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 (1)

  • 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)

Comparison between Cox® Technic & Back Surgery

COXTechnicVSBack Surgery

(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

(2) Long Term Outcome reference –Atlas S, Keller RB, Wu YA, Deyo RA, Singer DE: Long Term Outcomes Of Surgical And Non Surgical Management Of Sciatica Secondary To Lumbar Disc Herniation: 10 Year Results From The Maine Lumbar Spine Study. Spine 2005; 30(8)

(3) Back Surgery shows a merely 8% higher satisfaction rate than Cox Technique

Surgery in the long term shows slightly better results than conservative care but bares more risks as an invasive treatment. Click HERE to know more about Fail Back Surgery Syndrome ( FBSS ).

  • Painkillers & surgeries are not your only option

    Contact us to know more about Cox® Decompression Manipulation

Contact us for appointment, Google Search Dr. Matty Wong.
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