Exercises after the acute pain has diminished.
Do the following exercises if you feel no pain in your low back upon coughing,
sneezing or straining to move the bowel.

Please see caution in General Instructions Below


Exercise 4
Exercise 4Lie 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. Be sure to hold the knees firmly together.
Exercise 5
Exercise 5Lie flat on your back and raise the right leg straight upward without bending the knee. Place your hands behind the knee while keeping the knee straight, pull the leg straight up so as to stretch the muscles behind your thigh. Repeat this 8 times on the right leg and then do it on the left. Relax your back muscles following this exercise.
Exercise 6
Exercise 6Lie on stomach and raise the right leg off the floor while keeping the knees straight. Hold the leg up in this position for a count of 4 and slowly let it down. Repeat this 4 times. Repeat the same exercise with the opposite leg. Relax following this exercise. Be sure to tighten the buttock muscle first and then the muscle behind the thigh.
Exercise 7
Exercise 7Lie flat on stomach with arms along side, palms down. Slowly raise chest from floor. Feel the muscles of low back tighten. Hold the chest up from the floor for a slow count of 6 and slowly let it down. Rest between each session. Repeat this 6 times.
Exercise 8
Exercise 8Kneel on floor. Extend your right leg as far to the side as possible, keeping the knee straight and the arch of the foot on the floor. Slide your foot along the floor until you feel the muscles inside your thigh. Do it slowly and hold and hold for a count of 5. Repeat it 3 times on the right leg and then repeat withthe left side. These muscles which are tight at the beginning, will loosen and stretch with subsequent exercise sessions.
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 3