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Cox Technique

Why Cox® Technic?
painful disc herniation
pain
research proven

Disc Pressure Reduction to as low as -192mmHg

Spinal Canal Area Increase by 28%

Pain Relief


Cox® Technic is the 21st century solution to spine pain.

Neck and arm pain and low back and leg pain are managed equally well.


There are approximately 1.2 million spinal surgeries in the U.S. each year, double the rate in those other countries. (1)

Epidural steroid injection is moderately effective for short-term (but not long-term) symptom relief. (2)

Prolotherapy, facet joint injection, intradiscal steroid injection and percutaneous intradiscal radiofrequency thermocoagulation are not effective. (2)

Surgery for leg pain and herniated disc gives short-term benefits that decline long-term compared with non-surgical therapy. (3)

Surgery for symptomatic spinal stenosis gives short-term benefits that decline long-term compared with non-surgical therapy. (3)

Guidelines sponsored by the American Pain Society and the American College of Physicians recommends spinal manipulation as an effective treatment option for low back pain. (4)

Surgical outcomes for stenosis are nearly equal that of non-surgical outcomes (53% vs. 50% respectively) (5), yet the spine is still intact after non-surgical, non-operative care. 

Surgical outcomes for disc herniations' leg pain (sciatica) are nearly equal those of conservative care (69% vs 61% respectively) (6), yet no surgical intervention opened the spine. 

Four to 6 weeks of non-operative, conservative treatment is recommended prior to imaging studies and surgery. (7, 8, 9, 10)

The American Academy of Orthopaedic Surgeons states that "acupuncture or chiropractic manipulation can also be attempted" prior to surgery for stenosis. (11)

Lumbar spinal stenosis patients improved by 76% and their related disability improved by 73% treated with Cox® Technic and/or neural mobilization. (12)

Cox® Technic is spinal manipulation, a non-surgical, established, evidence-based, non-surgical treatment for spine pain performed by a trained physician and supported by years of clinical experience, many publications of clinical and laboratory outcomes, and clearly defined protocols for application to attain the highest positive clinical outcomes for acute and chronic back pain as well as failed back surgical syndromes. All this to help restore a patient's quality of life.
How?
Cox® Technic for Low Back
Cox® Technic for Low Back




Cox® Technic improves YOUR QUALITY OF LIFE.
The doctor IMPROVES HIS CLINICAL OUTCOMES and REDUCES HER STRESS.
The patient experiences PAIN RELIEF and CONTROL of the back pain.

Cox® Technic is PERSONALIZED care.
Safer, gentler, more reliable than a machine. The doctor cares for the patient.

Cox® Technic is SPINAL MANIPULATION.

Cox® Technic is PROVEN to relieve pain.
Reseach support is plentiful.
Patient testimonials are abundant.
Experience is plenteous.

Cox® Technic is ACCESSIBLE to doctors.
A certification course in two parts is offered.
A special re-certification course is designed yearly.
National University of Health Sciences co-sponsors the courses for CE.

Cox® Technic is AVAILABLE to patients.









Cox® Technic (aka flexion-distraction or F/D) relieves back and leg pain and neck and arm pain. Disc herniation

and/or stenosis may be the cause of pain. Or simple arthritis or a back sprain may be the culprit. 


Cox® Technic is a gentle, non-surgical, chiropractic spinal manipulation adjustment technique procedure.

95% of back pain and neck pain patients DO NOT require surgery.

Cox® Technic is a safe alternative to back surgery. It is also appropriate for failed back surgery patients who

still suffer after surgery.


Cox® Technic is a well-researched (with research studies completed and underway), well-referenced (with over

90+ articles in medical and chiropractic journals) chiropractic spinal adjusting manipulation 


Cox® Technic drops intradiscal pressures to -192 mmHg and increases the foraminal area by 28%.

Cox® Technic stops pain, realigns the spine and restores ranges of motion inherent to the spine while

reducing low back pain, especially in radiculopathy (extremity pain--leg pain or arm pain) patients, better than

active exercise therapy.


Innovated by James M. Cox, DC, DACBR, in the 1960's, Cox® Technic is a marriage of osteopathic and

chiropractic manipulation principles. It is an accepted and widely used form of spinal manipulation. Today, nearly

60% of chiropractic physicians report using it in their practices.


A select number of chiropractors have advanced their training via postgraduate courses. These "certified" Cox®

Technic chiropractic physicians are ready to help you.

Dr. Schmitt is trained in the Cox Technique.  Ask if this may be right for you!

References
1. Dance A: For back pain sufferers, surgery isn't always the answer. LA Times January 12, 2009,

http://articles.latimes.com/2009/jan/12/health/he-backpain12 accessed on 6/8/09

2. Chou, R; Atlas, SJ; Stanos, SP; Rosenquist, RW. Nonsurgical Interventional Therapies for Low Back Pain

A Review of the Evidence for an American Pain Society Clinical Practice Guideline. SPINE 2009; 34 (10):1078-1093
3. Chou, R; Baisden, J; Carragee, EJ; Resnick, DK; Shaffer, WO; Loeser, JD  Surgery for Low Back Pain A Review of the

Evidence for an American Pain Society Clinical Practice Guideline. SPINE 34 (10). MAY 1 2009. p.1094-1109
4.  Chou, R; Loeser, JD; Owens, DK; Rosenquist, RW; Atlas, SJ; Baisden, J; Carragee, EJ; Grabois, M; Murphy, DR; Resnick,

DK; Stanos, SP; Shaffer, WO; Wall, EM:   Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back

Pain An Evidence-Based Clinical Practice Guideline From the American Pain Society. SPINE 2009; 34 (10):1066-1077

5. Atlas SJ, Keller RB, Su YA et al: Long term outcomes of surgical and nonsurgical management of lumbar spine stenosis:

8 to 10 year results from the Maine Lumbar Spine Study. Spine 2005;30(8):936-43
6. Atlas S, Keller RB, Wu YA, Deyo RA, Singer DE: Long term outcomes of surgical and non-surgical management of sciatica

secondary to lumbar disc herniation: 10 year results from the Maine Lumbar Spine Study. Spine 2005; 30(8):927-35
 7. Deyo R: Annals of Internal Medicine 112(8)
8. Frymoyer: Backletter 10(7)
9. RAND Study: Journal of Chiropractic 29(11)
10. ACHPR (Agency for Health Care Policy and Research) - a federal government research organization - Clinical Practice

Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health

Service, U.S. Department of Health and Human Services, December, 1994.
11.   http://orthoinfo.aaos.org/topic.cfm?topic=A00329 accessed on 6/8/09, American Academy of Orthopaedic Surgeons

website, "Lumbar Spinal Stensosis"

12. Murphy DR, Hurwizt EL, Gregory AA, CLary R: A non-surgical approach to the management of lumbar spinal stenosis

: a prospective obsercational cohort study. BMC Musculoskeletal Disorders 2006; 7:NIL1-NIL8 (February 23, 2006) 

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