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Contraindications to Cox Technic are necessarily not absolute. Cox Technic Flexion Distraction and Decompression protocols always begin with a careful tolerance test prior to treatment. Any intolerance to the distraction manipulation is addressed with modified treatment technique. The following conditions require special consideration in evaluating their being treated: acute fracture and stroke, intolerance to contact, claustrophobia (as the treatment is performed with the face down on a headpiece - this situation can be accommodated), cancer and advanced osteoporosis (which have caused loss of structural integrity), spinal fusion (unhealed, unstable), rheumatoid arthritis with ligament laxity. This is not to say that patients with these conditions can't be treated, but that their treatment may be modified to avoid aggravation. [permalink]
Fibromyalgia
“What is Fibromyalgia? Fast Facts: An Easy-to-Read Series of Publications for the Public.” National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). http://www.niams.nih.gov/Health_Info/Fibromyalgia/fibromyalgia_ff.asp sourced on 4/14/14
Cryotherapy
Adjunctive care therapies to boost your rehabilitation time and expedite your relief. These options - acupuncture, electrotherapy, cryotherapy, thermotherapy, trigger point massage, massage, ultrasound, etc. - are open to you as you choose, but know that their inclusion may well allow you to regain your quality of life sooner and effectively.
Medical Weight Loss
Siervo M, Arnold R, Wells JC, Tagliabue A, Colantuoni A, Albanese E, Brayne C, Stephan BC: Intentional weight loss in overweight and obese individuals and cognitive function: a systematic review and meta-analysis. Obes Rev. 2011 Jul 18. doi: 10.1111/j.1467-789X.2011.00903.x. [Epub ahead of print]
Rheumatology
Hayden, JA; Dunn, KM; van der Windt, DA; Shaw, WS. What is the prognosis of back pain? BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY 2012;24 (2):167-179.
Primary Care
Van Tulder M, Becker A, Bekkering T, Breen A, del Real MTG, Hutchinson A, Koes B, Laerum E, Malmivaara A: Chapter 3 - European guidelines for the management of acute nonspecific low back pain in primary care. European Spine Journal 15 (SUPPL). MAR 2006. p.S169-S191
Ear Infections
Sleep Disorders
SBU - Swedish Council On Health Technology Assessment. Role Of The Work Environment In The Development Of Sleep Disorders. 2013. Stockholm, Sweden. http://www.sbu.se/en/Published/
Emergency Care
Sellar AJ, Taylor DM, Ross ND, Chen HH, Plant LD, McLean D, Berlingeri P, Gavan R, Weiland TJ, Knott JC: The Period Prevalence of Mind and Body Practice Use by Adult Emergency Department Patients. J Altern Complement Med. 2018 Jan 29. doi: 10.1089/acm.2017.0128. [Epub ahead of print]
When I was about 36 weeks pregnant or so a friend recommended you, so I thought I would go. I was having issues with my hips/pubic bone area, as well as round ligament pain. To the point where just lifting my feet to walk was excruciating. I couldn't lift anything and I had a 2 yr old, and it was almost impossible to turn over in bed because the pain was so bad. After the first few adjustments along with the stretches and exercises, the pain was decreasing and by the time my due date came around, the excruciating pain was gone (I was uncomfortable, but who isn't when they're 9 months pregnant?!) and I could walk just fine! I was able to give birth naturally and had no issues at all! And labor and delivery was only 4.5 hours compared to the 12 with my first. When I first took Sammy, our son, to you he was 3 weeks old and had reflux. He would throw up after he ate, he would choke and sometimes stop breathing. He also would NOT sleep on his back and would cry even if his head would tip back at all. Within 24 hours of his first adjustment (it was so gentle!) he stopped throwing up and the choking and breathing issues were pretty much non-existent after that! And he started sleeping better! I am a firm believer in Chiropractic care! Thank you Dr. Hutter!
Williams CM, Maher CG, Hancock MJ, McAuley JH, McLachlan AJ, Britt H, Fahridin S, Harrison C, Latimer J: Low Back Pain and Best Practice Care A Survey of General Practice Physicians. Archives Of Internal Medicine 170 (3). FEB 8 2010. p.271-277
Gastroenterology
Browning KN, Verheijden S, Boeckxstaens GE. The Vagus Nerve in Appetite Regulation, Mood, and Intestinal Inflammation. Gastroenterology. 2017 Mar;152(4):730-744. doi: 10.1053/j.gastro.2016.10.046. Epub 2016 Dec 15. PMID: 27988382; PMCID: PMC5337130.
