Cox Flexion Distraction

Cox Flexion Distraction is a specialized, non-invasive spinal decompression technique that gently stretches the spine to relieve pressure on discs and nerves. Unlike traditional spinal manipulations that involve high-velocity thrusts, Cox Flexion Distraction is a gentle, rhythmic movement applied with the help of a specially designed treatment table.

By creating negative pressure within the spinal discs, this technique can help:

• Reduce pain and inflammation
• Improve spinal mobility
• Enhance circulation to damaged tissues
• Restore normal disc function

Compared to many other chiropractic techniques, Cox Flexion Distraction stands out as one of the most thoroughly researched spinal treatment methods. Dr. James M. Cox, the technique’s founder, has dedicated over five decades to clinical research, working closely with universities, biomechanical engineers, and medical professionals to validate its effectiveness.

A 2020 study published in The Journal of Physical Therapy Science found that Cox Flexion Distraction significantly reduced pain and disability in patients with lumbar disc herniation compared to traditional spinal manipulation (Kong et al., 2020). Additionally, research has shown that Cox Flexion Distraction reduces intradiscal pressure, helping discs retract and heal naturally (Gudavalli et al., 1997).

This technique has been extensively studied in collaboration with institutions such as:

• National University of Health Sciences
• Loyola University
• Palmer College of Chiropractic
• Logan University

Cox Flexion Distraction is particularly beneficial for patients suffering from:

• Low Back Pain – Whether caused by disc degeneration, muscle strain, or spinal misalignment, Cox Flexion Distraction helps restore normal spinal movement and reduce pain.
• Sciatica – By relieving pressure on the sciatic nerve, this technique helps reduce the radiating pain, numbness, and tingling that often extend from the lower back into the legs.
• Herniated or Bulging Discs – Cox Flexion Distraction reduces intradiscal pressure, allowing the herniated disc material to retract and heal naturally.
• Spinal Stenosis – Patients with spinal stenosis, a condition characterized by the narrowing of the spinal canal, experience pain relief as Cox Flexion Distraction gently opens up space in the spine, reducing nerve compression.
• Post-Surgical Low Back Pain – Many patients who continue to experience pain after back surgery find relief through Cox Flexion Distraction as a safe, non-invasive alternative to additional surgery.

Unlike traditional chiropractic methods that use high-velocity adjustments, Cox Flexion Distraction is:

• Gentle – Ideal for sensitive patients, the elderly, or those with severe pain
• Research-Validated – Supported by peer-reviewed studies and ongoing research
• Non-Invasive – A great alternative to spinal injections and surgery

One study published in Spine Journal compared Cox Flexion Distraction to standard spinal manipulative therapy for chronic low back pain. The results showed that patients receiving Cox Flexion Distraction experienced faster pain relief and improved function (Gudavalli et al., 2006).