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Cox Technic

Named after its developer, James M. Cox DC DACBR, Cox Technic Flexion Distraction and Decompression is a gentle, non-force chiropractic adjusting approach. 63.7% of chiropractic physicians report using flexion-distraction in their practices. (1 Germantown Chiropractic provides this highly-effective spinal manipulation and decompression technique, a combination of chiropractic and osteopathic principles. This combination offers a non-surgical alternative to a more invasive surgery for relief of pain in the neck, arm, back and leg, especially for the 1 in 4 patients who are 95% of the cost of healthcare dollars for back pain: the disc herniation and stenosis cases. Cox Technic’s performance for these more involved conditions makes it a choice approach for less extreme conditions of back and neck pain likewise.

Cox Technic is a gentle distraction (stretching) adjustment of the spine to produce the following benefits for the patient with back or extremity pain:

  1. Increase the intervertebral disc space opening
  2. Decrease the pressure within the disc space to aid healing of disc herniation
  3. Increase the size of the nerve openings in the spine to reduce pinched nerves
  4. Restore range of motion to spinal segments

The Technique

The above changes in the spine allow the following healing benefits to patients with back pain or pain down the arms or legs:

  1. Stimulation of circulation into the intervertebral disc to aid in absorption of the pain-causing chemicals while increasing the absorption of nutrients into the disc to aid healing and regeneration of the disc.
  2. Dropping the pressure inside the disc creates a force inside the disc to reduce the bulging of herniated disc material.
  3. Stenosis patients benefit by increase in the size of the nerve openings which is the sight of nerve compression and pinched nerves.
  4. Range of motion spinal manipulation restores more freedom of movement while also stimulating nerves in the extremities, spinal cord, and brain to produce chemicals that reduce pain and create a sense of well-being.
  5. As these above changes occur under chiropractic treatment with Cox Technic Flexion Distraction spinal manipulation, pain in the extremity can reduce by centralizing or isolating the pain to the low back and hip area.
    • This easing of pain in the extremity by moving out of the leg and into the back and hip area is a sign of healing and is called centralization of pain.
    • Back pain diminishes as the nerve compression and chemical irritation decreases and normal movement of the spine returns.
  6. Three months time is necessary to allow healing of herniated disc and stenosis caused pain. Some patients receive full relief of pain and some as much as possible, requiring continued observance of rules of exercise, proper ergonomics of lifting, and continued monitoring of care.

The Table

You will notice, as most patients do on their first visit, the special table used for Cox Technic. It is known as The Cox Tableor a flexion distraction table. Its design allows a gentle tractioning of the spine to drop intradiscal pressures, an increase in disc height, and an opening of spinal canal area as well as reestablishing individual normal spinal segment ranges of motion.

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