The COX EXERCISES

TO ACCOMPANY CHIROPRACTIC
MANAGEMENT OF LOW BACK PAIN

Lumbar (lower back) pg.2pg.3              Cervical  (neck)

*NOTE:  These are for reference only and should not be used as a substitute for chiropractic care.
Please consult with your chiropractic physician prior to using any form of exercises accompanied
or associated with low back pain or discomfort. Your chiropractic physician will be able to advise
you of proper techniques and the actual need in conjunction with the management of your care.

Exercises for the acute severe low back pain patient
Exercise 1
Exercise 1

While standing or lying tighten the abdomial and buttock muscles so as to flatten your back. Repeat this several times throughout the day. Contract the muscles and relax approximately 8 times at each session.

Exercise 2
Exercise 2Lie on your back with your knees flexed and your feet flat on the floor as close to the buttocks as possible. Keep the knees together. Tighten the muscles of the lower abdomen and buttocks so as to flatten your lower back against the floor. Slowly raise your hips up from the floor and hold for a slow count of 8. Repeat this exercise 4 times. If you cannot raise your hips from the floor, merely tighten the belly, the abdominal and buttock muscles and wait until you can raise the hips.

Exercise 3
Exercise 3

Lie on back and draw the right knee up to the chest and pull the knees down upon the chest. Do this for a slow count of 8 and repeat 4 times. Repeat the same exercise with the left knee brought to the chest. Relax between each session. Repeat with both knees brought up to the chest.

General Instructions

Do Not Sit when you have low back pain. This increases the pressure within the disc and the joints of your spine. If your doctor prescribes a belt to wear, remove it to do these exercises. If your doctor agrees, it is good to alternate hot and cold on your back before doing these exercises. This is done by applying moist heat in the form of a hot towel for 10 minutes followed by 5 minutes of ice therapy in which a moist cool towel is placed on the skin with an ice bag on it.

If your doctor suggests nutritional supplementation, be sure to follow it closely.

Do these exercises on a firm surface such as the floor or a mat. Do not be alarmed if discomfort is noted during exercise. If this pain is great, stop it and consult your doctor before continuing.

The Cox exercises are to be used in conjunction with your chiropractic care and should be discussed with your chiropractic physician before use.


James W. Orphan
D.C, D.A.B.C.N., D.A.B.C.O.

296 Main Street
Walpole, MA 02081

508.668.5566

Exercises - Page 2