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dallas chiropractor with flexion table.

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.

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