Dr. Nima Rahmany talks about the connection of stress and anxiety to chronic pain.

About Dr. Nima

Dr. Nima helps people who are stuck in toxic relationships who, career limbo, and emotional trauma overcome their anxiety and create powerfully aligned relationships by deepening their intimate relationship with the most important person of all: themselves.

Resources:

Dr. Nima Rahmany

The “Becoming Trigger Proof” Virtual Workshop

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Psychotherapist, Daniel G. Lyman, LCSW, relates the mind-body connection and chronic pain with this patient story.

Daniel G Lyman, LCSW is a licensed psychotherapist and mental health coach, specializing in anxiety, depression, chronic pain (TMS, MBS, Central Sensitization, PPD, Amplified Pain), sexuality and LGBTQ related issues.  Based in Los Angeles, California, Daniel also offers Skype Coaching throughout the world.  With thousands of hours experience and clients on 5 different continents, Daniel’s training and experience can help you reach your goals, including reducing anxiety, overcoming depression, eliminating chronic pain, and much more.

Resources:

Dr. Bret White from Keiser University shares a story about a retired mail worker with back and leg pain as a result of a synovial cyst.

Dr. Bret White is an Assistant Professor for the Keiser University, College of Chiropractic Medicine in West Palm Beach, FL.  He is also an Attending Physician in the KUCCM Student Clinic.  He was the first chiropractor to hold a faculty position at the prestigious Tufts University School of Medicine in Boston, where he was a Clinical Instructor in the Department of Public Health and Family Medicine for 5 years.  Dr. White graduated in 1995 from the New York Chiropractic College. He practiced for 10 years in Boston and has been practicing in south Florida for the last 15 years, with a special emphasis on sports injuries and orthopedics.  Dr. White is diplomate of the American Board of Chiropractic Orthopedists.

Resources:

Keiser University Spine Care Clinic

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Spine specialist, Dr. Ted Siciliano shares a story of a gentleman who couldn’t sleep at night due to his arms going numb.

Dr. Ted Siciliano has been in active practice for 41 years in the Manahawkin, NJ area.  Dr. Siciliano is a long-time certified Cox Technic practitioner who attends courses regularly to keep up on all the latest in research, biomechanics, and application of Cox Technic protocols. He has written several case reports for the monthly Cox Technic Case Report publication and shares cases at Cox Seminars on a regular basis. He conducts practical, hands-on workshops with his colleagues at his Mayetta, New Jersey office.

Resources:

Dr. Siciliano’s website

Case Report link

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There is NO data supporting a lumbar fusion for low back pain.  However, the rate of it keeps rising and it is costing the U.S. 40 billion dollars annually!  Dr. David Hanscom quit his complex spinal surgery practice to dedicate his life to stopping unnecessary and harmful surgeries and ending chronic pain.

Dr. David Hanscom is an orthopedic complex spinal deformity surgeon who was base in Seattle, WA.  He quit his practice and is on a mission to re-introduce true healing into medicine.  He believes that doctors should spend quality time with their patients so they can listen and understand their situation.  He is the author of Back in Control: A Surgeon’s Roadmap Out of Chronic Pain, and his most recent book is Do You Really Need Spine Surgery: Take Control With a Spine Surgeon’s Advice.

Resources:

BackInControl.com

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The Cox 8 Table by Haven Medical

Spine specialist, Dr. Travis Cross shares a story of a young cross-fitter with a large disc herniation treated with Cox Technic.

Dr. Travis Cross

Dr. Travis Cross is a certified Cox Technic practitioner with a decade of experience working with spinal disc related conditions. Dr. Cross has an undergraduate degree in exercise physiology and is board certified in Georgia to practice chiropractic and physiotherapy. Dr. Cross is also board certified by the National Board of Chiropractic Examiners. With nearly 20 years experience, Dr. Cross has found a unique balance of chiropractic, specifically Cox Flexion/Distraction, and physiotherapy that is producing very positive results for his patients who typically exhibit the most serious symptoms. Dr. Cross has continued his intense study of spinal disc degenerative conditions and has added the latest Cox 8 table to the clinic in order to provide the best possible Chiropractic adjustment. Dr. Cross also has been working as a hands on workshop instructor teaching other Chiropractors from around the southeast the proper protocols and application of the Cox Flexion/Distraction adjustment. The latest advancement in 2017 is the identification and treatment of neck/cervical disc conditions that are now being successfully treated with Cox F/D and the advanced Cox 8 table.

