Segmental Flexion-Distraction, is a chiropractic technique initially developed by Dr. James M. Cox to treat various spinal pathologies including, but not limited to, herniated discs and sciatica. It uses a multi-articulated table to perform pumping movements on the pathological vertebral segment. It is painless and helps reduce pressure on discs and nerve roots, providing an alternative to surgery in many low back pain and sciatic pain cases.