Posts Tagged ‘cox decompression technique’

Cox Decompression – Case Study Cervical Disc Herniation

Once again, welcome to my blog.  I had a great weekend here in South Florida….windy and less hot.  My football team, The New York Jets didn’t lose.  That’s because they didn’t play.  Family time…taking Jake to his tennis lesson.  We also saw a great show at PBCC….theatrical version of the children’s book, Stellaluna.  It was amazing. 

I wanted to share a research article that is very important to me.  I have been a practicing chiropractor since 1989 and in 1999 I became certified in the Cox Decompression Technique.  The Cox Decompression technique was founded by Dr. James Cox.  The technique involves a specialized table, but is also “hands-on” by the doctor to implement the decompression.  It is a gentle, painless, spinal manipulation performed with the spine under distraction- a traction force that separates the vertebrae to increase the size of the nerve and spinal canal openings, drop pressure inside the disc to reduce herniation. 

This case study was published in the Journal of Manipulative and Physiological Therapeutics, June 2008 and authored by Sharina Gudavalli, DC and Ralph Kruse, DC.

Foraminal Stenosis With Radiculopathy From a Cervical Disc Herniation in a 33-Year-Old Man Treated With Flexion Distraction Decompression Manipulation 

A 33-year-old man complained of severe neck and upper pain and spasm, pain radiating down into his left arm with numbness into his fingers.  Cervical spine radiographs showed mild C6/C7 degenerative changes.  MRI revealed a moderate left posterolateral disc herniation at C6/C7.

This patient underwent Cox Flexion Distraction Decompression Manipualtion and adjunctive physiotherapy modalities.  Total treatment was 15 visits over a 10 week period.  This patient had a good clinical outcome utilizing post examination findings and a pain scale.  At 2-year follow up, subjective and objective findings remained stable. 

Although I have not had the time to submit a case study to be published, these are the kind of results we see in the office with the Cox Technique. All cases are different.  Some respond quickly and some not so quick, but I always implement this rule.  If a patient does not have 50% relief of pain within 30 days of care, they will be referred for further testing or consultation.  Dr. Cox has numerous case studies on his website  Our website is  I hope to post about once a week.  I welcome comments and questions.

Gregg F. Moses, D.C.


Cox Decompression Treatment for the Pregnant Patient with Lower Back and Leg Pain

Thanks again for viewing this blog.  I had a great week in the office.  In addition to chiropractic care, we also have full physical therapy and massage therapy.  Pregnant patients with lower back pain are always interesting and sometimes difficult to treat.  Certainly if the patient has leg pain, more caution should be given with the treatment.  We are somewhat limited as to what treatment can be done.  Although many chiropractors do traditional / diversified manipulation for pregnant patients with lower back pain, I choose to do the Cox Decompression Technique.


This article / case study was published in Journal Of Chiropractic Medicine , December 2007 and authored by Ralph A. Kruse, DC, Sharina Gudavalli, DC and Jerrilyn Cambron, DC, MPH, PhD.  I have included the abstract.



The purpose of this report is to describe chiropractic treatment of lower back and unilateral leg pain in a pregnant patient.

Clinical Features

A 26-year-old woman in her second trimester of pregnancy had severe pain in her lower back that radiated to her hips bilaterally and to her right leg. She reported tingling down her right lower leg to the dorsum of her foot. Although no diagnostic imaging was performed, her differential diagnoses included lumbalgia with associated radiculopathy.

Intervention and Outcome

Treatment consisted of manual traction in the side-lying position using a specialized chiropractic table and treatment technique (Cox flexion-distraction decompression) modified for pregnancy. Relief was noted after the first treatment, and complete resolution of her subjective and objective findings occurred after 8 visits.


When modified, this chiropractic technique appears to be an effective method for treating lower back pain with radiation to the leg in a pregnant patient who cannot lie prone.

I hope this article / case study was helpful.  Feel free to contact me by clicking the following link: chiropractor west palm beach.  You can also find a certified Cox Technique practitioner on Dr. Cox’s website

Respectfully submitted,

Gregg F Moses DC