Flexion Distraction (COX) Technique

Pain (Spinal Stenosis)

No Pain (No Spinal Stenosis)

Flexion Distraction (COX) Technique

Flexion distraction is a doctor-controlled, hands-on spinal manipulation technique performed with patients lying face down. Our specialized tables permit the effective administration of flexion distraction and decompression.

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 flexion distraction is to help patients go from pain to no pain as quickly as possible!

IRRITANTS: Mechanical and Chemical

Spinal and extremity nerve pain often stem from two main sources of irritation, mechanical and chemical. Mechanical irritation stems from mechanical nerve compression, while chemical irritation stems from chemical inflammation of the spinal cord and its exiting nerves that extends pain out to the arms and legs.  Research explains that the degree of pain and disability due to mechanical irritation depends on the degree of mechanical force on the nerve, as well as the chemical inflammatory factors contributing to pain and disability.

This specialized technique is used to reduce mechanical nerve compression by lowering disc pressure on the nerve and increasing the size of the opening that the nerve exits from within the spine. This narrowing of the nerve opening is called spinal stenosis, and our goal of treatment is to help reverse that process, reducing disability and improving quality of life. 

Improved circulation and reduced local irritation may reduce the chemical agents in the spine and around the nerves that cause pain and disability. Specialized MRI studies have shown improved circulation following spinal manipulation, as well as increased range of motion.

This evidence-based technique 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

  • synovial cyst

  • post-surgical back pain

  • other conditions

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