12/20/2025
What Is the Cox® Chiropractic Technique?
A gentle, evidence-informed approach for disc-related spinal pain
The Cox® Chiropractic Technique, also known as Cox® Flexion-Distraction, is a highly specific, physician-developed form of spinal decompression designed for conditions such as disc herniations, bulging discs, spinal stenosis, sciatica, facet syndrome, and post-surgical back pain.
Unlike forceful spinal manipulation, this technique uses a specialized adjusting table that allows the doctor to apply slow, controlled, and measured spinal motion. The movements are gentle, precise, and tailored to the individual patient’s diagnosis and tolerance.
How It Works (In Plain Language)
The Cox Technique gently opens the spinal joints and decompresses the disc space. This helps to:
• Reduce pressure inside the disc
• Take tension off irritated spinal nerves
• Improve spinal mobility and joint nutrition
• Calm pain-sensitive structures in the spine
For many patients, this creates an environment where the body can heal rather than compensate.
The Science Behind It
Research published in peer-reviewed journals demonstrates that flexion-distraction procedures can:
• Lower intradiscal pressure, helping disc bulges or herniations retract inward
• Increase the size of the spinal canal, benefiting patients with stenosis
• Reduce mechanical stress on facet joints and nerve roots
The Cox Technique is taught worldwide, used by certified physicians, and supported by decades of biomechanical and clinical research.
Why It Helps Patients Avoid Surgery
Many disc and stenosis cases are treated surgically only after conservative care fails. The Cox Technique offers a non-surgical, non-invasive option that often relieves symptoms sufficiently to delay or completely avoid spinal surgery, especially when used early and appropriately.
Orthopedists and medical doctors often recognize this approach as a form of targeted spinal decompression, consistent with conservative care guidelines.
Who Is It Best For?
• Patients with disc-related back or neck pain
• Individuals told they “may need surgery” but want a conservative option
• Those who cannot tolerate forceful spinal manipulation
Bottom line: The Cox® Chiropractic Technique is a gentle, research-supported method that addresses the mechanics of disc and nerve pain, often helping patients recover while avoiding more invasive procedures.
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