2022 Cox® Honors & Overview Courses
By: National University of Health Sciences

Course Description

These 16.5 hours are a compilation of the 2022 Cox® Honors Course and 4 special presentations taught by Dr. Cox regarding the protocols, evolution, foundational research, research trajectory, clinical application and outcome of the Cox® Technic System of Spinal Pain Management in clinical practice via case presentations and their ensuing discussion. A special presentation and discussion afterwards with a neurosurgeon, Dr. Tyler Atkins, regarding the surgical treatment of neck and back pain enlightened all participants.


The Cox® Technic Flexion Distraction and Decompression (CTFDD) System of Spinal Pain Management continues its evolution of protocol development based on biomechanical and clinical research outcomes. A chiropractic, hands-on spinal manipulation technique with years of clinical experience and research documentation fostered by Dr. James M. Cox, developer of the technique, Cox® Technic is known for its care of disc herniation and stenosis. Its evidence-based protocols are also appropriate for treating sprain/strain, facet syndrome, spondylolisthesis, sciatica, radiculopathy, degenerative scoliosis, failed back surgery/post-surgical continued pain, and a host of other spinal conditions affecting the lumbar, cervical, thoracic spine and related areas. Demonstration of spinal manipulation of the cervical, thoracic, and lumbar spine and pelvis will be integrated into this program as will past, current, and future research areas of study.

Hour one

• Biomechanics of CTFDD lumbar spine manipulation:

o Intradiscal pressure change

o Foraminal area increase

o Facet joint motion

o Disc space change under long y axis distraction manipulation

o Video of the spine during spinal manipulation – HRSA study 9 minutes

• Clinical outcome study of CTFDD for lumbar spine conditions: days/visits – 1000 cases

• Clinical outcome study comparing CTFDD spinal manipulation to medical care for chronic low back pain – published HRSA Study outcomes

• Clinical outcomes study of CTFDD for post-surgical continued low back pain patients (retrospective) - published

• 2 patient presentations (disc and non-disc): video and imaging 12 minutes

• Demonstration of lumbar spine CTFDD Protocols I and II with pressure transducer measuring forces – NCLC 6 minutes

Course Details

  • 2022 Cox® Honors & Overview Courses
  • By:    National University of Health Sciences
  • Instructor:    Tyler Atkins, MD; James Cox, DC; George Joachim, DC; Kurt Olding, DC
  • Total CE Hours:    16.5
  • Course Format:     Online Distance Learning
  • Course Categories:     DC Continuing Education
  • Course Subjects | CE HOURS:
    • Adjustive Technique  -3.0 CE Hours
    • Differential/Physical Diagnosis  -6.0 CE Hours
    • Evidence-Based Outcomes  -7.5 CE Hours
  •    Course Outline