SPINAL STENOSIS: Current Research Studies and Protocols with Dr. Cox
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The Cox® Technic System of Spinal Pain Management is grounded in evidence-based clinical practice—combining the latest research, clinical expertise, and patient-centered care. This presentation begins with a review of spinal biomechanics and anatomy to establish a strong foundation. From there, it highlights research findings demonstrating the biomechanical and clinical effectiveness of Cox® Technic, especially in treating spinal stenosis.
Dr. Cox will present recent studies on chiropractic flexion-distraction (CTFDD), including outcomes for failed back surgery syndrome, spinous process movement measured via ultrasound, and balance improvements. Real-world clinical cases will illustrate how Cox® Technic relieves pain from conditions like disc herniation, stenosis, sprain/strain, facet syndrome, spondylolisthesis, sciatica, radiculopathy, degenerative scoliosis, and more. Treatment protocols will also be demonstrated.
James Cox (Moderator)
DC
James M. Cox, DC, DACBR, FIANM(H), is a board-certified chiropractic radiologist and clinician who specializes in the study of the mechanism, diagnosis and treatment of spine pain. As such he has participated in federally funded National Institute of Health and Health Resources and Services Administration studies in the biomechanics of normal and aberrant spine function and the clinical outcome of medical care versus chiropractic spinal manipulation for the relief of spine pain. These studies have been in collaboration of the Loyola Stritch School of Medicine, Hines VA hospital, Palmer College of Chiropractic and the National University of Health Sciences. Dr. Cox is the developer of a specialized form of spinal manipulation named Cox® Flexion Distraction Decompression manipulation. His textbook Low Back Pain: Mechanism, Diagnosis And Treatment is in its 7th edition and published by Lippincott Williams & Wilkins company. Certification for honors level application of Cox® Technic is approved through National University of Health Sciences.

Julie Cox Cid (Moderator)
Ralph A. Kruse, Jr., D.C., FACO, DABCC
Attending Clinician, Keiser University Spine Care Clinic; Assistant Professor, Keiser University College of Chiropractic Medicine,
Dr. Kruse completed his pre-medical degree at the State University of New York (Stony Brook) and went on to receive his Doctor of Chiropractic Degree from National College of Chiropractic (now National University of Health Sciences) in 1990. He subsequently earned diplomate status with the American Board of Chiropractic Orthopedics and the American Board of Chiropractic Consultants. His professional interests are in the area of flexion-distraction decompression manipulation for chronic and post-surgical back pain. Dr. Kruse practiced in Chicago from 1991-2017.