Kidney Stones
Nguyen S, Baggerly L, French C, Heaney RP, Gorham ED, Garland CF. 25-Hydroxyvitamin D in the range of 20 to 100 ng/mL and incidence of kidney stones. Am J Public Health. 2014 Sep;104(9):1783-7. doi: 10.2105/AJPH.2013.301368. Epub 2013 Oct 17.
Interstitial Cystitis
Chen YH, Chen WC, Tsai KS, Liu PL, Tsai MY, Lin TC, Yu SC, Chen HY. Efficacy of Frankincense and Myrrha in Treatment of Acute Interstitial Cystitis/Painful Bladder Syndrome. Chin J Integr Med. 2020 Jul;26(7):519-526. doi: 10.1007/s11655-020-3216-2. Epub 2020 Apr 4. PMID: 32279153.
Urinary Tract Infection
Hisano M, Bruschini H, Nicodemo A, and Srougi M: Cranberries and lower urinary tract infection prevention. Clinics (Sao Paulo). 2012 June; 67(6): 661–667. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3370320/
Prostate Cancer
References for NUTRITION: Shoreline Medical Services/ Hutter Chiropractic Office Presents Vitamin K for Osteoporosis and Prostate Cancer Prevention
Mokry LE, Ross S, Morris JA, Manousaki D, Forgetta V, Richards JB. Genetically Decreased Vitamin D And Risk Of Alzheimer Disease. Neurology 2016 [Epub ahead of print]
Roy NM, Al-Harthi L, Sampat N, Al-Mujaini R, Mahadevan S, Al Adawi S, Essa MM, Al Subhi L, Al-Balushi B, Qoronfleh MW. Impact of vitamin D on neurocognitive function in dementia, depression, schizophrenia and ADHD. Front Biosci (Landmark Ed). 2021 Jan 1;26:566-611. PMID: 33049684.
Depression
Mental Health
Heikkinen J, Honkanen R, Williams L, Leung J, Rauma P, Quirk S, Koivumaa-Honkanen H. Depressive disorders, anxiety disorders and subjective mental health in common musculoskeletal diseases: A review. Maturitas. 2019 Sep;127:18-25. doi: 10.1016/j.maturitas.2019.05.011. Epub 2019 May 29.
Psychiatry
Milaneschi Y, Hoogendijk W, Lips P, Heijboer AC, Schoevers R, van Hemert AM, Beekman AT, Smit JH, Penninx BW. The association between low vitamin D and depressive disorders. Mol Psychiatry. 2013 Apr 9. doi: 10.1038/mp.2013.36. [Epub ahead of print]
As a therapeutic modality, ultrasound is a form of heat therapy for soft tissue injuries to reduce swelling and pain, minimize muscle spasms, and increase the range of motion. Making high frequency sound waves, ultrasound penetrates deep into a damaged area, creating heat that pulls blood into the area in order to improve the mending process.
MRI
"Surgery for your back is looking imminent." Even my right arm from a prior accident would never straighten up or reach for the stars as I so happily performed througout the years. One day at the hairdressers, a new one for me, I sat sipping herbal tea, while the 'color set.' I overheard a stylist bragging about Edward Hutter, a chiropractor that had gotten her back on her feet after a severe horseback riding accident. WHAT? After two years of no activity and this guy gets her walking? Impossible. But, I'll try it! Dr. Hutter was very cautious. Concerned after viewing my mri and xrays that I might not be a candidate and he had to be cautious. I got it. Not a miracle case like the stylist. I'll go home. He treated me the next day on this most amazing table with this most amazing technique called THE COX TECHNIQUE on the COX TABLE. Having been around the block, I've tried it all and i'm glad for the chiropractic world but I knew surgery was the only answer and Dr. Hutter was only being polite but nothing will work. I got off the table. Untrue. I HOPPED off the table. I was BACK! I followed Dr. Hutters' specific instructions each visit and before I know it: I'm on my horse. I'm in yoga at the Mystic Yoga Shala. I'm not just riding my horse; I'm playing POLO??? I'm taking barre class...I'm strong. I'm 56. I'm alive and well. And whenever it feels bad..whatever it is..even a sore wrist from polo or too many hand stand jump ups in yoga...I hand it over to him. And I am relieved. So many friends cannot get over my story that they are now Hutter Chiropractic patients. The most amazing part is that the right shoulder that had given me such trouble from 4 years before and would not operate or function comfortably..just cleared up around the several and easy sessions at my wonderful chiropractors office. Thank you, Dr. Hutter. You're a life changer for me. And thank you to the stylist at the hair salon whose life was altered enough that she was shedding the light all over the salon that day, 3 years ago.
