Cox Technic Flexion Distraction and Decompression chiropractic spinal manipulation is a gentle, non-force, non-surgical back pain solutionfor those 95% to 98% of spine pain sufferers who do not need surgery.*

One in 4 patients cost 95% of healthcare dollars going to back pain. These cases comprise the disc herniations and stenosis spines. These are the complicated cases that need a concise examination, specific diagnosis, and effective treatment plans for relief of pain.

Even though we have all the medical technology alternatives at our disposal today for spine pain relief, conservative, non-surgical chiropractic approaches remain the established method. Despite any pain relief obtained, a spine once surgically intervened is never quite the same. Like a bruise on an apple, a surgery’s impact remains.

Research shows that chiropractic care…

  • should be tried for at least 4 to 6 weeks before any advanced imaging (MRI, CT, etc.) or testing, especially in acute radiculopathy. (1)
  • is reasonable, especially the aggressive, non-surgical type of care for stenosis. (2)
  • compared with surgical care for spinal stenosis offered nearly equal relief (50% non-surgical vs 53% surgical) in reported improvement at 8-10 years after care. (3)
  • compared with surgical care for lumbar disc herniation offered similar relief in reported improvement (69% of surgically treated vs 61% of non-surgically treated). (4)
  • of radicular pain (arm or leg pain) may be superior to surgery based on cost, morbidity (death), and complications. (5)
  • compared with surgery for spinal stenosis and disc herniation and leg pain: surgery gives short-term relief of symptoms that decline over the long-term. (6)

Bottom line: non-surgical pain relief treatments should be tried prior to surgical interventions.

The Cox Technic chiropractic procedure is documented to produce pain relief in low back pain patients in 12 visits and 29 days on average. This is not-withstanding a particular diagnosis. For example, the disc herniation, particularly the L4 disc herniation, was recorded to take more visits and treatments than the sprain/strain. But relief with the non-surgical course of action of Cox Technic is a logical, conservative approach to spine pain relief.

  • Flexion-distraction is found to be more effective in reducing pain for 1 year following treatment when paralleled to a form of physical therapy. (7)
  • Flexion-distraction patients, who formerly had participated in a randomized comparison to physical therapy for back pain, sought far fewer healthcare visits in the year following chiropractic flexion-distraction care. (8)
  • Flexion-distraction helped a patient avoid surgery for a clinically and imaging-confirmed disc herniation. (9)
  • Flexion-distraction relieves pain within one week of the first visit in a patient with major low back and leg pain due to an L4-5 disc herniation. (10)
  • Flexion-distraction protocols relieve back and leg pain from a CT-confirmed L5-S1 disc protrusion. Back school, nutrition, electrical stimulation and exercise were all incorporated in this chiropractic treatment plan as well. (11)

Cox Technic Flexion Distraction and Decompression is the non-surgical, chiropractic pain relief procedure for your spinal pain condition whether you are just starting to seek care or have already had many forms of care and still hurt. The Cox Technic chiropractic procedure has procedures in place to monitor your progress to pain relief.

Contact Germantown Chiropractic for an appointment today!

Generally accepted surgery requirements are symptoms of cauda equina syndrome (bowel and bladder dysfunction) and/or progressive neurological deficit (your pain is getting worse). Fortunately, these are rare situations.


  1. Patel, Amer Fam Phys 61(6) Link
  2. Simotas et al: Non-operative care of spinal stenosis. Spine 25(2) Link
  3. Atlas, Spine 30(8) Link
  4. Atlas, Spine 30(8) Link
  5. Memmo, J of Back and Musculoskeletal Rehab 14(3) Link
  6. Chou, Spine 34(10) Link
  7. Cambron GA, Gudavalli MR, Hedecker D et al: One-Year Follow-Up of a Randomized Clinical Trial Comparing Flexion Distraction with an Exercise Program for Chronic Low-Back Pain. J of Alternative & Complementary Medicine 12(7)
  8. Cambron GA, Gudavalli MR, McGregor M et al: Amount of health care and self-care following a randomized clinical trial comparing flexion-distraction with exercise program for chronic low back pain. Chiropractic & Osteopathy 14(19)
  9. Guadagnino MR: Flexion-distraction manipulation of a patient with a proven disc herniation. J Of The Neuromusculoskeletal System 1997; 5(2):70-73
  10. Bergmann TF, Jongeward BV: Manipulative therapy in lower back pain with leg pain and neurological deficit. J Of Manipulative and Physiological Therapeutics 1998; 21(4):288-294
  11. Cox JM, Hazen LJ, Mungovan M: Distraction manipulation reduction of an L5-S1 disc herniation. Journal of Manipulative and Physiological Therapeutics 1993; 16(5):342-346