What is Cox® Decompression Manipulation?

Cox® Decompression Manipulation was invented by Dr. James M. Cox, a United States Chiropractor, in the 1960s.
It uses “Flexion-Distraction” and “Decompression” to adjust and manipulate the spine thus:

  • Dropping intradiscal pressure
  • Widening the spinal canal intervertebral foramen
  • Reducing pressure on the spinal nerves
  • Returning motion to the spinal joints


Cox® Technic is appropriate for conditions causing low back and leg pain as well as neck and arm pain. It also reduces pain attributable to:

  • Disc herniation/a slipped disc/ a ruptured disc
  • Sciatica
  • Stenosis
  • Spondylolisthesis


Cox® Technic is a well-researched, well-documented and proven effective technique for decompressing spinal nerves and treating back and neck pain. It is a gentle, non-surgical, low-force procedure which helps the spine heal properly – and keeps it as pain free as possible.

Evidence-based protocols are tested in laboratory trials and clinical trials supported by privately funded, clinician-volunteer, and federally funded research grants through the United States National Institutes for Health (NIH) and Health Resources and Services Administration (HRSA) to name a few.

- From official website of Cox® Technic

These evidence-based protocols are well-defined in medically published textbooks and peer-reviewed journal articles. You may visit the official website of Cox® Technic to know more about this evidence based chiropractic care and it’s related research and publications.


  • Painful
  • High Intradiscal Pressure
  • Decrease Disc Space Height
  • Compressed Spinal Joints


“Before” VS “After” COX® Decompression Treatment


  • Pain Relieved
  • Reduced Intradiscal Pressure
  • Increase Disc Space Height
  • Spinal Canal Area Opened by 28%

Highlight of Cox® Technic Treatment Result (*)

  • 91% of patients achieved maximum improvement in less than 3 months
  • 78% of patients reported fair to excellent outcome
  • On average, patients require only 12 visits to reach maximum improvement (29% need 20+ visits and 17% need 30+ visits)

(1) Distraction Chiropractic Adjusting: Clinical Application and Outcome of 1000 case. Cox et al: Topics in Clinical Chiropractic,1996; 3(3):45-54,79-81