Spinal stenosis is one of the most challenging spine pain conditions. Disc herniation and disc and facet degeneration are primary causes and represent major pain and disability in the world. "You will be surprised at the relief possible with distraction spinal manipulation," writes James Cox, DC, a presenter at NCLC 2018, who answers some questions about his upcoming talk. "Having had this condition with cauda equina syndrome personally (necessitating decompression laminectomy), my spine’s own care is the technique presented. It is a stimulus to study and apply superior spinal manipulation when it is your own condition. I started out in practice with a challenge of low back pain and sciatica in a patient, lived it myself and then devoted my life to seeking the best evidence-based clinical treatment for spinal stenosis."