What Is Cox Flexion Distraction?

Cox Flexion Distraction is performed on a specialized chiropractic table that allows controlled flexion (bending) and distraction (gentle decompression) of the spine. This can help reduce irritation, improve mobility, and support healing — without the “twisting” or high-force movements some patients prefer to avoid.

Who Is This Technique Commonly Used For?

Cox Flexion Distraction is often considered when symptoms suggest disc or stenosis-related patterns, including:

• Low Back Pain that worsens with certain movements
• Sciatica or leg symptoms linked to the low back
• Disc bulge / herniation patterns (evaluation needed)
• Spinal stenosis-related discomfort (evaluation needed)
• Pain that increases with compression and improves with unloading

How It May Help

Every case is different, but patients commonly seek Cox Flexion Distraction to support:

• Reduced pressure and irritation in the low back
• Improved spinal mobility
• Less muscle guarding and tension
• Better tolerance for sitting, standing, and walking
• Support during recovery from flare-ups

What to Expect During a Visit

We begin with an exam to confirm whether this technique fits your presentation. If appropriate, your visit may include:

• Movement testing and symptom pattern evaluation
• Gentle table-based flexion/distraction movements
• Supportive soft tissue work if needed
• Home guidance for posture, movement, and recovery

How It Fits With Other EverWell Services

Depending on your exam findings, we may combine Cox Flexion Distraction with additional supportive therapies, such as:

• McKenzie Method for assessment and self-care exercises
• Chiropractic Adjustments (when appropriate)
• IASTM for soft tissue restrictions
• Functional Dry Needling for muscle guarding

Cox Flexion Distraction FAQs

Is this the same as spinal decompression?

It’s a form of gentle decompression delivered through specific table movements. We choose the technique based on your symptoms and exam.

Does it hurt?

Most patients find it comfortable. If anything feels too intense, we can modify the range and pressure immediately.

How many visits are typical?

That depends on symptom severity and how long issues have been present. We’ll outline a plan and adjust it based on progress.

Do I need imaging first?

Not always. Imaging may be recommended if there are red flags, trauma, progressive neurological changes, or lack of improvement with conservative care.

When to Seek Medical Evaluation

Seek medical attention promptly if you experience:

• New or worsening weakness in the leg
• Loss of bowel or bladder control
• Severe symptoms after trauma
• Progressive numbness or significant coordination changes

Ready for a Gentle Low Back Approach?

Schedule your appointment and let’s build a plan to reduce irritation and restore comfortable movement.