Haven Medical

04/16/2026

In this video, Dr. Michael Johnson demonstrates key treatment principles of Cox® Technic while a Palmer student experiences the treatment firsthand.

This isn’t just a movement. There are specific clinical goals behind it.

During flexion-distraction and decompression, the treatment aims to:

🔵 Reduce pressure inside the disc
🔵 Create a negative pressure environment within the disc
🔵 Encourage movement of disc material away from the nerve
🔵 Increase the size of the foraminal space, especially with lateral bending

These mechanical changes are why this technique is often used in cases involving disc herniation, radiculopathy, stenosis, and other nerve compression conditions.

For the patient, the treatment often feels gentle and relieving.
For the provider, the goal is controlled, precise decompression delivered in a repeatable, protocol-driven way.

This is why Cox® Technic is often used for patients who cannot tolerate high-force treatment and for complex spine cases that require a more structured approach.

04/15/2026

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"I am Cox® Technic Certified, but not listed as ‘Active’. Why? How can I get re-certified and re-listed?"

Once a physician becomes Certified in Cox® Technic, they are listed as Active. To remain Active and listed in the Find a Physician referral directory, doctors must complete a Cox® Technic certification course at least once every two years.

This can include:
- Part I
- Part II
- Part III
- Part IV
- Honors Course
- Or other approved re-certification options

Physicians who have not attended a certification course within the past two years are still Certified, but are listed as Inactive and are not included in the public Find a Physician referral directory.

Why does this matter?
Because Cox® Technic is a protocol-driven system, and ongoing education ensures that physicians stay current with technique updates, clinical protocols, and best practices, especially when treating complex spine cases.

Remaining Active:
➡️ Keeps your skills current
➡️ Keeps you connected to the Cox® Technic community
➡️ Keeps you listed in the referral directory
➡️ Helps patients find you

If you are currently listed as Inactive and would like to be re-certified and re-listed as Active, you can do so by attending an approved Cox® Technic certification course.

Staying active is part of maintaining a structured, clinical, and up-to-date approach to spine care.

04/14/2026

Here’s how one provider helped a patient with a disc fragment, a synovial cyst, and severe stenosis, all at the same time.

A 65-year-old patient presented with severe hip and thigh pain, numbness in the shin, and difficulty walking. Her pain was constant and worsening, and everyday activities like standing, walking, and climbing stairs were becoming difficult.

Imaging later revealed severe lumbar degeneration, a free disc fragment, a synovial cyst, and foraminal stenosis compressing the nerve, a complex spine case involving multiple pathologies.

The provider began a structured, non-surgical treatment plan using Cox® Technic flexion-distraction and decompression, combined with supportive therapies and guided exercises. Progress was gradual but consistent.

Over the course of care, her pain levels decreased significantly, her disability score improved, and she was eventually able to walk without assistance.

Cases involving multiple spinal conditions are often the cases that require the most structure, the most precision, and the most patience, from both the provider and the patient.

First Comment

Full case study:
https://havenmedicalinstruments.com/cox-technic-case-report-219/

04/09/2026

In spinal care, force is not the goal.
Control is.

One of the key ideas behind flexion-distraction is not just the movement, it’s the control of movement. The goal is to create a controlled environment where the spine can be treated gently, precisely, and repeatedly, without relying on operator strength.

This is where instrument design matters.

With the Cox® Instrument, the physician is not fighting the patient’s body weight, muscle tension, or guarding. The instrument is balanced and tensioned so the caudal section moves smoothly and predictably, allowing the doctor to focus on clinical decision-making, tolerance testing, and protocol, rather than force.

That changes the treatment environment completely.

Instead of:

❌ Forcing movement
❌ Guessing end range
❌ Fighting muscle resistance

The provider can:

✅ Control motion precisely
✅ Adjust tension appropriately
✅ Work within patient tolerance
✅ Deliver repeatable decompression

Because in complex spine cases, precision matters.
And precision requires control.

Learn more:
https://havenmedicalinstruments.com/

04/08/2026

Back pain can be one of the most frustrating and isolating health challenges a person can face.

Many patients feel like they’ve tried everything, physical therapy, medications, injections and still don’t have answers.

One of the most valuable things a patient can find during that journey is reliable information and real clinical insight.

That’s exactly what The Back Doctors Podcast with Dr. Michael Johnson provides.

With over 300+ episodes, the podcast features conversations with spine specialists from around the world who share real patient cases, treatment approaches, and clinical outcomes. These are not general discussions, they are detailed conversations about complex spine conditions and how providers approach them.

Many episodes focus on patients who were told surgery was their only option, and the non-surgical treatment paths that helped them instead.

Many of the physicians featured on the podcast use Cox® Technic, a protocol-driven, non-surgical spinal decompression approach designed for complex spine conditions. The podcast also provides a Find a Doctor directory, helping patients locate certified Cox® Technic providers.

If you are a patient searching for answers, or a provider who treats complex spine cases, this podcast is a valuable clinical resource and a reminder that there are structured, non-surgical options available for many spine conditions.

Listen here: https://havenmedicalinstruments.com/back-doctors-podcast/

Because when it comes to spine care, education is often the first step toward relief.

04/07/2026

We’re excited to announce that Haven Medical Instruments will be exhibiting at the 2026 ACBSP™ Chiropractic Sports Sciences Symposium at Parker University in Dallas from April 23–25.

📍 Visit us at Booth D107

This premier event brings together sports-medicine chiropractors and clinicians focused on athletic performance, rehabilitation, and injury management. With hands-on workshops, clinical education, and dedicated vendor sessions, it’s a great opportunity to connect, learn, and explore new innovations in spinal care.

