Case Reports

Dear Colleague,
There are exciting opportunities for clinical experience and research sharing:

• the published research article summaries with commentary and clinical thoughts as in COX® PEARLS,
  
• and this … research application in real patient cases. I enjoy sharing cases and their outcomes. I trust you will, too. If you have a case, please forward it to me. It may be included here! Don't let your experience go unnoticed! Share it here.
  

Cases Submitted by Dr. Cox:

• Case Report #1--Disc Herniation L5-S1--sent 2/03
  
• Case Report #2--Synovial Cyst--sent 6/03
  
• Case Report #3--H-fracture Management--sent 7/03
  
• Case Report #5--C5-C6 Disc Herniation -- sent 9/03
  
• Case Report #6--Cervical Spine Patient Avoids Surgery with Cox® Distraction Care -- sent 10/03
  
• Case Report #7 -- Osteoporosis Induced Compression Fracture -- sent 11/03
  
• Case Report #8--Discogram-Confirmed Disc Herniation Treated Successfully with Cox® Distraction Manipulation - sent 12/03
  
• Case Report #9 -- Slipped Capital Femoral Epiphysis Leads to Hip Degeneration & Replacement--sent 1/04
  
• Case Report #10 -- Renal Cyst as Cause of Low Back Pain--sent 1/04
  
• Case Report #11 -- Chiropractor to Chiropractor Referral Results in Success for Patient: Large Sequestered Right L5-S1 Fragment & L5-S1 Subchondral Sclerosis of Bone with Degeneration of the L5-S1 Disc  - sent 2/04
  
• Case Report #13 -- Failed Back Surgery Syndrome--sent 4/04
  
• Case Report #14 -- Diastematomyelia -- sent 5/04
  
• Case Report #16 -- Patient Choice Takes Him to Surgery, Still Has Radiculopathy Post Surgery -- sent 7/04 
  
• Case Report #17 -- C5-6 Disc Herniation with Radiculopathy & Instability Relieved with Cox® Decompression Adjustment & Manipulation--sent 8/04
  
• Case Report #18 -- Hip Replacement for Avascular Necrosis and Pain due to Osteodegenerative Arthritis of Hip Joint & Spondylolisthesis Controlled with Cox® Decompression Adjustment & Manipulation - sent 9/04
  
• Case Report #20 -- Spinal Cord Edema at Cervical Disc Herniation Level--sent 11/04
  
• Case Report #21 -- 66 year old female with bilateral arm and leg pain with neck and low back pain of years duration - sent 12/04
  
• Case Report #22 -- CASE OF FACET REMOVAL FOR SURGICAL REMOVAL OF LARGE EXTRAFORAMINAL FREE FRAGMENT OF L5-S1 DISC--sent 1/05
  
• Case Report #23 -- A "Common" Case Handled Well With Chiropractic Cox® Distraction Decompression Adjusting Protocols -- sent 2/05
  
• Case Report #24 --  Rapid Onset Stenotic Changes -- sent 3/05
  
• Case Report #25 -- CERVICAL SPINE STENOSIS CONTROLLED WITH EPIDURAL STEROID INJECTIONS AND LONG Y AXIS COX® DECOMPRESSION ADJUSTING -- sent 4/05
  
• Case Report #26 -- Klippel Feil Fusion Pattern 3 -- sent 5/05
  
• Case Report #27 -- Patient Faces Third Cervical Surgery, Escapes it by Cox® Decompression--sent 6/05
  
• Case Report #28 -- Ankylosing Spondylitis Benefits from Cox® Decompression Adjusting -- sent 7/05
  
• Case Report #30 -- Interesting Anomalous 9th Rib Formation with Scoliosis--sent 9/05
  
• Case Report #31 -- Spondylolisthesis at L5 in a Truck Driver, Long-Standing Low Back and Leg Pain, Relieved with Cox® Decompression Adjusting -- sent 10/05
  
• Case Report #32 -- L4-L5 Spinal Stenosis With Synovial Cyst Relieved with Cox® Decompression Adjusting Following Epidural Steroid Injection With No Help -- sent 11/05
  
• Case Report #34 -- Disc Herniation and Stenosis Cases Demand Careful Clinical Examination and MRI Imaging Correlation: L3-4 Disc Herniation with Marked Motor Weakness, MRI Disc Herniation looks Small  -- sent 1/06
  
• Case Report #35 --  MRI Misses Clinical Findings -- Left L4-5 Free Fragment with Only Low Back and Retrochanteric Pain Gemelli-Obturator Internus Complex Present and Treated  -- sent 2/06
  
• Case Report #36 -- 20 year old patient presents with marked motor weakness, referred for surgery  -- sent 3/06
  
• Case Report #37 -- Two Cervical Disc Herniations: One Contacts the Spinal Cord; One does Not -- sent 4/06
  
• BONUS REPORT -- sent 4/06 -- NEW STUDY OF COX® DISTRACTION MANIPULATION IN THE TREATMENT OF LUMBAR SPINE STENOSIS: LUMBAR SPINAL STENOSIS PATIENTS IMPROVED BY 76% AND DISABILITY IMPROVED IN 73%
  
• Case Report #38 -- Degenerative Osteochondrosis with Thoraco-lumbar scoliosis seen in the elderly -- sent 5/06
  
• BONUS CASE -- #38b by Ted Siciliano DC -- sent 5/06 
  
• Case Report #39 -- A patient wants to run own care, results not as desired: cervical spine pain with right arm pain -- sent 6/06
  