Dr. Joel Dixon shares a story of pain management treating a Vietnam Veteran for 20 years.

Dr. Joel Dixon
Chiropractor and Cox® Certified Practitioner

Graduating from RMIT School of Chiropractic in 1986, Dr Dixon has concentrated his professional development in spinal disc decompression therapies since becoming certified in Cox® Technic in 2000. He is the only Cox® certified instructor in Australia.

Cox® therapy is considered to be the “gold standard” used by thousands of Chiropractors around the world for the treatment of low back and leg pain, neck and arm pain, and other spinal pain conditions.

Cox® flexion distraction has more than 50 years of research, documentation, and proven outcomes for decompressing spinal nerves and treating low back pain. It’s a gentle, non-surgical, low-force procedure that helps the spine heal properly, and keeps it as pain free as possible.

Dr Dixon has successfully provided treatment for disc bulge and disc herniation, sciatica, spondylolisthesis and scoliosis, amongst other conditions. He has treated thousands of patients with varying degrees of spinal disc pathology requiring non-surgical, conservative treatment using the latest Cox® 8 decompression instruments from Michigan USA.

Dr Dixon has supported athletes from a range of organisations including Sydney Swans and NBL clubs, South Dragons and Gold Coast Blaze.

He also has had an extensive background in obstetrical spinal disorders and has been registered at two private hospitals providing in house spinal therapy.

Dr Dixon’s continuous professional development in both the USA and Australia enables him to bring the most up to date research, technology and techniques to every consultation enabling rapid symptom resolution and the return to full spinal function as quickly as possible.

Dr Dixon practices at Malvern Chiropractic Clinic and Melbourne Spine Clinic

Resources:

Melbourne Spine Clinic

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The Cox 8 Table by Haven Medical

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In this episode, Dr. Cox continues his discussion on the influence of the vagus nerve in health and healing. He also shares a paper on mechanobiology, that is, how the cells of the body are constantly remodeling and adapting to their ever-changing mechanical environment. He concludes with a paper that goes beyond the 5 senses of sight, hearing, touch, smell, and taste to the newly described seventh sense.

James M. Cox, DC, DACBR, FICC, Hon.D.Litt., FACO(H)

Dr. Cox is the developer of Cox® Technic Flexion Distraction Manipulation and the proud participant in the on-going federal research projects involving the Keiser University, National University of Health Sciences, Palmer College of Chiropractic Research Center, Loyola Stritch School of Medicine, University of Illinois, University of Iowa, Auburn University, etc. He is a member of the postgraduate faculty of the National University of Health Sciences and has been privileged to speak throughout the world.

Resources:

About Dr. Cox

curriculum vitae

More about Cox Technic

Find a Back Doctor

The Cox 8 Table by Haven Medical

References:

• HHS Public Access Author manuscript Brain Behav Immun . Author manuscript; available in PMC 2019 January 04. Published in final edited form as: Brain Behav Immun . 2018 October ; 73: 441–449. doi:10.1016/j.bbi.2018.06.005.

• Joanna L. Ng, Mariana E. Kersh, Sharon Kilbreath and  M. Knothe Tate. Establishing the Basis for Mechanobiology-Based Physical Therapy Protocols to Potentiate Cellular Healing and Tissue Regeneration. Front.physiol.,06 June 2017 https://doi.org/10.3389/fphys.2017.00303

• Kevin P. Cheng,  Sarah K. Brodnick, Stephan L. Blanz, Weifeng Zeng, Jack Kegel, Jane A. Pisaniello, Jared P. Ness, Erika Ross,  View ORCID ProfileEvan N. Nicolai, Megan L. Settell,  Is Vagus Nerve Stimulation Brain Washing? doi: https://doi.org/10.1101/733410

• Cuoco J, Fnnie C, Cheriyan G: Hypothetical Link Between Osteopathic Suboccipital Decompression and Neuroimmunomodulation. J Neurol Neurosci. 2016, 7: S3.

