On this episode of The Back Doctors Podcast, you’ll get to hear from Dr. James M. Cox who is the developer of Cox® Technic Flexion Distraction Manipulation.  He is a remarkable doctor who has dedicated his life to finding the most effective treatment for back pain.  He presents published research on the effectiveness of Cox Technic in the treatment of post-surgical continued pain syndrome.

About Dr. Cox

curriculum vitae

Resources:

More about Cox Technic

Find a Back Doctor

The Cox 8 Table by Haven Medical

References:

Tronnier V. SCS als therapeutische Option beim Postnukleotomiesyndrom [SCS as a treatment option for failed back surgery syndrome]. Orthopade. 2016 Sep;45(9):738-43. German. doi: 10.1007/s00132-016-3310-5. PMID: 27530208.

Clancy C, Quinn A, Wilson F. The aetiologies of Failed Back Surgery Syndrome: A systematic review. J Back Musculoskelet Rehabil. 2017;30(3):395-402. doi: 10.3233/BMR-150318. PMID: 27689601.

Itz C, Huygen F, Kleef MV. A proposal for the organization of the referral of patients with chronicnon-specific low back pain. Curr Med Res Opin. 2016 Nov;32(11):1903-1909. doi: 10.1080/03007995.2016.1220933. Epub 2016 Sep 4. PMID: 27499500.

Gudavalli MR, Olding K, Joachim G, Cox JM. Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. J Chiropr Med. 2016 Jun;15(2):121-8. doi: 10.1016/j.jcm.2016.04.004. Epub 2016 May 25. PMID: 27330514; PMCID: PMC4913115.

Aspegren DD, Burt AL. A study of postspinal surgery cases in chiropractic offices. Journal of Manipulative and Physiological Therapeutics 1994;17:88-92.

O’Shaughnessy J, Drolet M, Roy JF, Descarreaux M. Chiropractic management of patient’s post-disc arthroplasty: eight case reports. Chiropractic & Osteopathy 2010;18:7 

Morningstar MW, Strauchman MN. Manipulation under anesthesia for patients with failed back surgery: retrospective report of 3 cases with 1-year follow-up. Journal Chiropractic Medicine 2012;11:30-5

McMorland G, Suter E, Casha S, du Plessis SJ, Hurlbert RJ. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. J Manipulative Physiol Ther 2010;33:576-84 positive results with chiropractic manipulation

Estadt GM. Chiropractic/Rehabilitative management of post-surgical disc herniation: a retrospective case report. J Chiropr Med 2004;3:108–15.

Cox JM. Spinal adjusting of failed low back surgery. In: Chiropractic Orthopedics Conference Proceedings. Annual symposium on Investigation of Failed Low Back Surgery; 2009 May 8-May 10; San Antonio, Texas. Published by the American College of Chiropractic Orthopedists and Southern California University of Health Sciences and Texas Council of Chiropractic Orthopedists. American College of Chiropractic Orthopedists; 2009. p. 43-112.

Coulis CM, Lisi AJ. Chiropractic management of postoperative spine pain: a report of 3 cases. Journal of Chiropractic Medicine 2013;12:168-75

Kruse RA, Cambron J. Chiropractic management of post-surgical lumbar spine pain: a retrospective study of 32 cases. Journal of Manipulative and Physiological Therapeutics 2011; 34:408-12

Cox JM, Feller J, Cox-Cid J. Distraction chiropractic adjusting: clinical application and outcomes of 1000 cases. Top Clin Chiropr 1996;3(3);45-59.

McMorland G Suter E Casha S du Plessis SJ Hurlbert RJ. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Journal Manipulative Physiol Ther. 2010 Oct;33(8):576-584

Albert HB, Manniche C. The efficacy of systematic active conservative treatment for patients with severe sciatica: a single-blind, randomized, clinical, controlled trial. Spine (Phila Pa 1976). 2012 Apr 1;37(7):531-42. doi: 10.1097/BRS.0b013e31821ace7f. PMID: 21494193.

Keller RB, Atlas SJ, Singer DE, Chapin AM, Mooney NA, Patrick DL, Deyo RA. The Maine Lumbar Spine Study, Part I. Background and concepts. Spine (Phila Pa 1976). 1996 Aug 1;21(15):1769-76. doi: 10.1097/00007632-199608010-00010. PMID: 8855461.

Valat JP, Genevay S, Marty M, Rozenberg S, Koes B. Sciatica. Best Pract Res Clin Rheumatol. 2010 Apr;24(2):241-52. doi: 10.1016/j.berh.2009.11.005. PMID: 20227645.

Roncoroni C, Baillet A, Durand M, Gaudin P, Juvin R. Efficacy and tolerance of systemic steroids in sciatica: a systematic review and meta-analysis. Rheumatology (Oxford). 2011 Sep;50(9):1603-11. doi: 10.1093/rheumatology/ker151. Epub 2011 Apr 27. PMID: 21525139.