Cox® Decompression: Gentle Care That AS Patients Can Finally Tolerate

June 09, 2026

WHEN YOUR SPINE NEEDS A GENTLE TOUCH: CHIROPRACTIC CARE AND ANKYLOSING SPONDYLITIS

Living with a spine condition that causes daily back pain, stiffness, and uncertainty about the future can feel overwhelming. If you or someone you love has been told about having a diagnosis of ankylosing spondylitis (AS) — or suspects something similar might be behind stubborn back and hip pain — you deserve honest answers and real hope. Here's some encouraging news: the right chiropractic care, delivered with skill and compassion, can help lead you back to the life you love.

YOUR CHIROPRACTOR MAY CATCH WHAT OTHERS MISS

A 2026 case study that came out in Cureus describes the story of a 15-year-old girl who had suffered three years of chronic low back and hip pain — moderate to severe, daily, and hardly touched by physical therapy, medication, or injections. A lumbar MRI had offered little explanation, leaving her and her family still searching for answers. It was her chiropractor who noticed that her symptoms' stubbornness and the absence of structural findings pointed to something inflammatory rather than mechanical. A pelvic MRI was arranged, revealing bilateral sacroiliac joint damage consistent with juvenile ankylosing spondylitis. A timely referral to rheumatology put her on the right path, and for the first time in years, she began to improve. (1) Your chiropractor here at Shoreline Medical Services/ Hutter Chiropractic Office is trained to do more than relieve pain — we're also skilled at recognizing when something more is going on and getting you to the right help.

GENTLE CARE THAT RESPECTS INFLAMED SPINES

For patients with AS, a more forceful approach simply won't do — and your chiropractor know how to adjust spinal manipulation treatment to meet your needs. As James M. Cox, DC, DACBR, developer of the Cox® Technic System of Spinal Pain Management, explains from a case shared by Dr. Mike Poulin of Virginia: "High velocity, low amplitude adjusting is not very well tolerated by these patients, and long y-axis Cox® decompression is welcome relief."

Cox® Technic Flexion-Distraction and Decompression uses slow, gentle, hands-on traction along the spine's long axis — no forceful thrusting, no jarring impact. This long y-axis decompression gently opens spinal joints, lowers pressure on inflamed tissues, and restores motion in a way that AS patients can actually tolerate and appreciate. Dr. Poulin's patient with ankylosing spondylitis noted meaningful pain relief through this approach. (2)

YOU DON'T HAVE TO SIMPLY ENDURE IT

Whether you're newly diagnosed, still searching for answers, or scoping out options for conservative care to complement your medical treatment, chiropractic has a beneficial role to play. The goal is never to replace your medical specialist or rheumatologist — it's about partnering with your medical team to help you move better, hurt less, and get back to living your life.

CONTACT Shoreline Medical Services/ Hutter Chiropractic Office

You deserve care that's as compassionate as it is skilled — a provider who listens, treats you gently, and knows when to bring in the right help.

Take the first step toward feeling better — schedule your chiropractic appointment today!