• Christopher Bergland. Vagus Nerve Stimulation Dramatically Reduces Inflammation: Stimulating the vagus nerve reduces inflammation and the symptoms of arthritis. PSYCHOLOGY TODAY, posted July 6, 2016

• Stanley Rosenberg: Accessing The Healing Power Of The Vagus Nerve. North Atlantic Books, Berkeley, CA

• Berrueta L, Muskaj I, Olenich S, Butler T, Badger GJ, Colas RA, Spite M, Serhan CN, Langevin HM. Stretching Impacts Inflammation Resolution in Connective Tissue. J Cell Physiol. 2015 Nov 20. doi: 10.1002/jcp.25263. [Epub ahead of print]

• Teodorczyk-Injeyan JA1, Triano JJ1, Injeyan HS2. Non-specific Low Back Pain: Inflammatory Profiles of Patients with Acute and Chronic Pain. Clin J Pain. 2019 Jul 5. doi: 10.1097/AJP.0000000000000745. [Epub ahead of print]

• Song XJ, Huang ZJ, Song WB, Song XS, Fuhr AF, Rosner AL, Ndtan H, Rupert RL. Attenuation Effect of Spinal Manipulation on Neuropathic and Postoperative Pain Through Activating Endogenous Anti-Inflammatory Cytokine Interleukin 10 in Rat Spinal Cord. J Manipulative Physiol Ther. 2016 Jan 30. pii: S0161-4754(15)00211-0. doi: 10.1016/j.jmpt.2015.12.004.

Compiled by James M. Cox, DC, DACBR

On this episode we continue with Dr. James Cox’s presentation on spinal manipulation and the immune system.  He presents information on the parasympathetic nervous system and the vagus nerve.

James M. Cox, DC, DACBR, FICC, Hon.D.Litt., FACO(H)

Dr. Cox is the developer of Cox® Technic Flexion Distraction Manipulation and the proud participant in the on-going federal research projects involving the National University of Health Sciences, Palmer College of Chiropractic Research Center, Loyola Stritch School of Medicine, University of Illinois, University of Iowa, Auburn University, etc. He is a member of the postgraduate faculty of the National University of Health Sciences and has been privileged to speak throughout the world.

Resources:

About Dr. Cox

curriculum vitae

More about Cox Technic

Find a Back Doctor

The Cox 8 Table by Haven Medical

References:

·       Ramer MS: Rapid sprouting of sympathetic axons in dorsal root ganglia of rats with a chronic constriction injury. Pain 1997; 70

·       Kupka, Johannes & Kohler, Annika & El Bagdadi, Karima & Bostelmann, Richard & Brenneis, Marco & Fleege, Christoph & Chan, Danny & Zaucke, Frank & Meurer, Andrea & Rickert, Marcus & Jenei-Lanzl, Zsuzsa. (2020). Adrenoceptor Expression during Intervertebral Disc Degeneration. International Journal of Molecular Sciences. 21. 2085. 10.3390/ijms21062085.

·       Browning KN, Verheijden S, Boeckxstaens GE. The Vagus Nerve in Appetite Regulation, Mood, and Intestinal Inflammation. Gastroenterology. 2017;152(4):730–744. doi:10.1053/j.gastro.2016.10.046

·       Komegae EN, Farmer DGS, Brooks VL, McKinley MJ, McAllen RM, Martelli D. Vagal afferent activation suppresses systemic inflammation via the splanchnic anti-inflammatory pathway. Brain Behav Immun. 2018;73:441–449. doi:10.1016/j.bbi.2018.06.005

·       HHS Public Access Author manuscript Brain Behav Immun . Author manuscript; available in PMC 2019 January 04. Published in final edited form as: Brain Behav Immun . 2018 October ; 73: 441–449. doi:10.1016/j.bbi.2018.06.005.

On this episode, Dr. James Cox takes us on a deep dive into spinal manipulation and its effects on the immune system.

James M. Cox, DC, DACBR, FICC, Hon.D.Litt., FACO(H)

Dr. Cox is the developer of Cox® Technic Flexion Distraction Manipulation and the proud participant in the on-going federal research projects involving the National University of Health Sciences, Palmer College of Chiropractic Research Center, Loyola Stritch School of Medicine, University of Illinois, University of Iowa, Auburn University, etc. He is a member of the postgraduate faculty of the National University of Health Sciences and has been privileged to speak throughout the world.

