Most lay people believe DCs have only limited college education and do not study traditional medical subject matter. That sort of misinformed bias is the very thing that allows bills, such as this new one in Florida, to make it into law. The flip side of this dualism in the area of education concerns motor vehicle trauma. And, yes, it’s acknowledged that there is also sports medicine, pediatrics, and other avenues of potential enlightenment, but whiplash injuries constitute a major public health problem today-larger than ever before in motoring history. They leave millions of persons with chronic neck pain every year. We showed, in fact, that as much as 45% of American adults with chronic neck pain attributes it to motor vehicle collisions (Freeman MD, Croft AC, Rossignol AM, Centeno CJ, Elkins WL. Chronic neck pain and whiplash: A case-control study of the relationship between acute whiplash injuries and chronic neck pain. Pain Res Manag 2006;11(2):79-83).
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Pre and Post Surgical Cox Decompression

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Cox Decompression of a patient with postsurgical lumbar fusion

Cox decompression chiropractic manipulation of a patient with postsurgical lumbar fusion: a case report

  • Ralph A. Kruse, DC, DABCO, Jerrilyn A. Cambron, DC, PhD

Received 17 November 2010; received in revised form 11 January 2011; accepted 18 January 2011.



The purpose of this case report is to describe a patient with an L5/S1 posterior surgical fusion who presented to a chiropractic clinic with subsequent low back and leg pain and was treated with Cox decompression manipulation.

Clinical Features

A 55-year-old male postal clerk presented to a private chiropractic practice with complaints of pain and spasms in his low back radiating down the right buttock and leg. His pain was a 5 of 10, and Oswestry Disability Index score was 18%. The patient reported a previous surgical fusion at L5/S1 for a grade 2 spondylolytic spondylolisthesis. Radiographs revealed surgical hardware extending through the pedicles of L5 and S1, fusing the posterior arches.

Intervention and Outcome

Treatment consisted of ultrasound, electric stimulation, and Cox decompression manipulation (flexion distraction) to the low back. After 13 treatments, the patient had a complete resolution of his symptoms with a pain score of 0 of 10 and an Oswestry score of 2%. A 2-year follow-up revealed continued resolution of the patient’s symptoms.


Cox chiropractic decompression manipulation may be an option for patients with back pain subsequent to spinal fusion. More research is needed to verify these results.

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Cox Technique relieves back pain

Cox Technic is a chiropractic spinal manipulation technique that relieves back pain. Back pain affects 80% of us at some point in our lives. Back pain is disruptive to the normal activities of daily living and frustrate the back pain sufferer, the back pain sufferer’s family and often the physician who is consulted to help relieve the back pain.
Back pain relief offered by providers may come in the form of  over the counter pain control, hot packs, ice packs, NSAIDs, exercise, physical therapy, epidural steroid injections, lots of tests like MRIs, but back pain may persist.
Chiropractic is known for its conservative care of spinal conditions including back pain. There are many chiropractic approaches to back pain, but Cox Technic sets itself apart by its years of documented clinical outcomes via case reports in peer-reviewed journals and textbooks and laboratory research with funds provided by the Health Resources and Services Administration of the U.S. National Institute of Health starting in 1994. Back pain sufferers, though, want to know what relief others like themselves have experienced with chiropractic Cox Technic for back pain relief.
This from Dr. Cox’s website and I am very proud to be certified in this technique.
Gregg F Moses DC
1800 Forest Hill Blvd.
West Palm Beach, FL 33406
561 641 9211
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NEW RESEARCH-Damaged disc loses glycosaminoglycan

Spine (Phila Pa 1976). 2011 Aug 15;36(18):1438-45.

Mechanical deformation and glycosaminoglycan content changes in a rabbit annular puncture disc degeneration model.


* Weldon School of Biomedical Engineering, Purdue University, West Lafayette, Indiana † Lawrence J. Ellison Musculoskeletal Research Center, Department of Orthopaedic Surgery, University of California Davis Medical Center, Sacramento, California.

For some time, the glycosaminoglycan content of the disc is well-documented. A set of researchers set out to find out for sure what happens to the glycosaminoglyan content when the disc is damaged.
Researchers punctured the lumbar spine’s anulus fibrosus.

They performed an MRI after 5 weeks to estimate the disc volume and glycosaminoglycan distribution.

The disc volume increased significantly at 4 weeks after the puncture. The nucleus pulposus (center of the disc) displaced from anulus fibrosus (outer rings of the disc) increased T1 weighting of disc and glycosaminoglycan significantly decreased.

So this all shows that if there is damaged disc, the glycosaminoglycan escapes the damaged disc, and the disc itself changes. What could help the disc? Possibly nutrition and chiropractic flexion distraction?

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I will submit the full article later

“Products such as omega-3 essential fatty acids (EFAs) (O3) do have strong scientific support to be considered as an alternative and/or complementary agent to NSAIDs. Published studies have shown the effectiveness of O3 to successfully treat spine-related pain.”


Gregg F. Moses DC


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Improvement of Chronic Back Pain or Failed Back Surgery with Vitamin D Repletion

Interesting article relating Vitamin D3 supplementation to improved lower back pain.  Dosage was 4000 t0 5000 IU/daily.

Improvement of Chronic Back Pain or Failed Back Surgery with Vitamin D Repletion: A Case Series

Journal of the American Board of Family Medicine January–February 2009; Vol. 22; No. 1; pp. 69 –74

Gerry Schwalfenberg, MD; from the Department of Family Medicine, University of Alberta, Canada.


1) This article reviews 6 selected cases of improvement/resolution of chronic back pain or failed back surgery after vitamin D repletion in a Canadian family practice.

2) Chronic low back pain and failed back surgery may improve with repletion of vitamin D from a state of deficiency/insufficiency to sufficiency.

3) Vitamin D insufficiency is common; repletion of vitamin D to normal levels in patients who have chronic low back pain or have had failed back surgery may improve quality of life or, in some cases, result in complete resolution of symptoms.

4) “Back pain is the most common neurological complaint in North America, second only to headache.”

5) “Low back pain (LBP) and proximal myopathy are also common symptoms of vitamin D deficiency and osteomalacia.”

6) In this report, there were 4 patients who had chronic back pain for more than a year and 2 patients who suffered for more than 3 years from failed back surgery.

7) “Repletion of inadequate vitamin D levels (>80 nmol/L) demonstrated significant improvement or complete resolution of chronic LBP symptoms in these patients.”

8) “Vitamin D is required for the differentiation, proliferation, and maturation of cartilage cells and for the production of proteoglycan synthesis in articular chondrocytes.”

9) “Patients who have chronic, nonspecific LBP or have had failed back surgery may have an underlying vitamin D insufficiency/deficiency.”

10) Risk factors for persistence or recurrence of LBP after surgery include infection, smoking and low vitamin D levels.

111) “All patients had tried various pain treatments, including physiotherapy, visiting a chiropractor, acupuncture, or visit to a pain management clinic, all without much benefit.”

12) Physicians should have a high index of suspicion for low vitamin D levels in patients with LBP.

13) “The patients in this study who responded best used between 4000 and 5000 IU of vitamin D3/day.”

14) “This case series supports information that has recently become apparent in the literature about vitamin D deficiency and its influence on back pain, muscle pain, and failed back surgery. Doses in the range of 4000 to 5000 IU of vitamin D3/day may be needed for an adequate response.”

Cox Decompression Technique very effective for treatment of chronic lower back pain and failed back surgery cases.

Check out our redesigned website: moseschiropractic.com

Dr. Gregg F.Moses

1800 Forest Hill Blvd.

Suite A8-10

West Palm Beach, FL 33406


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