Manipulation Under Anesthesia


What is MUA?


Chronic pain suffers across the nation have discovered the tremendous health benefits that can be restored by the procedure known as Manipulation Under Anesthesia, or MUA.  This procedure is a non-invasive treatment increasingly offered for acute and chronic conditions, including: neck pain, back pain, joint pain, muscle spasm, shortened muscles, fibrous adhesions and long term pain syndromes. It is generally considered safe and is utilized to treat pain arising from the cervical, thoracic and lumbar spine, as well as the sacroiliac and pelvic regions.

Manipulation under anesthesia uses a combination of specific short lever manipulations, passive stretches and specific and postural kinesthetic maneuvers in order to break up fibrous adhesions and scar tissue around the spine and surrounding tissue.

The manipulation procedures can be offered in any of the following ways:

· Under general anesthesia

· During mild sedation

· Following the injection of anesthetic solutions into specific tissues of the spine.

Which patients should be considered for manipulation under anesthesia?

Certain neck, mid back, low back or other spinal conditions respond poorly to conventional care.  One proposed theory for this is that, as a result of past or present injury, adhesions and scar tissue have built up around spinal joints and within the surrounding muscles, and this causes chronic pain.

Patients often go through various treatments, such as physical therapy, chiropractic care, epidural injections, back surgery, or other treatments that do not address fibrous adhesions.  Some patients feel temporarily better with these treatments, but their pain often returns.

In general, patients selected for MUA are those who have received conservative care for six to eight weeks.  If limited or no improvements in symptoms or objective findings have occurred, then manipulation under anesthesia may be an appropriate alternative. Here are just some reasons for manipulation:

Failed back surgery                                                                                                        
Fibromyalgia

Low back pain                                                                                                                 
Curvature of spine

Neck pain                                                                                                                          
Piriformis Syndrome

Lumbar/thoracic disc displacement                                                                      
Neuralgia, radiculitis

Headache/migraine headache                                                                                
Frozen shoulder

Prior to treatment, protocols of diagnostic testing should document the nature of the diagnosis, support the need for treatment, and eliminate questions of psychosocial factors that can influence pain responses.  In addition to X-ray, MRI scan or CT scan, a musculoskeletal sonogram or nerve conduction velocity test may be ordered.  It’s very important that you are qualified for such a procedure.

Is MUA New or Experimental?

MUA is neither new nor is it experimental.  It has actually been practiced since the late 1930’s and used by osteopathic physicians and orthopedic surgeons for many years as a proven form of treatment.  During the past eight years, interest in MUA has greatly increased, thanks to treatment advances in anesthesiology.


Today, MUA is a multi-disciplinary outpatient procedure that takes place in a controlled hospital or ambulatory surgery center.  Treatments take place over three consecutive days.  Using specialized chiropractic techniques, supported by the expertise of MDs, RNs and anesthesiologists, MUA achieves maximum result for qualified patients.


Recent case studies and medical research continue to show that MUA is widely regarded as safe and effective and is gaining acceptance by the medical community at large.  Chiropractic patients who have reached a plateau using traditional therapy also can significantly improve their quality of life using MUA.


This treatment is not for everyone, so it’s very important that you contact us directly if you are unsure whether you qualify for this type of procedure.


Roach Family Chiropractic

Phone: 407.647.2009

Fax: 407.660.2009
 





 
 
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