involves the cervical spine.

At the Windy City Lab, Dr. Avinash G. Patwardhan directs a team of orthopaedic surgeons, engineers, medical researchers and statisticians whose publishing credits include over 100 papers in peer-reviewed journals like Spine, J of Bone and Joint Surgery and the J of Biomechanics. It's quite impressive what this small but mighty team has accomplished.

Dr. Ram Gudavalli, chiropractic researcher from Palmer Research Center and director of the chiropractic clinicians and researchers in this particular project under the direction of Christine Goertz, DC, PhD, works closely with Dr. Patwardhan and his team. Consulting chiropractic clinicians who volunteer their time and travel to this project include

  • James M. Cox, DC, DACBR
  • George Joachim, DC, DACRB
  • Ralph Kruse, DC, DABCO
  • Robert Rowell, DC 
  • Michael Seidman, DC
  • Robert Vining, DC

Each time these researchers and clinicians assemble, excitement abounds at the ability to document what happens during this flexion distraction procedure and at the collaborative efforts of all involved.

Please check out the new website for Loyola's Musculoskeletal Biomechanics Research Laboratory, www.WindyCityLab.com. (Watch the image rotator on the homepage to see if you recognize the research team for this flexion distraction research project!)


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NEW (More) Cox Technic Webinar Recordings Available

November 7, 2011 14:13 by juliecoxcid

They're ready! Recordings of Cox Technic Webinars are ready for you to view at your leisure. Dr. James Cox presents webinars on special topics for chiropractic physicians dealing with back pain, neck pain and  wellness care. The newest recordings available are

  • CLINICAL SPINAL NUTRITION
  • PATIENT DOCUMENTATION in the Cox Technic System of Spinal Pain Management
  • FAILED BACK SURGICAL SYNDROMES (FBSS) Part I

Cox Technic is an evolving system of evidence-based protocols to enhance the chiropractic spinal pain relief clinical outcomes. Dr. Cox passionately studies the published medical research about spinal examination, biomechanics, diagnosis and various approaches to spinal pain relief. He appreciates your enthusiasm in studying with him.

For more information about these recorded Cox Technic Webinars, please click here.


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