top of page
Cox Flexion-Distraction Technique

What is Cox Flexion-Distraction Technique?

The Cox Flexion-Distraction Technique, often referred to simply as Cox Technique or Flexion-Distraction, is a chiropractic method primarily used for the treatment of lower back pain, disc-related issues, and certain spinal conditions. It was developed by Dr. James M. Cox, and it involves a specialized chiropractic table that allows for controlled and gentle flexion and distraction of the spine.


Key features of the Cox Flexion-Distraction Technique include:

  1. Specialized Treatment Table: The Cox Technique utilizes a unique treatment table with movable sections. The table allows the chiropractor to manipulate specific segments of the spine through controlled flexion, distraction, and lateral bending.

  2. Segmental Traction: The treatment involves the application of gentle, rhythmic traction or stretching of the spine. This traction is applied in a way that targets specific spinal segments, particularly in the lumbar (lower) spine.

  3. Flexion and Distraction Movements: The technique involves a combination of flexion (forward bending) and distraction (gently pulling apart) movements. These movements are intended to increase the space between spinal vertebrae, reduce pressure on intervertebral discs, and create a more optimal environment for healing.

  4. Decompression of Spinal Structures: Cox Technique is often used for conditions such as herniated or bulging discs. The controlled distraction and flexion movements are believed to create a decompression effect on the affected discs, potentially reducing disc pressure and promoting the retraction of herniated material.

  5. Treatment of Disc-Related Issues: One of the primary applications of the Cox Technique is in the management of disc-related conditions, including disc herniations, degenerative disc disease, and spinal stenosis. The gentle stretching and mobilization may help alleviate symptoms associated with these conditions.

  6. Postural and Muscular Benefits: In addition to addressing disc-related issues, Cox Technique may have positive effects on posture and muscle function. By promoting proper alignment and flexibility, it may contribute to overall spinal health.

  7. Applicability to Various Patient Populations: The technique is considered suitable for a wide range of patient populations, including those with acute or chronic lower back pain, as well as pregnant individuals and elderly patients.

The Cox Technique is known for its conservative and non-invasive approach, making it well-tolerated by many patients. Chiropractors trained in the Cox Technique use specific protocols based on the patient's condition, and the treatment is often delivered in a series of sessions.


As with any chiropractic technique, it's important for individuals to consult with a qualified chiropractor to determine the most appropriate approach for their specific needs and conditions. Before seeking chiropractic care, individuals should discuss their health history, symptoms, and any concerns with the chiropractor to ensure that the chosen technique aligns with their overall healthcare plan.

sports medicine chiropractor in Carrollton, TX.

Testimonials

Mickenzie S.

After having consistent pain with a different PT clinic in Dallas for over 8 months, I saw Jerry for PT here and my lower back pain from my herniated discs was reduced by about 90% after just a week of working with him. Actually insane. His work with athletes is what made me start seeing him because I knew he would be so focused on getting you back to being active and moving again. He's very knowledgeable about every tiny part of the human party and does a great job at increasing your mobility and building up your strength in all the supportive muscles you didn't even realize were there.

Why People Choose Our Chiropractic & Physical Therapy Clinic in Carrollton

Our patients consistently share that what sets us apart is our thoughtful, personalized approach to care. Our doctors take the time to listen, understand the root cause of pain, and create treatment plans tailored to each individual, whether you’re recovering from a sports injury, managing chronic pain, or simply want to move better in your daily life. 

five-star rated physical therapy in Carrollton, TX.

Personalized, One-on-One Care

Every visit is 45 minutes or more, never rushed, and fully focused on you.

Root-Cause Approach

We don’t just treat symptoms. We identify and treat the source of pain for lasting relief.

Comprehensive Treatment Options

From chiropractic adjustments and physical therapy to dry needling, shockwave, and soft tissue work...all in one place.

Athlete-Informed Expertise

Our doctors are athletes themselves and understand the unique demands of training and performance.

Real Results That Last

Patients experience measurable improvements in pain, mobility, and strength, often within just a few visits.

Education & Prevention

We empower you with exercises, movement tips, and maintenance plans to stay pain-free.

Trusted by All Ages & Activity Levels

From weekend warriors to lifelong athletes, our patients feel supported and seen.

Compassionate, Down-to-Earth Team

Friendly, professional, and genuinely chiropractors and physical therapists who are invested in your health and goals.

Modern, Evidence-Based Care

We invest in our own continuing education and combine the latest techniques and technology with years of hands-on experience.

Life-Changing Results

Our patients describe their care as “transformative,” “life-saving,” and “the best they’ve ever experienced.”

Meet Our Doctors

best chiropractor in Carrollton, TX.

Dr. Konner Ackerman, DC, CCSP®, MS, ATC

female chiropractor in Carrollton, TX.

Dr. Sydney Meyer,
DC, MS

sports physical therapist in Carrollton, TX.

Dr. Jerry Jacob,
PT, DPT

THE CLINIC

Address:
2761 E Trinity Mills Rd
 Suite 100

Carrollton, Texas 75006

Email: office@elevationsportsmed.com

Phone: (214) 233-5512

Fax: (214) 602-4436

Hours:

Mon: 8:30am-5pm

Tue: 8:30am-1pm

Wed: 8:30am-5pm

Thu: 8:30am-5pm

Fri: 8:30am-12pm

​​Saturday: 9am - 12pm

Sunday: Closed

  • White Facebook Icon
  • Elevation Spine and Sports Medicine YouTube

HELPFUL LINKS

CONTACT

Thanks for submitting!

© 2026 by Elevation Spine and Sports Medicine. 

bottom of page