237 First Ave. 5th Floor New York , NY 10003

Cox Flexion Distraction

What is Cox Flexion-Distraction Technic?


Cox Flexion-Distraction TechnicThe Cox flexion distraction technique was pioneered by Dr. James M. Cox,  from whom it gets its name (it does not, as some people assume, derive its name from ‘Coxyx’ – the tailbone!). It’s a non-invasive, manual spinal manipulation, performed on a specially designed table.


At Synergy Wellness of New York City, our doctor is certified in the technique and will apply precise amounts of specialized manual manipulation to pertinent points within the spine. Like spinal decompression, this helps to separate and re-align troubled discs, as well as encouraging the flow of blood and healing nutrients to herniated discs, bulged discs, and degenerative discs. As well as around the damaged or troublesome portion of the spine where they may be arthritis. Cox technique is extremely effective and safe for spinal stenosis, post surgical spine cases, spinal fusion, disc replacement, or discectomy.


Synergy Wellness uses two flexion distraction tables; a brand new Cox8 table is our newest equipment and a hill flexion distraction table allowing for better patient ease. The table provides the ‘flexion.’


A Cox table has several articulated segments. These can be raised or lowered to bring different portions of the spine into play. During flexion distraction, the doctor will push the relevant section of the table down while manually manipulating the troublesome vertebrae. For example, the doctor may stabilize one joint of the spine with one hand and gently flex and distract or traction out the spine away from the hand pressure. Dr. David Kulla of Synergy Wellness Chiropractic and Physical Therapy is a certified Cox technic Chiropractor located in New York City in area code 10009.


Typical results we see are 40-50% reduction in pain within 4-5 weeks. Results are even better at 10-12 weeks.

Special Offer:

$50 Chiropractic Consultation or Book a Free MRI / X-Ray Reading (212) 533-4900

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Office Hours ~ By Appointment Only

Chiropractic & Physiotherapy Hours:
Monday: 1:00pm – 7:00pm
Tuesday: 8:30am – 2:30pm
Wednesday: 1:00pm – 7:00pm
Thursday: 1:00pm – 7:00pm
Friday: 8:30am – 2:30pm                  Saturday:10:00am – 12:30pm


New York City, NY Location From Brooklyn by Subway

Take the A, C, J, Z, M, or G to the L (toward Manhattan) and get off at 1st Ave. Stop
(it will be your first stop in Manhattan)


From Manhattan by Subway:
Take the 1, 2, 3, 4, 5, 6, N, Q, R, W, F, or V to the L (toward Brooklyn) get off at 1st Ave. Stop