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

Evidence-Based Protocol for Back Pain and Neck Pain Relief

September 26, 2011 10:51 by juliecoxcid

Healthcare costs and healthcare demands are all the talk today. Families struggle with healthcare decisions. Politicians and insurance companies are changing the system. Doctors are changing their office protocols to meet the new guidelines. It's hard to keep up for everyone. But for your health, you know that evidence-based protocols are those that you want for your loved ones when they hurt.

Evidence-based protocols come from documentation by clinicians and researchers seeking an answer to help sufferers. When it comes to back pain and lower back pain and neck pain sufferers, Cox Technic strives to provide the evidence-based protocols to make a difference in your lives. Researchers from prestigious universities and research centers (click here to see some of the federally funded projects and who is involved) work together to document the biomechanical (answering the question: what happens during Cox Technic?) and clinical (answering the question: how long does it take to get relief?) of Cox Technic.

Systematically, researchers and clinicians work to define the evidence-based protocols that will relieve back pain and neck pain without surgery or drugs when possible. When a doctor implements evidence-based protocols in his or her clinical practice, patients can feel a bit more assured that there is a level of science and understanding behind those protocols and find reasonable relief of pain. All persons involved know what to expect and what to do when those expectations are not met.

Evidence-based medicine and clinical protocols are the present and the future of healthcare. If something works, it will likely be used and paid for. If it doesn't, it likely won't.

If you suffer with back pain or related extremity pain or neck pain, contact a Cox Technic certified physician to discuss your condition and expectation of relief. Cox Technic treatment protocols are safe and gentle.

If you are physician seeking to implement an evidence-based protocol in your spine pain practice, contact us for information on educational opportunities and training seminars, research, and publications about the evidence-based protocols of Cox Technic.


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Chiropractic and Back Pain

May 9, 2011 11:34 by juliecoxcid

Chiropractic and Back Pain. Chiropractic and Neck Pain. Chiropractic and Spine Pain. The public thinks of chiropractic for back pain by and large.

  • 33% of 27,810 people chose chiropractors as their treating physician for low back pain in the National Health and Nutrition Examination Survey. (NHANE) [in Deyo R: Spine 12(3)]
  • Spine care delivery is 60% by the medical model and 40% by the chiropractic model. [Saal, Spine 22(14)]
  • The total number of US adults who went to a chiropractor increased 57% from 2000-2003. [Davis, Health Svcs Research 45(3)]
  • Paid costs for back pain care started with a chiropractor were 40% less than care started with a MD. [Liliedahl, JMPT 33(9)]

Chiropractic is reknown for its back pain care. Chiropractic has evidence-based technique to relieve and control back pain like Cox Technic.

The federally funded studies document Cox Technic Flexion-Distraction and Decompression's biomechanical effects on the spine as well as its clinical outcomes:

  • intradiscal pressure drops to as low as -192mm Hg in the lumbar spine
  • 28% widening of the area of the intervertebral canal
  • flexion distraction is superior in relieving pain due to radiculopathy (leg pain) compared to medical care. (Gudavalli, Euro Sp J 2006
  • 29 days and  12 visits are the averages for relief of low back pain when not taking into account specific conditions of back pain. [Cox, Topics in Clinical Chiropractic 1996, 3(3)]
  • 13.2 treatments is the average for relief of neck pain radiculopathy. [Schliesser, Kruse, JMPT 26(9)]

Back pain and chiropractic fit together. The chiropractic physician is skilled in the diagnosis, examination and treatment of back pain as well as its prevention with nutrition, exercise and lifestyle choices. The chiropractic back pain research continues to evolve in support. Chiropractic physicians train specially to keep abreast of the latest research and Cox Technic treatment application in seminars. Back pain patients find Cox Technic physicians for their back pain relief when they search the referral directory of certified Cox Technic physicians.

Research leads the way in evidence-based care and in Cox Technic.

Contact Cox Technic if you have any questions.