Radiology
Ulbrich EJ, Schraner C, Boesch C, Hodler J, Busato A, Anderson SE, Eigenheer S, Zimmermann H, Sturzenegger M. Normative MR cervical spinal canal dimensions. Radiology. 2014 Apr;271(1):172-82. doi: 10.1148/radiol.13120370. Epub 2013 Dec 12. PMID: 24475792.
Hancock, Koes B, Ostelo R, Peul W: Diagnostic accuracy of the clinical examination in identifying the level of herniation in patients with sciatica. Spine. POST ACCEPTANCE, 8 January 2011; Spine, Jan 8 [epub ahead of print]
Whiplash
Whiplash describes the sprain of neck muscles or strain of the muscles in the neck. It is typically associated with accidents, but it can happen in many situations when there is a sudden flexion and extension of the neck. If a disc is bulging or otherwise predisposed to disc herniation but not painful prior to the whiplash event, it may herniate at the time of the whiplash event.
Arthroscopy
Percope de Andrade MA, Campos TV, Abreu-E-Silva GM. Supplementary Methods in the Nonsurgical Treatment of Osteoarthritis. Arthroscopy. 2015 Jan 26. pii: S0749-8063(14)00939-6. doi: 10.1016/j.arthro.2014.11.021. [Epub ahead of print]
Pinched Nerve
The disc is pressing on the nerve. Note that as the disc herniation shrinks, the pinched nerve can be relieved.
Orthopedic Surgery
Masui T; Yukawa Y; Nakamura S; Kajino G; Matsubara Y; Kato F; Ishiguro N, Department of Orthopedic Surgery, Nagoya University School of Medicine, Nagoya, Japan. Natural history of patients with lumbar disc herniation observed by magnetic resonance imaging for minimum 7 years. J Spinal Disord Tech 2005 Apr;18(2):121-6
Neurosurgery
Matsumoto M, Okada E, Watanabe K, Hosogane N, Tsuji T, Ishii K, Nakamura M, Chiba K, Toyama Y: Spontaneous Regression of Soft Disc Herniation in Patients With Cervical Myelopathy. Neurosurgery Quarterly 2012;22(1):7-11
Harmon KG1, Drezner JA, Gammons M, Guskiewicz KM, Halstead M, Herring SA, Kutcher JS, Pana A, Putukian M, Roberts WO. American Medical Society For Sports Medicine Position Statement: Concussion In Sport. Br J Sports Med. 2013 Jan;47(1):15-26.
Physical Therapy
Groton chiropractic spinal decompression with Cox Technic produces back pain relief for lumbar spine back pain patients in an average of 12 visits and 29 days. (8) In the 1000 cases study, 91% of participating chiropractic patients found relief in less than 90 days, curbing back pain sufferers from entering the more expensive as well as life-altering category of chronic pain. (8) This type of Groton spinal decompression alleviates radiculopathy (leg pain) superiorly compared to medical conservative care, mainly physical therapy (PT). (9) Further, patients cared for with spinal decompression as Cox Technic obtained less care (3) and described less pain (4) in the following year of the study than did the PT patients.
Tennis Elbow
Slipped Disc
Same as herniated disc, slipped disc, ruptured disc - a condition in which the inner part of the intervertebral disc called the nucleus pulposus pushes through the outer containing fibers of the disc called the annulus fibrosus. This bulging of the inner nucleus into the annulus fibrosus can take two forms. If the nucleus is held within the annulus fibrosus, the process is termed a contained disc, and sometimes referred to as a disc protrusion or herniation. If the annulus fibrosus tears and allows the inner nucleus pulposus to escape through the annulus fibrosus it is called a non-contained disc herniation and often called a ruptured or fragmented disc. [permalink]
Heel Pain
Neck Pain
Back Pain
Neuro Rehabilitation
Zak M, Sikorski T, Wasik M, Krupnik S, Andrychowski J, Brola W. Pisa syndrome: Pathophysiology, physical rehabilitation and falls risk. NeuroRehabilitation. 2021 Sep 15. doi: 10.3233/NRE-210167. Epub ahead of print. PMID: 34542040.
Manual Therapy
Botelho MB, Andrade BB. Effect of cervical spine manipulative therapy on judo athletes' grip strength. J Manipulative Physiol Ther. 2012 Jan;35(1):38-44. doi: 10.1016/j.jmpt.2011.09.005. Epub 2011 Nov 10.