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Chiropractic Care

Cox-Flexion
Distraction

Cox Flexion-Distraction is a gentle,
guided spinal technique commonly used
for low back pain, disc irritation, and
nerve-related symptoms. It focuses on restoring
motion and reducing pressure in the spine.
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When Is Cox Flexion-Distraction Used?

Cox Flexion-Distraction is often used for patients experiencing disc bulges, herniation-related irritation, sciatica, spinal stenosis, or persistent low back stiffness.

The technique uses a specialized table that allows the spine to be gently flexed and decompressed in a precise pattern. This movement can help reduce intradiscal pressure, improve joint motion, and calm nerve irritation.It is commonly chosen for patients who may not tolerate traditional high-velocity adjustments or who require a more controlled decompression approach. Patients from the Greater Pittsburgh area often choose this method when they require an alternative to forceful manipulation.

How Cox-Flexion Distraction Works

During treatment, the lower portion of the table moves in a guided rhythm while the doctor stabilizes and directs the spine. The motion is slow and repetitive, designed to improve segmental mobility while decreasing compression.

Many patients report reduced pain with minimal discomfort during treatment. Sessions are structured based on clinical findings and may be combined with other therapies when appropriate.

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Cox Flexion-Distraction May Be Combined With

  • Soft tissue and fascial work to reduce protective muscle tension
  • Targeted spinal adjustments when mobility improves
  • PEMF therapy to support tissue recovery
  • Functional movement training to improve stability and load tolerance
  • Home mobility exercises to reinforce progress
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Precision Over Force

Cox Flexion-Distraction is used when spinal decompression must be controlled and specific. Treatment decisions are based on joint motion, neurological findings, and patient tolerance.

Listen

We review how symptoms began, whether pain radiates, and what positions worsen or relieve discomfort.

Test + Assess

Spinal motion, orthopedic testing, and neurological screening are performed to identify the affected level.

Treat + Guide

Treatment sessions are structured and reassessed regularly.

Related Treatments and Therapies

  • Neck Pain Treatment
  • Back Pain Treatment
  • Migraine/Headache Treatment
  • Functional Movement
  • PEMF Therapy
  • Electrical Stimulation
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FAQ: Commonly Asked Questions About Cox Flexion-Distraction

Cox Flexion-Distraction is a gentle, research-supported technique that uses a specialized table to decompress the spine. The movement creates a pumping effect that reduces pressure on discs and nerves while improving spinal motion. It is commonly used for disc bulges, herniations, sciatica, spinal stenosis, and chronic low back pain. Because it is controlled and non-forceful, it is often well tolerated by patients who are not comfortable with traditional rotational adjustments.

Treatment may include specific chiropractic adjustments, Cox Flexion-Distraction for disc pressure, soft tissue and fascial work, electrical stimulation, and targeted movement training. If recovery stalls or symptoms suggest a deeper systemic issue, functional lab testing can be used to add clarity and guide the next step.

It is a conservative option that may help many people avoid or delay more invasive care, but recommendations depend on your specific diagnosis and symptoms.

It feels like a slow, controlled stretching motion of the spine. Most people find it comfortable and relaxing.

It is often used for disc-related low back pain, sciatica-type symptoms, facet irritation, and cases where a gentler approach is preferred.

Yes. Patients from across the Greater Pittsburgh area seek evaluation for chiropractic care and/or functional medicine.