by Dr. Cox to participate in this study fol-lowing very strict selection and treatment protocols. Then, there is the pelvic pain patient. This type of case is emerging as an ex-citing opportunity for clinical research, and is so rewarding to treat. In the nicely written book, Pelvic Pain and Organic Dys-function, Dr. James Browning, a certified Cox Technic doctor in Michigan, calls on documented research and patient cases to outline specific protocols to care for these patients. These cases go beyond back pain management to issues of pelvic organ dys-function and in some cases have yielded amazing results. Cox Technic doctors and researchers continue to document the outcomes and the protocols required to get results. Doc-umentation is central to Cox Technic from patient tracking to publishing. Dr. James Cox, developer of the Cox Technic, states that the clinical examination is central to positive clinical outcomes. In his recent webinar, Dr. Cox emphasizes that the chi-ropractor should do every test on every patient every time so that the examina-tion process is thorough each time. He has also co-ordinated the efforts of several au-thors and updated the content in his new seventh edition textbook, Low Back Pain: Mechanism, Diagnosis, Treatment, pub-lished by Lippincott Williams & Wilkins (November 2011). The book emphasizes the need for documentation and compiles clinical outcomes. scribes the worst pain imaginable – drop overall and 5.7 NPS drop in patients with combined surgical approaches. 2 Case reports describing clinical out-comes with Cox Technic can also be found in peer-reviewed journals. A case report of synovial cyst pain for three years noted that the patient experienced 80 per cent relief in 16 visits over three months. 3 In another case report, a patient suffering with testicular pain for five years reports 100 per cent relief at first visit with leg pain gone at four weeks. 4 Continuing in this vein, a post-surgical fusion patient who suffered for three years with adjacent segment disease after an aviation accident found relief that allowed him to return to work eight or nine hours a day after four weeks of treatment 5 while another post-surgical patient found relief after 13 vis -its. 6 Cervical spine case reports include a patient suffering from foraminal stenosis with radiculopathy from a cervical disc herniation who found relief after 15 visits in 10 weeks 7 and a patient with a cervi-cal disc herniation and foraminal narrow-with related pelvic pain issues or not. Cox Distraction Manipulation in the treatment of lumbar spinal stenosis patients is shown to improve symptoms by 76 per cent and disability by 73 per cent. 11 TRAINING AND CONTINUING SUPPORT The system of Cox Technic enhances our approach to the examination, diagnosis and treatment of spine pain. Educational opportunities for learning this system abound and are delivered as onsite semi-nars, in-office workshops, online courses and webinars. In-office workshops give doctors an opportunity to experience the Cox Adjusting Instrument, to feel the ef-fects of the treatment, to learn the basics of the treatment protocols and to see some of the educational resources available. These workshops will be the first step to motivate doctors to consider becoming certified in Cox Technic and to move our profession forward with evidence-based standards of care for the benefit of our pa-tients. You can find more information at www.coxtechnic.com. Clinical outcomes are central to the chiropractic practice...and peer-reviewed journal articles revealing clinical case successes using Cox Technic are plentiful. ing who reported relief after 10 visits over four weeks. 8 In another report, a pregnant patient with back pain and radiculopathy found relief of her sciatica in one visit and total relief in eight. 9 With respect to safety, a study of tech-nique application and reception found that zero patients were hurt in any way and only one doctor (two per cent) was hurt while performing Cox Technic. In contrast, other techniques had higher incidences of injury to patients and doc-tors; examples of these were diversified (26 per cent patients/22 per cent doctors); Thompson (18 per cent patients/two per cent doctors) and Gonstead (29 per cent patients/23 per cent doctors). 10 Last, but not least, is the work that can be found on clinical outcomes in spinal stenosis with the use of the Cox Technic. Today’s baby-boomer population is bring-ing its spinal stenosis and its degeneration to our doorsteps. We are ready for them, pre-or post-surgery, neck-or back-related, As well as training in this technique, marketing support continues to grow with the “Cox Technic Complete” program. Biomechanical effects continue to be doc-umented and clinical outcomes continue to relieve patient suffering and appear in the literature. As Dr. Cox notes, “Cox Technic recog-nizes the future of spinal manipulation will focus on documented evidence-based clin-ical outcomes. Research leads the way by demonstrating the biomechanical changes in the spine when chiropractic manipula-tion is administered. This is followed by practitioner skill in its application, which results in superior clinical outcome for the patient. This is the long-term goal of Cox Technic in leading our profession to its de-served recognition in the healing arts.” • (The author would like to thank Julie Cox-Cid for her contributions to this article.) For the article with references, please visit the Current Issue page at www.cana-dianchiropractor.ca. CANADiAN CHiROPRACTOR | FEBRUARY 2013 • 17 HARNESSING CLINICAL OUTCOMES Clinical outcomes are central to the chiropractic practice. Online and off, published clinical outcomes boast clinical relief for spine pain patients. Online case reports are published each month on the www.coxtechnic.com website. The 114th case study was published in December 2012. (You can sign up for a free newsletter from them at the same website address.) Offline, peer-reviewed journal articles revealing clinical case successes using Cox Technic are plentiful as well. One retrospective study of 39 cervical spine patients reveals 13 visits to attain relief. 1 Another retrospective study involving 32 failed back surgery patients reports no adverse side-effects from the chiropractic Cox Technic treatment plus a 4.1 Numeric Pain Scale (NPS) – this scale ranges from 0, where there is no pain, to 10, which de-www.canadianchiropractor.ca
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