Cox Technique


Cox® Technique is a flexion-distraction manipulation technique that combines chiropractic and osteopathic principles.  It is a non-surgical, hands-on approach for spinal conditions.

Its procedures were established by Dr. James M. Cox and have evolved over the past 45+ years due to the many efforts of researchers and fellow chiropractors.  

The technique is designed to help with both disc related and non-disc related conditions.  Disc related conditions are typified by local back or neck pain with radiating pain down the leg or arm. 

Cox Technique

The above pictures are examples of Cox flexion distraction to the low back and neck.


Conditions treated by the Cox® technique include but is not limited to: 

  • Slipped/herniated/bulging disc
  • Spondylolisthesis
  • Spinal stenosis
  • Facet syndrome
  • Sprain/strain
  • Facet tropism
  • Back pain
  • Neck pain
  • Arm pain
  • Leg pain

The technique uses a special table that allows the practitioner to move the patient in flexion, long-y-axis, lateral flexion, extension and/or circumduction.

The Cox® technique helps by widening the intervertebral foramen (IVF), dropping intradiscal pressure, stretching the spinal ligaments, restoring joint motion, and widening the spinal canal thus relieving pressure on the spinal nerves.

For more information about the technique please visit