Aug 28

When Back Surgery Isn’t Enough: How Cox® Technic Offers Hope For Relief

Persistent back pain following back surgery presents a significant challenge, with traditional approaches often providing limited relief. Cox® Technic, a specialized form of chiropractic distraction spinal manipulation used in our practice, offers a promising conservative treatment option. This gentle technique utilizes a specially designed table for controlled flexion and distraction of the lumbar spine, creating decompression while mobilizing restricted segments.

Research demonstrates Cox® Technic’s clinical effectiveness for post-surgical pain. Gudavalli et al. (2016) examined patients with continued low back and radicular pain following spinal surgeries, finding significant improvements in both pain levels and functional disability scores after Cox® Technic treatment. (1) Additionally, Trager et al. (2024) found that patients receiving chiropractic care, including distraction techniques, had lower surgical reoperation rates compared to those without conservative manual therapy. (2)

Cox® Technic’s effectiveness stems from its ability to create negative intradiscal pressure, promote nutrient exchange, and restore normal spinal biomechanics without aggressive manipulation. This makes it particularly suitable for post-surgical patients requiring gentle, precise treatment that respects altered spinal anatomy while addressing ongoing pain and dysfunction.

Listen to this PODCAST with Dr. Marc Baker on The Back Doctors Podcast with Dr. Michael Johnson about the effectiveness of The Cox® Technic System of Spinal Pain Management for continued back pain after back surgery.

TIP OF THE MONTH: Exercise After Back Surgery

Your back surgery was just the beginning of your comeback story! Recent research by Son et al. (2025) proves that both guided and self-paced exercise programs can safely restore your strength and flexibility after lumbar spine surgery. (3) Your body is a remarkable healing machine, and movement is its fuel. Don’t let fear keep you sidelined—every gentle stretch and mindful step forward rewrites your future. Your spine isn’t just recovering; it’s preparing to support all your dreams again. Start today!

Make your next appointment today!

We look forward to seeing you.

References for HEALTHY NEWS – August 2025

  1. Gudavalli MR, Olding K, Joachim G, Cox JM. Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. J Chiropr Med. 2016 Jun;15(2):121-8. doi: 10.1016/j.jcm.2016.04.004. Epub 2016 May 25. PMID: 27330514; PMCID: PMC4913115.
  2. Trager RJ, Gliedt JA, Labak CM, Daniels CJ, Dusek JA. Association between spinal manipulative therapy and lumbar spine reoperation after discectomy: a retrospective cohort study. BMC Musculoskelet Disord. 2024 Jan 10;25(1):46. doi: 10.1186/s12891-024-07166-x. PMID: 38200469; PMCID: PMC10777506.
  3. Son S, Park HB, Kong KS, Yoo BR, Kim WK, Sim JA. Comparison of Guided Exercise and Self-Paced Exercise After Lumbar Spine Surgery: A Randomized Controlled Trial. Life (Basel). 2025 Jul 4;15(7):1070. doi: 10.3390/life15071070. PMID: 40724572; PMCID: PMC12298251.