Gentle Adjustments Cox Flexion

Spinal Care/ Adjustments 

I am known as the gentle adjuster.

The term "adjustment" refers to the specific manipulation  applied to a vertebrae that have abnormal movement patterns or fail to function normally. The objective of the adjustment is to reduce the subluxation, which results in an increased range of motion, reduced nerve irritability and improved function.

The adjustment made will consists of a high velocity, short lever arm thrust applied to a vertebra, which is often accompanied by an audible release of gas (joint cavitation). The audible sound is caused by the release of oxygen, nitrogen, and carbon dioxide, which releases joint pressure (cavitation). The sensation is usually relieving, though minor discomfort has been reported (that usually lasts for only a short time duration) if the surrounding muscles are in spasm or the patient tenses up during the chiropractic procedure.

There are times when joint cavitation or cracking does not occur and this is often due to either significant muscle splinting or the patient may not be adequately relaxed during the chiropractic procedure. At times like this, it is sometimes best for the provider to apply ice, have the patient rest, or do electrical stimulation prior to attempting spinal manipulation.

Thе Thоmрѕоn drор-tаblе tесhniԛuе enhances spinal adjustment using a drop table. A segment of the drop-tаblе elevates the area that is to be adjusted in relation to the rest of the body bеfоrе a gеntlе thrust is givеn. Thе provider аррliеѕ a ԛuiсk thruѕt simultaneously as thе section drорѕ. Uѕuаllу, thеrе iѕ no audible “popping or сrасking”. Thе drоррing оf the tаblе аllоwѕ fоr a lightеr, yet effective аdjuѕtmеnt without the twisting positions used in оthеr techniques.

Cox Flexion Distraction Technique:


The Biomechanics Study 

Federally Funded Research has thus far proven the following about Cox® Flexion Distraction: 
Reduces intradiscal pressures to a -192 mm Hg 
Increases intradiscal height 
Increases foraminal size up to 28% (more room for nerve roots & spinal cord) 
The Latest Clinical Outcomes Study 

European Spine Journal reports on a comparison study of flexion-distraction to medical conservative active-exercise therapy. Patients, including those with radiculopathy, did significantly better with flexion-distraction


The following is presented as a general overview of the treatment. 

Cox® Technic is DOCTOR-APPLIED, DOCTOR-CONTROLLED, HANDS-ON, SPECIFIC CONTACT, PATIENT-FOCUSED care. During a treatment on this instrument, the patient lies prone while the treating physician concentrates on one vertebral motion segment at a time. The goal is to reduce stenotic effects by dropping intradiscal pressure to allow disc reduction, increasing the size of the intervertebral foramen, and lowering pressure on the dorsal root ganglion and the exiting nerve roots. While concentrating on the low back, the doctor may use the instrument's caudal (the part the legs lie on) section to allow lateral and circular motion which returns normal motion to the spinal segments with reduced pain.

After undergoing a thorough examination which leads the doctor to a specific diagnosis of the spine condition to be treated, the patient lies prone (face-down) on a specially-designed table. Tolerance testing is performed prior to the application of Cox® Technic to be sure there is no aggravation of the condition. 

The Lumbar Spine Adjustment

The doctor will hold a spinous process (the back part of the vertebra that feels like a "bump" on your spine) to isolate a single segment for treatment. The distraction manipulation is applied manually by the doctor to the patient's low back at the level(s) of the spine to be treated or that are painful. The doctor controls all motion and notes the spine's response to treatment. Treating conditions, there are three sets of distraction motions. Between each set, the doctor allows the area to "rest" and massages trigger points and muscles to further reduce spasm and increase circulation. (circumduction). All movements are slow and to tolerance. 

Cox® Technic protocols rely on the "rule of 50%":

At each point that you demonstrate 50% relief of pain (objectively and subjectively -- mind you it may come within the first visit or two), your treatment sessions are halved. (ex: If you are seen daily, you would be seen once every two days.) 
If you don't have 50% relief of pain within 30 days of care, you will be referred for further testing or consultation. 91% of patients reported relief within 90 days.

Cox® Technic

is gentle, safe, and research-based. 
is an "established technic" with data collection from nearly 30 years of diligent study by its founder, Dr. James M. Cox, DC, DACBR, and the many physicians who have studied with him. 
is reported as "excellent" to "good" care by more than 70% of patients who were treated in the 1000 cases study and 91% were improved within 3 months of care ~ this is the largest collection of patient data in a chiropractic technic. 
delivers relief relatively quickly. From the same 1000 cases study, researchers report the average number of days to "maximum improvement" is 29 days. The average number of visits to "maximum improvement" is 12 visits. These averages may differ for individual conditions and patients. 
relies on cooperation from the doctor ~ to be knowledgeable of diagnosis and proper treatment application ~ and from the patient ~ to make the appointments, to do home care, modify lifestyle as necessary. 
may be covered by your insurance plan. is effective for these conditions due to simple sprains, herniated discs and other causes.

Webster Technique

The late Larry Webster, D.C., Founder of the International Chiropractic Pediatric Association(ICPA), developed a specific chiropractic analysis and adjustment which enables chiropractors to establish balance in the pregnant woman’s pelvis and reduce undue stress to her uterus and supporting ligaments. This balanced state in the pelvis has been clinically shown to allow for optimal fetal positioning. The technique is known as the Webster Technique.

The Webster technique is a specific chiropractic analysis and diversified adjustment. The goal of the adjustment is to reduce the effects of sacral subluxation/SI joint dysfunction. In so doing neuro-biomechanical function in the pelvis is improved. 

It is considered normal by some for a baby to present breech until the third trimester. Most birth practitioners are not concerned with breech presentations until a patient is 37 weeks along. Approximately 4% of all pregnancies result in a breech presentation.

The Journal of Manipulative and Physiological Therapeutics reported in the July/August 2002 issue an 82% success rate of babies turning vertex when doctors of chiropractic used the Webster Technique. Further, the results from the study suggest that it may be beneficial to perform the Webster Technique as soon as the 8th month of pregnancy when a woman has a breech presentation.

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