Cox® Technic

Flexion Distraction is the gentle, safe, controlled treatment for spinal pain relief.

How? Flexion distraction drops intradiscal pressures as low as -192mmHg and widens the spinal canal area by as much as 28%. As a bonus, flexion distraction returns motion to the spinal joints, too!

How fast? Flexion distraction for low back pain conditions takes just 12 visits in 29 days average. (1) Flexion distraction for neck pain conditions takes just 13 visits average. (2) Now if you have a disc herniation, logically, that will likely take more visits/days than if you have a sprain or strain. Plus, these are just averages. Some back pain and neck pain sufferers find relief in just a visit or two. Now that’s a welcome relief.

Note: Flexion Distraction follows evidence-based and documented protocols. The federally funded studies use and test them. Flexion distraction doctors read them in the medical-published textbooks and peer-reviewed journals.

The goal of flexion distraction care is at least 50% relief of pain in 30 days before any advanced imaging or testing is ordered. (Have no fear! If you are getting progressively worse or have cauda equina symptoms (can’t control your bladder or bowel), you would be referred immediately!) Certified flexion distraction physicians know what to look for!  

91% of patients are satisfied with flexion distraction in 90 days.

For what conditions? Lots of them! Check out this list of conditions flexion distraction helps.

What's a treatment feel like? Ahhhh... It's relaxing, relieving, gentle. No quick moves or noise.

Who offers flexion distraction? Certified physicians around the world are ready to take care of you! 

 Cox® Technic Flexion Distraction and Decompression is spinal manipulation. It is chiropractic adjusting. Doctors generally code it as a 98940-series for insurance. The American Chiropractic Association describes flexion distraction as spinal manipulation. (See the Members Area on Coding and Reimbursement.) 

Why spinal manipulation? 

Spinal manipulation is the manual movement of the spinal vertebrae to restore normal range of motion, relieve nerve compression and irritation, relieve pain, and restore a state of well-being to the patient. Cox® Technic Flexion Distraction does just that. In the lumbar spine, Cox® Technic...

1. Increases the disc space height 17%
2. Increases the nerve opening sizes in the spine through which spinal nerves pass from the spinal cord to the body by up to 28% in area
3. Intradiscal pressure reduction which reduces nerve irritation inside the disc and reduces nerve pressure on exiting nerves from the spine that cause arm and leg pain. This drop in pressure has been measured as high as 192 mm reduced pressure inside the intervertebral disc.
4. Restores normal range of motion to the joints of the spine
5. Establishes nerve conduction from the extremities, spinal joints and intervertebral discs to the spinal cord and brain that have a sedating and pain relieving capability. (afferentation)

In the cervical spine, Cox® Technic

1. Lowers C4-C7 intradiscal pressures as much as 96 to 1583 mmHG pressure depending on the level. 
   • (Gudavalli et al, Evidence-Based Comp Alt Med 2013, Article ID 954134 and Gudavalli MR, Potluri T, Carandang G, et al. Cervical intradiscal pressure changes during manual distraction. WFC 12th Biennial Congress, April 10-13, 2013, Durban, South Africa)

1. Provides relief satisfaction for patients 
   • (Gudavalli MR, Salsbury SA, Vining RD, Long CR, Corber L, Patwardhan AG, Goertz CM. Development of an attention-touch control for manual cervical distraction: a pilot randomized clinical trial for patients with neck pain. Trials. 2015 Jun 5;16(1):259. doi: 10.1186/s13063-015-0770-6.)
     

1. Restores normal range of motion to the joints of the spine
2. Establishes nerve conduction from the extremities, spinal joints and intervertebral discs to the spinal cord and brain that have a sedating and pain relieving capability. (afferentation)

A Cry in the Medical Literature for Spinal Manipulation 

"I'm a chiropractor..." What does the other person say in reply? Something like "Oh doc, I have back pain..."?  Chiropractic and back pain seem to go hand-in-hand. And spinal manipulation for back pain relief is effective. Researchers and authors call for spinal manipulation as conservative care for lower back pain relief and other spinal conditions's relief. Here is a sampling of published articles calling for spinal manipulation, directly or indirectly: 