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Dr D'Angilillo, Certified Cox Doctor, Featured in Article

November 20, 2010 01:18 by juliecoxcid

Certified doctor, Dr. Joseph D'Angiolillo, is in a feature article about his using Cox Technic in practice - gentle, non-invasive treatment for disc, neck, headache ("no cracking"). Complete with pictures! Nice article. 

http://www.mycentraljersey.com/apps/pbcs.dll/article?AID=201011090304


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Cox® Seminar in Portland Oregon

August 7, 2010 00:26 by juliecoxcid

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:

- in at least 8 federally funded grant projectsLink
- the most current one involves studying the biomechanics of cervical spine f/d Link (project #3)
- documented that
  1. intradiscal pressures drop to as low as -192mm Hg
  2. intervertebral foramen opens 28%
  3. intervertebral disc height increases  Link
- a catalyst in drawing researchers together fromLoyola Stritch School of Medicine
  • Palmer College of Chiropractic Research Center
  • Hines VA Hospital
  • National University of Health Sciences
  • University of Iowa
  • University of Illinois

Come hear details of CHIROPRACTIC RESEARCH OUTCOMES and learn effective HANDS-ON CHIROPRACTIC TECHNIQUE for lumbar spine, thoracic spine, and cervical spine. 

Dr. Lee Hazen, Dr. Cox's resident/associate/partner for nearly 10 years, leads this weekend of Cox® Technic biomechanics, examination, treatment protocol, and research support.

Portland OR
September 18-19, 2010 
12 hours CE  (co-sponsored by NUHS)
the new Hyatt Place at PDX
Topic: Cox® Technic Protocols for Spine and Radicular Pain Relief - Cervical Spine, Thoracic Spine & Lumbar Spine
For more information, please click here.
                     

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Cox Technic Flexion-Distraction Studied in $2.8 Million Study

June 24, 2010 19:12 by juliecoxcid

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


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Cox® Seminar in Boston - July 2010

June 8, 2010 10:39 by juliecoxcid

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


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Cox® Technic Relieves C6/C7 Disc Herniation Neck and Arm Pain

May 18, 2010 22:02 by juliecoxcid

Drs. Gudavalli and Kruse report on a 33-year-old man who complained of severe neck pain and spasms, pain radiating down his left arm and upper back, and associated numbness in his fingers. Clinical examination and MRI radiological examination find that a moderate-sized left posterolateral disc herniation at C6/C7 which is causing severe foraminal stenosis.  The patient was treated a total of 15 times in 10 weeks. Subjective findings using a pain scale and objective examination findings supported a good clinical outcome. At 2-year follow-up, subjective and objective findings remained stable.

Description and image: http://www.spineuniverse.com/conditions/spinal-stenosis/what-spinal-stenosis


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Cox® Technic for Neck and Arm Pain Radiculopathy

March 26, 2010 14:36 by juliecoxcid

Shoulder pain and arm pain and arm pain that may even go all the way to the hand and fingers can be frustrating. Sometimes people think that it's just from overexertion or an arm muscle pull. Sometimes, though, the pain may be the result of nerve compression in the cervical spine. A disc herniation ("slipped disc") could be the culprit. Stenosis could be the culprit. The physician can differentiate the cause and help with Cox® Technic Flexion-Distraction and Decompression Adjusting. 

In a retrospective study of 39 patients treated in one physician's office, Cox® Technic provided statistically significant relief of pain. The Visual Analog Scale ("On a scale of 1 to 10 with one be no pain and 10 being the worst pain, what is your pain today?") reports by the patients showed reduction in pain. The mean number of treatments was 13 (+/- 8 treatments). The treatment protocol was Cox® Technic and physical therapy modality (ex: ice or electrical stimulation or other). 

This study of cervical spine radiculopathy patients with pain down the arm below the elbow is a stepping stone to larger studies of its kind to document the relief attainable with Cox® Technic. Cox® Technic and its physicians and researchers strive to document the protocols, outcomes and biomechanics for the best clinical outcomes.

For more information on Cox® Technic flexion-distraction for cervical spine pain and cervical spine pain radiculopathy, please visit http://coxtechnic.com/homepage/cervicalspine.html . 

(source: Schliesser JS, Kruse RA, Fleming Fallon L: Cervical radiculopathy treated with chiropractic flexion distraction manipulation: a retrospective study in a private practice setting: Journal of Manipulative and Physiological Therapeutics 2003; 26(9):592-596)


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