How it Helps

Cox® Technic is non-surgical, doctor-controlled, hands-on spinal manipulation performed with the patient lying on The Cox® Table by Haven Medical, the proprietary, specially designed chiropractic instrument. This table permits the effective administration of flexion-distraction and decompression adjustment and manipulation.

Well-researched and documented, flexion-distraction and decompression helps relieve spinal pain and return patients to their desired quality of life by …

  • dropping intradiscal pressure to as low as -192mm Hg*
  • widening the spinal canal foraminal area by 28%
  • reducing pressure on the spinal nerves
  • returning motion to the spinal joints
The goal of Cox® Technic is to help the spinal pain patient go from "pain" to "no pain" as quickly as possible following the "rule of 50%" which governs the Cox® Technic System of Spinal Pain Management.

pain (spinal stenosis)

no pain (reduced stenosis)

IRRITANTS: Mechanical and Chemical
Spine and extremity nerve pain stem often stem from two irritation sources: mechanical and chemical. Mechanical irritation stems from mechanical nerve compression while chenical irritation stems from chemical inflammation of the spinal cord and its exiting nerves that extends pain out to the arms and legs.  Research explains that the degree of pain and disability due to to mechanical irritation depends on the degree of mechanical force on the nerve and further lists chemical inflammatory factors contributing to pain and disability.

Cox® Technic distraction spine manipulation is a specialized technique used to reduce mechanical nerve compression by lowering disc pressure on the nerve and increasing the size of the nerve opening that the nerve exits from the spine. This narrowing of the nerve openings is called spinal stenosis, and our goal of treatment - and that of certified Cox® Technic practitioners who have gained more focused understanding and hands-on application practice at certification courses - is to reduce that pressure and improve disability and quality of life's activities. 

Improved circulation and reduced local irritation may reduce the chemical agents in the spine and around the nerves that cause pain and disability. Specialized MRI studies do show improved circulation following spine manipulation as well as increased ranges of motion of the spine. (Kuo, Beattie, Chung, Wong, Sung)

Evidence-based Cox® Technic is appropriate for conditions causing low back and leg pain as well as neck and arm pain. It also reduces pain attributable to …
  • disc herniation
  • a slipped disc
  • a ruptured disc
  • facet syndrome
  • stenosis
  • spondylolisthesis
  • synovial cyst
  • continued back pain after back surgery
  • other conditions
Watch this short video on the "Effects and Goals of Cox® Technic"...  

Then CLICK ON THE IMAGE BELOW for a video description by Dr. James Cox, developer of flexion distraction, about the nature of Cox® Technic Flexion Distraction as it is supposed to be administered:
For further information, explore this website, find a Cox® Technic certified physician, or contact Cox® Technic.