• Spinal manipulation is recommended by the American Pain Society and the American College of Physicians for primary care of low back pain. (Chou)
• Back schools (for short-term improvement), and short courses of manipulation/mobilization can also be considered. The use of physical therapies (heat/cold, traction, laser, ultrasound, short wave, interferential, massage, corsets) cannot be recommended. We do not recommend TENS. (Airaksinen)
• 5 to 10 sessions of spinal manipulative therapy administered over 2 to 4 weeks achieve equivalent or superior improvement in pain and function when compared with other commonly used interventions, such as physical modalities, medication, education, or exercise, for short, intermediate, and long-term follow-up. (Dagenais)
• Spinal manipulation is safe and recommended for acute low back pain. (Bigos)
• Canadian Spine Surgeons Want Spine Surgery Candidates, Not Back Pain Sufferers 
• Canadians wait years for spinal surgeons appointments which they don't need. MRIs show spinal abnormalities that make family doctors refer unnecessarily. Lots of money is spent on unnecessary tests and doctor visits. Canada tries to set up a better system to train family doctors to better know who needs surgery and who doesn't.  (Priest)
• Life Threatening Complications and Costs Increase with Increased Rate of Complex Fusion Procedures (Deyo)
• Disability after Fusion Is High, Fusion Rates Increase (Juratli)
• Chiropractic patient back pain care less expensive than medical doctor care. (NC study) (Phelan)
• Chiropractic patient back pain care initiated with a DC cost  40% less than care started with a MD.  (TN study) (Liliedahl)
• American College of Physicians recommend spinal manipulation is appropriate as first line care of acute, subacute and chronic low back pain. (Qaseem)
• In the JAMA, a review reports that spinal manipulation for acute low back pain provides beneficial moderate relief with minor musculoskeletal side effects.  (Paige) 
• Chiropractic spinal manipulation is popular today with more clinical trials being produced as well as guidelines recommending its use for back pain. (Deyo editorial) 

Spinal manipulation has a place in spine pain relief. Spinal manipulation is non-surgical, non-invasive, effective, and less costly. Chiropractic is at the forefront of spinal manipulation delivery, with nearly 94% of spinal manipulation being delivered by chiropractors (though other healthcare providers are encroaching as its effectiveness is documented). Cox® Technic physicians are poised to be successful in back pain relief with this flavor of spinal manipulation. 

Non-surgical spinal decompression is a hot topic in back pain reduction. Chiropractic spinal manipulation using Cox® Technic flexion distraction (F/D) allows - and is - spinal decompression.

from WebMD (3/23/11): "Spinal decompression works by gently stretching the spine. That changes the force and position of the spine. This will take pressure off the spinal disks, which are gel-like cushions between the bones in your spine. Over time, negative pressure from this therapy may cause bulging or herniated disks to retract. That can take pressure off the nerves and other structures in your spine. This in turn, helps promote movement of water, oxygen, and nutrient-rich fluids into the disks so they can heal."

In the same article, the author poses that spinal decompression needs to be compared to less expensive non-surgical alternatives like chiropractic and others.

Chiropractic Spinal Decompression: Cox® Technic

In chiropractic, F/D is documented effective. Researchers and clinicians conduct and publish biomechanical and clinical outcomes. Such outcomes come from private practitioners' offices as well as federally funded, multi-disciplinary, multi-facility, randomized clinical control trials. Chiropractic's F/D spinal manipulation protocols are documented in textbooks and journals and its clinical outcomes are published in same. (1,2,3,4,5)

• Biomechanically (6), F/D in the lumbar spine drops intradiscal pressures to as low as as -192mmHG pressure, widens the spinal canal area as much as 28% and increases the intervertebral foramen 2mm. (7) F/D in the cervical spine drops were as high as 168 kPa (kilopascals) which is roughly 1260 mmHg. (Gudavalli) F/D as non-surgical spinal decompression takes pressure off spinal disks and nerves.  
• Clinically, F/D achieves results on average in 12 visits and 29 days. (8) 91% of patients find relief in less than 90 days, keeping back pain sufferers from entering the more expensive realm of chronic pain. (8) Compared to medical conservative care, primarily physical therapy, F/D relieves radiculopathy pain superiorly. (9) Further, F/D patients sought less care (3) and reported less pain (4) in the following year the study than did the PT patients.

Effectiveness and Cost

Chiropractic spinal decompression is available as spinal manipulation in the form of F/D. Certified doctors are available to help patients reduce and control their back pain. Chiropractic spinal decompression in the form of Cox® Technic F/D is billable as spinal manipulation; it is chiropractic which recent published reports show as costing less than 2% of the total cost to treat a lumbar herniated disc (10) and costing 40% less than medical doctor initiated care for back pain. (11)

Consider Cox® Technic for less expensive, effective, evidence-based, non-surgical spinal decompression.