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Cox Flexion Distraction

Flexion distraction is a gentle ,safe and controlled treatment for spinal pain syndromes.  This technique drops intradiscal pressure and widens spinal canals by as much as 28%  It also restores mobility to injured joints.

The goals of Cox Technic protocols are attainable with the right understanding and cooperation between patient and doctor and time. It takes time to heal a disc and time to recover from spine involved injuries. The pain from an inflammed disc may go away in a day or two, but it takes time to let that disc heal sufficiently to withstand all the normal pressure of day-to-day living.

Disc Related Pain Conditions

If you have a slipped or herniated disc the goals of treatment are as follows:

pain no pain

1. increase the intervertebral disc height (B) and remove tension on the annular fibers and nerve (D) by making more room and improving circulation;

2. allow the nucleus pulposus (A) -- the center of the disc -- to assume its central position within the annular fibers (E) and relieve irritation of the spinal nerve (D);

3. restore vertebral joints (C) to their physiological relationships of motion;

4. improve posture and locomotion while relieving pain, improving body functions, and creating a state of well-being.

Non-Disc Related Pain Conditions

For patients with other conditions causing back pain (facet syndrome, spondylolisthesis, sprain/strain, scoliosis, transitional vertebra, sacroiliac subluxation, stenosis), Cox Technic works toward all of the above goals plus the ability to place the spinal joints into normal, painless movements and restore spinal motion without pain.

Flexion distraction follows evidence based protocols and can low back and neck pain on an average of 12-15 visits. The goal of this technique is to reduce 50 % of your pain within 30 days before requiring any advanced imaging studies.

What conditions does this treat:

Lower back pain

Neck pain

Lumbar disc herniation

Cervical disc herniation


Spinal Stenosis

Whiplash injury

and many other spinal problems.

Treatment is relaxing and gentle with no quick moves or noises. Call us today to see if this technique can help your problem.  Conservative care is effective in treating the majority of lower back pain conditions.


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Middle Island




10:00 am-1:00 pm

3:00 pm-7:00 pm






10:00 am-1:00 pm

3:00 pm-7:00 pm


By Appointment




  • "Excellent! Attentive and professional. Both doctors are great! The entire family uses this practice"
    Lorraine V. / Middle Island, NY