Resources:

About Dr. Cox

curriculum vitae

More about Cox® Technic

www.coxtechnic.com

Find a Back Doctor

The Cox 8 Table by Haven Medical

References:

·       Medeiros P1,2,3,4, de Freitas RL1,2,3,4,5, Boccella S1, Iannotta M1, Belardo C1, Mazzitelli M1, Romano R1, De Gregorio D6, Coimbra NC2,3,4, Palazzo E1, Maione S1.Characterization of the sensory, affective, cognitive, biochemical, and neuronal alterations in a modified chronic constriction injury model of neuropathic pain in mice. J Neurosci Res. 2019 Aug 8. doi: 10.1002/jnr.24501. [Epub ahead of print]

·       Colombi A1, Testa M2. The Effects Induced by Spinal Manipulative Therapy on the Immune and Endocrine Systems. Medicina (Kaunas). 2019 Aug 7;55(8). pii: E448. doi: 10.3390/medicina55080448.

·       Kedong H1, Wang D2, Sagaram M3, An HS4, Chee A5. Anti-inflammatory effects of interleukin-4 on intervertebral disc cells. The Spine Journal Volume 20, Issue 1, January 2020, Pages 60-68

·       Chen NF1,2,3, Chen WF1,4, Sung CS5,6, Lu CH2, Chen CL2, Hung HC1,7, Feng CW1,7, Chen CH1,7, Tsui KH8,9,10, Kuo HM11, Wang HD12,13,14, Wen ZH15,16,17, Huang SY18,19. Contributions of p38 and ERK to the antinociceptive effects of TGF-β1 in chronic constriction injury-induced neuropathic rats. J Headache Pain. 2016 Dec;17(1):72. Epub 2016 Aug 19.

·       Nemoto W, Yamada K, Ogata Y, Nakagawasai O, Onodera K, Sakurai H, Tan-No K. Chondroitin sulfate attenuates formalin-induced persistent tactile allodynia. J Pharmacol Sci Aug 5. pii: S1347-8613(16)30091-3. doi: 10.1016/j.jphs.2016.07.009.

·       Kemeny ME. The immune system: the mind-body connection.  Who gets sick and who stays well. Institute for Brain Potential, Po Box 2238, Los Banos Ca 93635

·       Egorova E1,2, Starinets A1,2, Tyrtyshnaia A1,2, Ponomarenko A1,2, Manzhulo I3,4. Hippocampal Neurogenesis in Conditions of Chronic Stress Induced by Sciatic Nerve Injury in the Rat. Cells Tissues Organs. 2019 Jul 8:1-11. doi: 10.1159/000501236. [Epub ahead of print]

·       Hingert D1, Nilsson J2, Barreto Henriksson H3,4, Baranto A3,4, Brisby H3,4.Pathological Effects of Cortisol on Intervertebral Disc Cells and Mesenchymal Stem Cells from Lower Back Pain Patients. Cells Tissues Organs. 2019 Jul 3:1-12. doi: 10.1159/000500772. [Epub ahead of print]

·       Kedong H1, Wang D2, Sagaram M3, An HS4, Chee A5. Anti-inflammatory effects of interleukin-4 on intervertebral disc cells. The Spine Journal Volume 20, Issue 1, January 2020, Pages 60-68

·       Glombiewski JA(1), Riecke J, Holzapfel S, Rief W, König S, Lachnit H, Seifart U. Do patients with chronic pain show autonomic arousal when confronted with feared movements? An experimental investigation of the fear-avoidance model. Pain. 2015 Jan 14.

·       Lubelski D1, Thompson NR, Bansal S, Mroz TE, Mazanec DJ, Benzel EC, Khalaf T. Depression as a predictor of worse quality of life outcomes following nonoperative treatment for lumbar stenosis. J Neurosurg Spine. 2014 Dec 19:1-6.

·       Kayhan F1, Albayrak Gezer İ2, Kayhan A3, Kitiş S4, Gölen M5. Mood and anxiety disorders in patients with chronic low back and neck pain caused by disc herniation. Int J Psychiatry Clin Pract. 2015 Nov 2:1-5. [Epub ahead of print]

·       Pillai AG, de Jong D, Kanatsou S, Krugers H, Knapman A, Heinzmann JM, Holsboer F,Landgraf R, Joëls M, Touma C. Dendritic morphology of hippocampal and amygdalar neurons in adolescent mice is resilient to genetic differences in stress reactivity. PLoS One. 2012;7(6):e38971. Epub 2012 Jun 12.