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.
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