©Dr. Larry Basch, D.C., CCSP, CCEP

Cox Flexion-Distraction Technique for Low Back / Disc Related Pain

The Cox Flexion Distraction Technique, also referred to as the Cox Technique, provides non-surgical spinal manipulation adjustment that effectively helps alleviate or eliminate back pain quickly, sometimes even immediately, by realigning the spine. This nearly painless technique restores range of motion in the muscles and joints, thus improving their flexibility and helping to correct your posture. Specifically, the spine is realigned by applying gentle pressure to key areas of the back which effectively decompresses the discs and gently stretches the lower spine. By decreasing pressure and decompressing the inflamed spinal areas nerve functioning is restored.

Cox Technic is research-documented method of spinal manipulation to relieve lower back pain, leg pain and a host of other spinal related conditions like 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 documenting the science of this non-surgical alternative to back surgery approach to back pain relief in the hands of well-trained back specialists. Dr. Cox protocols were taught as part of the Chiropractic educational curriculum at the National University of Health Sciences where Dr. Basch was trained.

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 on the specifically designed Chiropractic Table

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.

How it Works

The Cox Technic is non-surgical, doctor-controlled, hands-on spinal manipulation performed with the patient lying on our specialized Chiropractic Treatment Table, which is a specially designed chiropractic instrument. This table permits the effective administration of motorized or manual flexion-distraction and decompression adjustment and manipulation.

We can also use this table to mobilize spinal segments utilizing the Thompson Drop Technique, another safe, gentle,non-force method of joint mobilization.

Well-researched and documented, flexion-distraction and decompression helps relieve spinal pain and return patients to their desired quality of life by …

•dropping intradiscal pressure to as low as -192mm Hg

•widening the spinal canal foraminal area by 28%

•reducing pressure on the spinal nerves

•returning motion to the spinal joints

The goal of Cox Technic is to help the spinal pain patient go from "pain" to "no pain" as quickly as possible following the "rule of 50%" which governs the Cox Technic System of Spinal Pain Management.


no pain

Evidence-based Cox Technic is appropriate for conditions causing low back and leg pain as well as neck and arm pain. It also reduces pain attributable to …
  • disc herniation
  • a slipped disc
  • a ruptured disc
  • facet syndrome
  • stenosis
  • spondylolisthesis
  • other conditions