At our booth, you’ll have the opportunity to:

✅See Cox® Technic in action
✅Learn how Cox® Instruments support non-surgical spine care and rehabilitation
✅Meet the Haven Medical team
✅Ask questions and explore how the Cox® 8 table fits into sports performance and injury management settings

Whether you’re focused on performance, recovery, or complex spine cases, we’d love to connect with you.

Stop by Booth D107, we look forward to meeting you.

04/03/2026

What happens when a future provider experiences a different approach to spinal care for the first time?

During a full-spine session, moving from lumbar to thoracic to cervical, a Palmer graduate student experienced flexion distraction and Y-axis techniques with Dr. Michael Johnson in a way that challenged their expectations.

Instead of force, the focus was on controlled movement and decompression.

Instead of quick adjustments, the experience emphasized positioning, motion, and precision.

The result?

✅ A noticeable sense of decompression through the lower back
✅ Improved mobility and rotation,
✅ Relief in areas the patient didn’t even realize needed attention, especially through the cervical spine

For someone early in their clinical journey, the takeaway was clear:

Not every patient responds best to high-velocity approaches.
Sometimes, a more controlled, decompression-based method can create a completely different experience.

And for providers, that opens the door to treating a wider range of patients with more flexibility, more precision, and more intention.

04/02/2026

A 36-year-old patient presented with severe low back and left leg pain radiating to the foot with numbness. He had experienced a prior disc issue, improved, and returned to normal activity… but without long-term stabilization, the condition returned more severe.

Imaging confirmed a significant L5-S1 disc herniation along with degenerative changes.

Instead of aggressive or force-based care, the provider followed a Cox® Technic approach:

• tolerance testing to ensure safe starting point
• targeted, controlled spinal decompression
• gradual progression based on patient response

Results:
✅ Pain reduced within days
✅ Symptoms centralized within the first week
✅ Leg pain resolved by day 10
✅ Full remission achieved in ~3 weeks

But the key takeaway wasn’t just recovery, it was understanding that without structure, education, and follow-through, recurrence is likely.

In disc cases, treating the problem is one step.
Managing it long-term is what defines outcomes.

Medical Instruments Engineered for Endurance, Designed for Precision Care As an FDA-registered medical device manufacturer, the Haven Decompression™ and Cox® Instrument are constructed to surpass industry standards, built to last. With 100 years of combined experience and over 30 U.S. patents, we...

03/31/2026

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“I’ve already had back surgery. Can I still be treated with Cox® Technic?”

Yes, in many cases, you can.

Treatment with Cox® Technic always begins with tolerance testing, allowing the provider to determine what your spine can safely handle before progressing care.

Because Cox® Technic is designed to be gentle, controlled, and protocol-driven, it can often be used for patients with a history of back surgery, including those with ongoing or unresolved symptoms.

Cox® Technic has also been studied in post-surgical spine cases, including:
• Long-term follow-up studies on patients with continued pain
• Multi-year evaluations of post-surgical outcomes
• Clinical case series using Cox® Technic for lumbar spine conditions

For patients experiencing post-surgical continued pain (often referred to as failed back surgical syndrome or FBSS), the goal isn’t always perfection, it’s meaningful, realistic improvement.

In many cases, reducing pain and improving function by 50% can be life-changing.

Because after surgery, what patients often need most is a safe, structured way forward.

Medical Instruments Engineered for Endurance, Designed for Precision Care As an FDA-registered medical device manufacturer, the Haven Decompression™ and Cox® Instrument are constructed to surpass industry standards, built to last. With 100 years of combined experience and over 30 U.S. patents, we...

03/26/2026

Every spinal care provider knows these patients.

The acute case.
The chronic case.
And the one who’s tried everything.

It’s that third patient that changes everything
because they’re not just looking for relief anymore…
they’re looking for a better approach.

When care becomes structured, tolerance-based, and repeatable, even complex cases can begin to move forward.

That’s where many providers turn to Cox® Technic.

If you’re ready to bring a more systematic approach into your practice,
Learn more at www.havenmedicalinstruments.com

03/25/2026

After years of injections, therapy, medications, and ongoing care, this patient continued to report pain levels as high as 10/10.

The turning point came with the introduction of a Cox® Technic–flexion distraction decompression approach.

Rather than forcing movement, care was centered on:
• reducing intradiscal pressure
• restoring motion progressively
• working strictly within the patient’s tolerance

This approach allowed treatment to advance without exacerbating symptoms.

Over time, pain levels decreased, function improved, and the patient returned to walking 2–3 miles daily.

In complex cases, Cox® Technic doesn’t just manage symptoms, it creates a path forward.

Learn more at havenmedicalinstruments.com.

03/24/2026

Not every upgrade needs to start from new.

For spinal care providers looking to integrate or expand Cox® Technic, refreshed Cox® Instruments offer a practical entry point, without compromising on performance, reliability, or clinical capability.

Each available unit has been carefully reviewed and is ready to support protocol-driven, non-surgical spinal care in your practice.

Current Availability:

Cox® 8 Standard Base: $15,500
Includes 1-year parts & labor warranty and free standard delivery

Cox® 8 Low Base Force: $16,900
Includes 1-year parts & labor warranty and free standard delivery

Cox® 7 Instrument: $6,000
Excellent condition
Customer arranges delivery | No warranty

Availability is limited and based on current inventory. Email us at havenmedical@haveninnovation.com to begin your order.