• Case Report #40 -- MRI Study of a patient who was surgically fused at L4-5-S1 for low back and lower extremity pain due to degenerative spondylolisthesis of both L4 and L5 segments (sent 7/06)
  
• Case Report #41 -- LESSON: DO NOT MISS THE BIG PROBLEM BECAUSE MRI FINDINGS MISLEAD YOUR ATTENTION  (sent 8/06)
  
• Case Report #42 -- "Common" case of back pain in a patient not able to take PA thrust, gentle long-y-axis spinal manipulation helps control patient pain  (sent 9/06)
  
• Case Report #43 -- DEGENERATIVE SPONDYLOLISTHESIS AT L4 WITH SPINAL STENOSIS - FLEXION DISTRACTION MANIPULATION OR SURGICAL FUSION?  (sent 10/06)
  
• Case Report #44 -- Scapular Pain as Indicator of Compressed Cervical Nerve Root  -- A special research report (sent 11/06)
  
• Case Report #46 -- Far Lateral Disc Herniation -- Extremely Painful -- Patient Chooses Surgery for Immediate Relief of Pain and Cox® technic for post-surgical management     (sent 1/07)
  
• Case Report #47 -- Butterfly Vertebra Treated Post Surgical Disc Removal (sent 2/07)
  
• Case Report #48 -- L5S1 Free Fragment (sent 3/07)
  
• Case Report #48 UPDATED -- L5S1 Free Fragment UPDATE (sent 4/07)
  
• Case Report #52 -- Surgical Fusion And Hip Replacement Patient Treated For Back And Leg Pain Successfully With Cox® Flexion-Distraction Adjusting And Long Y Axis Decompression Unattended: Realistic Expectations (sent 8/07)
  
• Case Report #53 -- POST SURGICAL RETURN OF RIGHT LEG PAIN. TREATED SUCCESSFULLY WITH COX® FLEXION DISTRACTION COMPRESSION ADJUSTING (sent 9/07)
  
• Case Report #54 -- Progressive Disc Degeneration In The Cervical Spine From C6-7 To C4-5 (sent 10/07)
  
• Case Report #55 -- Large Extraforaminal L2-L3 Disc Herniation Treated Successfully with Cox® Technic Protocols: Always Treat Above the Disc Herniation (sent 11/07)
  
• Case Report #56 -- The Osseoligamentous Free Fragment -- Challenging For All Physicians, Including The Manipulating Doctor: Right Far Lateral L5-S1 HNP Fragment Compressing Both L5 DRG And S1 Nerve Root -- sent 12/07
  
• Case Report #57 -- 27 year old man with two herniated lumbar discs fails to grasp the significance of such findings to his life... We all are in this situation all too often! -- sent 1/08
  
• Case Report #58 -- L3-4 Disc Herniation in 68 year old man who is told to have surgery is managed successfully with Cox® flexion-distraction & decompression adjusting -- sent 3/08
  
• Case Report #59 -- Two Contrasting Cases of Sciatic Radiculopathy: One With Normal MRI and One With A Free Fragment. What is a Chiropractor To Do? -- sent 4/08
  
• Case Report #60 -- Upper Lumbar Disc Herniation with Central and Far Lateral Stenotic Changes Resulting in Anterior Thigh Pain -- sent 5/08
  

• Case Report #4--Cervical Disc Herniation--sent 8/03 -- by Dr. Rosenthal
  
• Case Report #12 -- Synovial Cyst -- sent 3/04 -- by Dr. Wang
  
• Case Report #15-- Pre and Post MRI Study of a Large Herniated Disc at C5/C6 Treated with Cox® Technique -- by Dr. Rosenthal
  
• Case Report #19 -- Cervical Discogenic Myelopathy (C4-5, C5-6) Treated Successfully with Cox® Decompression Adjustment: A Certified Doctor's Case -- Siciliano
  
• Case Report #29 --  Pre and Post-surgical MRI Study of Lumbar HNP at L4-L5 and L5-S1 Following Non-traumatic Small Endoscopic Approach at L5-S1 only and The Application of Cox® -- sent 8/05 -- by Drs. Gangemi, Ditsworth, Lombardi
  
• Case Report #33 -- Large Right L4-L5 Disc Extrusion Corrected with Reverse Cox® Flexion Distraction Manipulation - Protocol I  -- sent 12/05 -- Dr. Rosenthal
  
• Case Report #49 -- Pre and Post MRI Study of a  10mm Lumbar Disc Extrusion Treated with the Cox® Technic -- by Drs. Gangemi & LeMarr -- sent 4/07
  
• Case Report #50 -- Cox® Distraction Treatment of True L5-S1 spondylolisthesis with L5 nerve root sciatic radiculopathy by Lee J. Hazen DC--sent 6/07
  
• Case Report #51 -- Treatment of Sciatica With Muscle Weakness with Distraction and Extension Exercises--by dr. Donna Lieberman -- sent 7/07
  
• Case Report #61-- 56 Year Old Male With Marked Motor Weakness And Atrophy Of The Left Quadriceps Muscle Treated Successfully With Cox® Protocols -- by Dr. Dean Greenwood -- sent 6/08
  
• Case Report #62 -- Chronic Low Back Pain Managed Successfully with Cox® Technic in a Diabetic, Post-Laminectomy Patient -- by Dr. ChrisMoran (sent 7/08)