How it works
Cox decompression uses a specialized treatment table that gently moves the spine through controlled motion — flexion, distraction, and lateral bending. The technique was developed by Dr. James Cox in the 1960s and has been refined over six decades of clinical research.
During treatment, the patient lies face down on the Cox table. The chiropractor uses the table's mechanical capabilities combined with hands-on technique to gently stretch and decompress specific spinal segments. The motion creates space between the vertebrae, which can help reduce pressure on compressed nerves, retract herniated disc material, and improve mobility in restricted joints.
Treatment is non-invasive and non-surgical. Most patients describe it as gentle — not painful. Sessions typically last 15–20 minutes.
Conditions Cox decompression addresses
Cox flexion-distraction is most commonly used for the following conditions. If you're not sure whether your condition fits, your first-visit consultation will determine suitability.
Herniated Discs
Disc material that has pushed outward, often pressing on spinal nerves and causing radiating pain.
Sciatica
Pain radiating from the lower back down through the buttocks and legs, typically from sciatic nerve compression.
Spinal Stenosis
Narrowing of the spinal canal that compresses nerves, often causing leg pain that worsens with walking.
Chronic Low Back Pain
Particularly when associated with disc dysfunction or facet joint involvement.
Failed Back Surgery Syndrome
Continued pain after spinal surgery, where decompression can help with residual symptoms.
Neck Pain with Radiation
Cox can also be used in the cervical spine for similar disc and nerve compression issues.
Who it's right for
Cox decompression is appropriate for adult patients with documented disc dysfunction, radiating nerve pain, or chronic spinal conditions that haven't fully responded to standard chiropractic adjustment. It's often a preferable alternative to spinal surgery, epidural injections, or long-term pain medication for the right patients.
During your first visit, the chiropractor will evaluate whether Cox therapy is appropriate for your specific condition. Digital X-rays — read in-room by your doctor — help inform the clinical decision. If Cox isn't the right fit, we'll explain why and recommend an appropriate alternative.
What to expect on your first visit
Consultation & history
We'll talk through your pain pattern, prior treatments, and what you've tried. About 20 minutes.
Physical exam & imaging
Range-of-motion, orthopedic, and neurological testing. Digital X-rays if indicated — read in the room with you, same day.
Suitability decision
Honest answer: is Cox decompression the right fit for your condition? If yes, we move forward. If no, we tell you why and refer if appropriate.
First treatment
If Cox is appropriate and time allows, your first decompression session happens that same visit. 15–20 minutes on the table.