Cox Distraction

League City Spine & Sports Medicine

Cox Distraction

The Cox flexion-distraction technique is performed in our office to gently decompress the spine. This technique is utilized for conditions that put pressure on the spinal nerves such as: disc herniation, spinal stenosis (narrowing), and disc degeneration (arthritis). Traditional spinal decompression is a wonderful treatment but only stretches the spine in one direction. For some patients, this treatment may be a better option.

The Cox technique is performed with the patient lying on their stomach. The practitioner stabilizes a specific spinal segment while using a specialized table that passively stretches the spine. The goal of Cox decompression is to relieve pressure on the spinal nerves. It reduces pressure by widening the disc space and foramen (holes where nerves exit), dropping intradiscal pressure, and restoring joint motion.

Cox Distraction Table In Use

Conditions treated by the Cox® technique includes but is not limited to:

  • Slipped/herniated/bulging disc
  • Spondylolisthesis
  • Spinal stenosis
  • Facet syndrome
  • Sprain/strain
  • Facet tropism
  • Back pain
  • Neck pain
  • Arm pain
  • Leg pain

For more information about the technique please visit

Cox Distraction Technique