Spinal Decompression

Cox Technic for Neck & Back Pain Relief

Cox Technique for spinal decompression in Orangeville

Patients seeking relief of their lower back pain and neck pain can rest easy knowing that Cox™ Technic Flexion Distraction Protocols are safe, gentle, and well-documented to help them.

Cox™ Technic is a spinal manipulation that relieves back, leg, neck and arm pain, as well as a host of other spinal related conditions...disc herniation, spinal stenosis, post-surgical continued pain, and pregnancy related back pain. Cox™ Technic's developer, Dr. James M. Cox, has insisted for nearly 50 years on research and documenting the science of this non-surgical approach to back pain relief and alternative to back surgery, in the hands of well-trained back specialists.

Evidence-based protocols are tested in laboratory trials and clinical trials supported by privately funded, clinician-volunteer, and Federally Funded Research grants through the United States National Institutes for Health (NIH) and Health Resources and Services Administration (HRSA) to name a few. Their objectives are to document the actual effect Cox™ Technic Flexion Distraction and Decompression, has on the spine and its nerves to relieve pain, (drops pressure) as well as the amount of time in days, (29 average) and visits, (12 average) it takes to relieve pain.

These protocols are well-defined in medically-published textbooks and peer-reviewed journal articles for physicians to study and scrutinize. Their proper application, even the amount of force, is taught in recognized postgraduate and graduate training seminars and hands-on workshops on the specifically designed Cox™ Table by Haven Innovation. 

Spinal Manipulation

Cox Technic Flexion Distraction and Decompression is spinal manipulation. It is chiropractic adjusting. The American Chiropractic Association describes flexion distraction as spinal manipulation. 

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.

Spinal decompression being performed in Orangeville

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.

Cox™ Technic

  • Increases the disc space height 17%
  • 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
  • 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.
  • Restores normal range of motion to the joints of the spine
  • 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.


Cox™ Technic Relieves Back Pain

Cox™ Technic is a chiropractic spinal manipulation technique that relieves back pain. Back pain affects 80% of us at some point in our lives. Back pain is disruptive to the normal activities of daily living and frustrate the back pain sufferer, the back pain sufferer's family and often the physician who is consulted to help relieve the back pain.

Back pain relief offered by providers may come in the form of over the counter pain control, hot packs, ice packs, NSAIDs, exercise, physical therapy, epidural steroid injections, lots of tests like MRIs, but back pain may persist.

Chiropractic is known for its conservative care of spinal conditions including back pain. There are many chiropractic approaches to back pain, but Cox Technic sets itself apart by its years of documented clinical outcomes via case reports in peer-reviewed journals and textbooks and laboratory research with funds provided by the Health Resources and Services Administration of the U.S. National Institute of Health starting in 1994. Back pain sufferers, though, want to know what relief others like themselves have experienced with chiropractic Cox Technic for back pain relief. 

Leg Pain Relief

Leg pain can be a drag. It can really trip you up, but flexion distraction can help you get rid of the leg pain.

Often related to a spinal condition like a disc herniation or spinal stenosis, leg pain (aka radiculopathy or sciatica) may go down the leg into the foot and even toes. Bad for you, but good for a certified flexion distraction physician who can correlate your pain to a nerve root during the examination oftentimes. If your big toe hurts, the L5 spinal nerve may be irritated. Neat diagnostic tools, these symptoms!

Cox Table used in spinal decompression in Orangeville

Flexion distraction?s on-going research efforts, federally funded and otherwise, document that flexion distraction's biomechanical effects - intradiscal pressures reduction and intervertebral foramen of the spinal canal widening - to allow more space for the spinal nerve and any disc that may be invading the space. That's pain relief!

Flexion distraction spinal manipulation - which is more and more loudly called for as the first line of care by spine pain specialists and insurance alike - for back pain and leg pain relieves on average in 29 days and 12 visits. Some back and leg pain patients find relief in fewer days and visits, sometimes taking only 1 or 2 visits. However, leg pain patients, when it?s severe pain, may find that it takes a bit longer. Leg pain may come and go while healing. When the leg pain goes away for longer periods than it comes, that's a great sign of healing!

Compared to physical therapy (PT), flexion distraction shines. Leg pain patients improved significantly more with flexion distraction than physical therapy (PT). Its benefits last, too! Flexion distraction was found more effective in reducing pain for a year compared to physical therapy, and fewer flexion distraction patients needed more care at a year for their condition than PT patients (38% vs 54%). These clinical outcomes make all the difference when dealing with leg pain.

Arm Pain Relief

Neck pain and arm pain often go hand-in-hand. Neck pain alone may indicate that the pressure on the spinal nerve is not as great whereas arm pain indicates there is more pressure. The size of the canal also plays a role in the amount of pain a herniation or cervical spinal pain condition may produce. A large canal space may be adequate for a large disc herniation, so it doesn't produce much pain. A small canal space with a seemingly small by measurement disc herniation may produce lots of pain. Then there is the possibility of chemical inflammation due to the disc herniation's content chemically irritating nerves...so much to consider!

But Cox™ Technic is shown to relieve neck pain and arm pain, together or alone. The goal is no pain.

Conditions That Benefit From Cox Technic

  • Lumbar disc herniation
  • Cervical disc herniation
  • Neck and Arm Pain
  • Low Back Pain
  • Leg Pain
  • Radiculopathy (Leg Pain)
  • Thoracic disc herniation
  • Spondylolisthesis
  • Spinal Stenosis
  • Degenerative disc disease
  • Facet syndrome
  • Pelvic pain
  • Headache
  • Compression defects
  • Loss of spine lordosis
  • Loss of range of spinal motion
  • Whiplash-type injuries
  • Persistent pain after back surgery (Post Surgical Continued Pain - Failed Back Surgical Syndrome - FBSS)
  • Scoliosis (not to cure, but to maintain mobility of the curve)
  • Osteoporosis
  • Transitional segment / Bertolotti's Syndrome
  • Pregnancy back pain
  • Subluxation
  • Postural faults
  • Mechanical back pain
  • Osteoarthritis of spine
  • Patients unable to tolerate vigorous adjustment
  • Synovial Cyst
  • Coccydynia
  • Mechanical back pain (such as that accompanying ankylosing spondylitis, collagen vascularizing diseases, pelvice pain, pregnancy)
  • Fibromyalgia
  • Neurological Diseases (such as multiple sclerosis, cerebral palsy, stroke)


Cox™ Technic Certification

Dr. Pragnell is certified in Cox™ Technic and uses the Cox Table in his practice. (For more information on the Cox Table, click here.) 

Cox™ Technic Certificate for spinal decompression awarded to Dr. Pragnell in Orangeville

To learn more about Cox Technic, click here.