In this series of presentations, Cox Technic Flexion Distraction is described from its inception to its current form. Supporting research and associated federal grants (HRSA, NIH, Veteran’s Administration) will be discussed. Clinical applications including examination, imaging treatment options (including adjunctive therapies), treatment frequency, documentation and patient education will be presented. Differential diagnosis of common and complex spinal conditions will be highlighted. Treatment options will be demonstrated through means of video of actual patients with the clinical conditions. This series of presentations is for the spinal pain clinician who enjoys hearing the latest research and seeing its clinical application.