What Is Flexion-Distraction?
Flexion-Distraction is a manual chiropractic technique that uses controlled flexion and gentle table movement to address restricted spinal motion. The practitioner guides a targeted area through a rhythmic motion while reducing direct pressure on nearby structures. The method commonly focuses on the lumbar spine, although clinicians may adapt it to other spinal regions.
Quick Facts About Flexion-Distraction
Category
Manual chiropractic technique
Used for
Restricted spinal motion
Common confusion
Not identical to powered traction
Also called
Cox Technique, Flexion-distraction technique
Often discussed with
Spinal Decompression Therapy
Key Takeaways About Flexion-Distraction
- The technique combines guided flexion with rhythmic table movement.
- Practitioners adjust the motion to the targeted spinal region.
- Flexion-Distraction is not the same as powered traction.
How Flexion-Distraction Works

Flexion-Distraction uses a specialized table and controlled practitioner contact to guide a spinal segment through flexion. The table moves with the practitioner’s hands, creating a rhythmic motion that can support joint mobility. The practitioner controls the direction, range, and pace according to the region being addressed.
Related glossary terms: Axial Traction, Lumbar Spine, Range of Motion.
The technique often focuses on the lumbar spine because the lower back responds to changes in flexion and extension. The practitioner may also adapt the setup for another spinal area when the examination supports that choice. Flexion-Distraction differs from spinal decompression therapy because the former relies on hands-on guidance and table motion, while decompression systems typically use programmed mechanical cycles.

From the Arrowhead Clinic Chiropractor Atlanta team
When we use Flexion-Distraction, we first assess spinal motion, symptom location, and the person’s response to gentle movement. We adjust the table position and contact point to keep the technique targeted. Our team also checks movement after the technique to guide the next part of care.
Flexion-Distraction in Practice: A Real-World Example
A person with limited lower-back motion may receive Flexion-Distraction during Spinal Decompression Therapy. The practitioner guides the lumbar area through a controlled table movement and checks how motion feels afterward.
Related Services
Related Terms
Axial Traction
Axial Traction is a spinal decompression method that applies a lengthwise pulling force along the spine…
Lumbar Spine
Lumbar Spine is the lower section of the vertebral column between the thoracic spine and pelvis…
Range of Motion
Range of Motion is the movement available at a joint or across a body region. It…
Spinal Manipulation
Spinal Manipulation is a hands-on technique that applies a controlled force to a spinal joint to…
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Have Questions About Flexion-Distraction?
Contact Arrowhead Clinic Chiropractor Atlanta for practical guidance on Flexion-Distraction and related chiropractor work in Atlanta.
