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Benefits of Cox Flexion Distraction: A Spinal Decompression Therapy

By: Dr. Patterson

Spinal decompression tables have been around in various forms for many years. Currently, I am one of only three doctors certified in Cox Flexion Distraction in the State of Kansas. This form of spinal manipulation uses decompression of the spine, but it is quite unique compared to other decompression tables.

Let’s look at some differences between the different types of traction devices. With traditional traction tables, the patient lies on their back. A belt or harness is placed around the ribs and a second belt is placed around the pelvis or hips. A percentage of your body weight is calculated, which determines the amount of force with which the table is going to pull. These tables pull straight out (axial distraction). There is no control over which vertebrae move. New tables such as the IDD and DRX9000 tables work on a similar principle. One of the main differences I see in these newer tables is their ability to pull at an additional angle. The idea is that they are going to try to isolate a particular vertebra. The problem is, no one actually has their hand on your spine to know if the vertebra they are trying to isolate really moves, and if it does, how much it moves.

cox table Benefits of Cox Flexion Distraction: A Spinal Decompression Therapy

Cox Flexion Distraction manipulation has many advantages over these other tables. The first advantage is that it allows me to be much more specific in isolating each vertebra. While the patient lies on their stomach, I place my hand one at a time on the individual vertebra. While blocking this vertebra with my hand, I manually bend the bottom of the table down until I feel that specific joint separate. This allows me to apply just the right amount of decompression to that vertebra. I can then move to the next joint and decompress it. Different joints require different amounts of decompression due to the varying degrees of arthritis, muscle activity and inflammation at each joint. Another advantage to Cox manipulation is that I can move each joint through all of its normal motions while it is decompressed. Most decompression tables only allow one motion, while a Cox table allows me to introduce flexion, extension, side to side bending, circumduction, rotation, and axial distraction.

People usually want to know if decompression with a Cox table is covered by their insurance. If your insurance plan covers spinal manipulation adjustments, then the answer is yes. This is taught and recognized as a form of manipulation because it is a “hands on,” skilled procedure. Other tables only require a technician or assistant to set you up on the table. Medicare, does not cover the IDD and DRX9000, but will cover Cox Flexion Distraction.

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