At Atlas Chiropractic & Wellness, we offer Flexion Distraction Therapy, a gentle, non-invasive chiropractic technique that helps relieve spinal pain and restore function. This therapy uses a specially designed table that allows controlled flexion (bending) and distraction (stretching) of the spine. It is particularly effective for treating disc-related conditions and other spinal issues without the need for forceful manual adjustments.

What is flexion distraction?

Flexion Distraction is a technique developed by Dr. James M. Cox and is commonly referred to as the Cox® Technic. It involves the use of a motorized or manual table that rhythmically moves the spine in a controlled pumping motion. While the patient lies comfortably on the table, the chiropractor uses gentle pressure to target specific spinal segments, stretching and decompressing the spine in a smooth, repetitive motion.

This technique allows the chiropractor to isolate problematic areas and apply precise treatment, relieving pressure on spinal discs, nerves, and joints.

Why it’s done

Flexion Distraction is typically used to treat a range of spinal conditions, especially those involving nerve compression or disc problems. It is often recommended for patients who:

  • Experience herniated or bulging discs
  • Suffer from degenerative disc disease
  • Have spinal stenosis
  • Deal with facet joint syndrome
  • Have sciatica or radiating nerve pain
  • Cannot tolerate more forceful spinal manipulation

By gently decompressing the spine and increasing disc space, Flexion Distraction helps restore mobility, reduce inflammation, and promote healing in the spinal structures.

Benefits of flexion distraction therapy

Flexion Distraction offers a variety of benefits, including:

  • Pain relief from disc-related or nerve-related conditions
  • Improved range of motion and flexibility in the spine
  • Reduced pressure on spinal nerves
  • Decreased muscle tension in the back and surrounding areas
  • Avoidance of surgery for many disc conditions
  • Safe and comfortable alternative for patients sensitive to traditional adjustments

This technique is supported by clinical research and is considered one of the safest and most effective non-surgical options for managing chronic back pain and spinal dysfunction.

What to expect during treatment

During your Flexion Distraction session:

  1. You will lie face-down on a specially designed table with adjustable segments.
  2. The chiropractor will use gentle manual pressure in combination with the table’s movement to target and mobilize specific areas of your spine.
  3. The rhythmic flexion and distraction movements will feel like a light stretching motion—typically pain-free and even relaxing.
  4. A session usually lasts 10 to 20 minutes and may be combined with other treatments such as muscle stimulation, myofascial release, or targeted exercises.

How to prepare for flexion distraction therapy

There is no special preparation needed for Flexion Distraction therapy. However, for your comfort and the effectiveness of the treatment:

  • Wear loose, comfortable clothing that allows easy access to your lower and upper back.
  • Communicate openly with your chiropractor about any discomfort or pain you’re experiencing, including past injuries or surgeries.
  • Stay hydrated before and after treatment to help with tissue recovery.

Your chiropractor at Atlas Chiropractic & Wellness will evaluate your condition and determine if Flexion Distraction is appropriate for your care plan.

Is flexion distraction right for you?

Flexion Distraction is ideal for many patients, especially those with disc injuries or chronic lower back pain. It is often chosen for individuals who may not tolerate traditional spinal adjustments, such as older adults or those with sensitive conditions.

If you are suffering from back or leg pain, numbness, or stiffness, our team can determine whether Flexion Distraction will be part of your personalized treatment plan to help you recover safely and effectively.

At Atlas Chiropractic & Wellness, your chiropractor will perform a thorough evaluation and create a personalized care plan based on your condition (e.g., herniated disc, spinal stenosis), pain level and location, age and mobility, treatment goals (pain relief, improved function, prevention).

We also offer other chiropractic services that are commonly used in combination with flexion distraction to maximize results:

  • Chiropractic adjustments – Manual spinal adjustments help restore proper alignment, reduce nerve interference, and improve joint mobility. For some patients, combining adjustments with Flexion Distraction speeds up recovery.
  • Myofascial release therapy – This soft tissue therapy targets muscle tension and restrictions in the fascia, which often accompany spinal issues. It can reduce pain and improve flexibility, especially when discs or nerves are inflamed.
  • Electrical muscle stimulation (EMS) – EMS uses mild electrical impulses to stimulate muscles, reduce spasms, and promote healing. It’s especially useful in cases involving muscle guarding or nerve-related pain.
  • Therapeutic exercises – Targeted stretches and strengthening exercises help stabilize the spine and prevent recurrence of injury. These are often prescribed after a Flexion Distraction session to reinforce spinal support.
  • Cold laser therapy (low-level laser therapy) – This non-invasive treatment uses light to reduce inflammation and promote tissue repair, especially helpful in disc-related conditions.
  • Spinal decompression therapy – A mechanical, computer-controlled form of spinal traction that gently stretches the spine. This is especially helpful for herniated discs or nerve root compression and can be an alternative or complement to Flexion Distraction.

Get in touch with Atlas Chiropractic & Wellness!

We truly believe that everyone deserves to live pain-free, even as you age. We will do everything we can to ensure that you are comfortable. We are proud to help you live better lives, pain-free.