Cox® Technic was developed in the early 1960s by Dr. James M. Cox, DC, DACBR.

In developing the technique, Dr. Cox combined chiropractic principles with the osteopathic principles set forth by Alan Stoddard, DO, in his book, Manual of Osteopathic Technique, which chronicles the manipulative procedures developed by John McManis, DO, in the early 1900s.

Initially, Dr. Cox introduced and taught the technique as "flexion-distraction" which is now the common name for the technique though it is recognized as Cox® Technic.
Over the decades, Cox® Technic has evolved thanks to the efforts of many researchers and fellow chiropractic physicians.

Dr. Cox himself has refined the technique as research and clinical experience dictates, designed a manipulation instrument for it – The Cox® Table - conducted clinical research, participated in experimental research, lectured around the world, trained 1000s of chiropractic colleagues for clinical application, encouraged new instructors to help teach the technique and spread the word about the evidence-based research being produced, and written well-received articles, textbooks, and chapters for textbooks.

From the 1970s on, many journal articles and Web-published articles have been written about Cox® Technic, and federally funded research projects have been granted and completed.

The history and evolution of Cox® Technic are well described in an interview Dr. Cox gave to the editor of the French chiropractic website, Vertebre.com, as well as published and peer-reviewed paper by Cox and Dr. Joseph Keating called Osteopathy meets chiropractic: evolution of the flexion-distraction technique in the Chiropractic History Journal, 2007 which is also reprinted with permission in Dr. Cox's textbook, chapter 1.
Dr. Cox also described the history in writing in his textbook, Low Back Pain: Mechanism, Diagnosis, Treatment, published by Lippincott Williams and Wilkins (7th edition, 2011) if you would like to read more.

For further information, contact Cox® Technic.