The Cox Technic is one of the methods used by chiropractors.
What is the Cox Technic?
The Cox Technic is a method of spinal manipulation designed to alleviate pain in the back, neck, arm, and leg, as well as spinal conditions such as spinal stenosis, herniated discs, or even back pain due to pregnancy. Instead of medications and surgery, the Cox Technic, founded by Dr. James M. Cox, is a non-surgical alternative. Practitioners may become certified in the Cox flexion distraction protocols.1 Flexion distraction can drop “intradiscal pressures” and widen the spinal canal, as well as return “motion to the spinal joints”. The treatment is gentle and safe.2 The Cox Tecnic is also used to treat slipped and ruptured discs, facet syndrome, headache, degenerative disc disease, whiplash, scoliosis, osteoporosis, low back pain, and
Cox Flexion Distraction Tables
The Cox flexion distraction tables are used in the flexion distraction therapy. The table reduces pressure on the spinal nerves. It assists the chiropractor in spinal manipulation. Patients lie down on the table, face down, and the doctor then drops and moves the table, making sure to test the patient’s tolerance so that the condition is not aggravated. The chiropractor focuses on “one vertebral motion segment at a time”. A goal is to reduce pressure on the nerves.4 Patients are meant to move from “pain to no pain” with their practitioners “following the rule of 50%”.5 It is hoped that 50% of the pain symptoms will be relieved within 30 days, otherwise the practitioner would need to perform further testing or recommend some other consultation. Once that level of pain relief is achieved, the practitioner would reduce the patient’s visits by 50%.6
Research and Certification
The Cox Technic has been researched. In one recent study, flexion distraction was used on a 64-year old man with disc herniation. The Cox flexion distraction methods were used to “reduce nerve root compression”. After 10 visits over 4 weeks, “the patient reported being pain-free”, even 8 months after care completed.7 In 1991, the Cox Certification Program was formed in Lombard, Illinois. The course typically includes 12 hours of training for Part I and 18 hours of training for Part II. A “written and practical examination” follows. Periodically, doctors need to re-certify. Part III courses are also available for re-certifying practitioners.8 The Cox Technic website has a directory of Cox Certified physicians, including listings for Active and Inactive doctors.9