from Dr. Cox...
Chiropractic doctors majorly treat musculoskeletal problems with greatest emphasis on spine and radicular conditions. To that end we excel in understanding the biomechanics, diagnosis and treatment of the human spine.
Cox® Technic spine distraction manipulation and mobilization post-graduate education (certification courses) certifies chiropractic doctors to perfect their clinical prowess for such conditions. This course work is presented with continuing education management via the post graduate division of National University of Health Sciences.
To that end, Cox® work involves detailed referenced examination and treatment delivery. The following two papers support our work.
(1) First is the Ghanim et al paper that correlates clinical and MRI findings for disc herniation in the lumbosacral spine. Cox® certification courses teach the findings outlined in this paper, plus many more, by correlation of scoliotic list, reduced range of motion, decreased straight leg raise between 41 to 70 degrees, cross straight leg raise, femoral nerve stretch test, neurological deficits, nerve root involvement (42% L5, 22% S1) resulting in the determination of the lesion’s level, horizontal location, herniation type, and herniated disc size in the lumbosacral region and achievement of a more accurate diagnosis. This paper is outlined here with knowledge that we, all of us, have followed this workup, with far more testing, for decades in certifying superior Cox® certified chiropractors.
Cox® certification teaches and tests via written and hands-on application complete testing to determine the diagnosis upon which chiropractic spine mobilization and manipulation is delivered.
(2) The next paper by van der Graaf et al illuminates future MRI diagnosis via AI that enables complete diagnosis of central spine stenosis from a sagittal view with axial visualization thus reducing time and need for axial imaging. Just something to know as we move into the future of spine care as a profession. Remember: About 2% of spine conditions go to surgery so chiropractors potentially treat the other 98%. Is it not exciting to meet the needs of millions of people suffering spine pain conditions?!
Respectfully submitted,
James M. Cox, DC, DACBR
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