The Cox Technic, named after its developer, James M. Cox DC DACBR, is a gentle, non-force chiropractic adjusting approach. 63.7% of chiropractic physicians report using flexion-distraction in their practices. Dr. Tenckhoff is one of only 23 doctors in California certified in this highly-effective spinal manipulation and decompression technique. The combination of chiropractic and osteopathic principles offers a non-surgical alternative to a more intrusive surgery for relief of pain in the neck, arm, back, and leg, especially for the 1 in 4 patients who are 95% of the cost of healthcare dollars for back pain: the disc herniation and stenosis cases. Cox Technic's effectiveness for these more complex conditions makes it a great approach for less complex conditions of back and neck pain as well.