Manipulation Under Anesthesia
Common Conditions Successfully Treated With Manipulation Under Anesthesia
Neck, middle back and lower back pain
Chronic muscle pain and inflammation
Acute and chronic muscle spasm
Decreased range of motion
Chronic fibrositis
Nerve entrapment
Disc pathology/piriformis syndrome
Sciatica
Failed back surgery syndrome
Chronic tension headaches
Chronic pain with narcotic dependence
Fibromyalgia
Frozen Shoulder
Knee Pain
For chronic pain sufferers across the United States, a simple and painless procedure is offering a level of relief never dreamed possible.
Instead of allowing patients that failed to respond to conservative care, slip into a cycle of drugs and surgery, doctors are giving them the opportunity to live pain free lives through a procedure known as Manipulation under Anesthesia (MUA).
Manipulation of the spine and extremities, with the patient sedated is a gentle and most effective method of altering chronic conditions. MUA provides manipulation and adjustments of the spine and extremities and surrounding tissue in an atmosphere where the patient is more responsive and less apprehensive, therefore eliminating resistance and muscle contracture. The non invasive procedure is done in an Ambulatory Surgical Center. There are (3)three 20 minute sessions performed, 3 days in a row, followed by 4-6 weeks of physical therapy to maintain the increased range of motion of the joint. Most patients feel some soreness after the procedure and are usually able to resume normal activities the following day.
Established and widely recognized in the manual medical arena for more than sixty years, MUA is a viable alternative for patients that do not respond to traditional care or invasive surgical procedures. The MUA procedure continues to gain widespread support and recognition in the medical community and is helping to bring much-needed relief to a greater patient base than ever before.
What is Manipulation Under Anesthesia?
Manipulation Under Anesthesia, otherwise known as MUA, is a non-invasive procedure increasingly offered for acute and chronic conditions, including: neck pain, back pain, joint pain, extremity pain, muscle spasm, shortened muscles, fibrous adhesions and long term pain syndromes.
By lightly anesthetizing (twilight sedation) a patient, once painful adjustments and movements are accomplished quickly and pain free helping to greatly improve or even restore range of motion.
Manipulation Under Anesthesia is a viable alternative for those patients that are not responding to traditional conservative care of other invasive procedures such as surgery.
What is the History of Manipulation Under Anesthesia?
Manipulation Under Anesthesia is an established and widely recognized procedure that has been part of the manual medical arena for more than sixty years.
The practice of MUA can be traced back to the late 1930's and its popularity has continued to grow in recent years as research has shown that MUA is not only safe, but also highly successful in treating acute and chronic musculoskeletal conditions.
Who would be a Candidate for Manipulation Under Anesthesia?
In general, patients selected for Manipulation Under Anesthesia are those with shoulder, certain neck, mid-back, low-back or other spinal conditions that have received conservative care for six to eight weeks with limited or no improvement in symptoms or findings.
MUA may also be appropriate for those patients that still experience pain after undergoing various invasive treatments such as surgery or injections.
Common indications for Manipulation Under Anesthesia include frozen shoulders, knee pain, neck, middle and lower back pain, chronic muscle pain and inflammation, acute and chronic muscle pain and inflammation, acute and chronic muscle spasm (reduced range of motion), chronic fibrositis, nerve entrapment, disk pathology, including herniated discs, torticollis and failed back surgery.
Not all patients qualify for MUA, as certain contraindications prevent some from undergoing the procedure.
Contact Dennis Goldberg, DC, MUAC, to determine if you are an MUA candidate,
Tel: (602) 253-8888
What is the Manipulation Under Anesthesia Procedure like?
The Manipulation Under Anesthesia procedure involves three consecutive days of treatment. During these three days, a patient is treated with spinal manipulative therapy and MUA stretches in one of our outpatient centers.
Since the patient is lightly sedated during the MUA procedure, the usual resistance and pain associated with manipulation is eliminated. Through the use of "conscious sedation", a patient is conscious and responsive, but relaxed, allowing the physician to administer adjustments similar to those received during regular chiropractic visits but more effectively.
After the procedure, treatment continues as strengthening and stabilization programs are initiated over the next few weeks. Post-Procedure care is a vital part of the MUA procedure. Follow-up visits with the Chiropractic Physician are important at this time as the stretches accomplished during the MUA procedure are built upon, helping the patient to regain strength and prevent future pain and discomfort.
Where is the Manipulation Under Anesthesia Procedure Performed?
The Manipulation Under Anesthesia procedure is performed at one of our Outpatient Ambulatory Surgical Centers, which are a state-of-the-art facilities, located in the Phoenix Metropolitan area. Here patients receive the best in comprehensive, personalized care as well as the convenience and privacy of a same day surgical center.
The Surgical Centers facilities include fully-equipped, State Licensed operating rooms, Board Certified Anesthesiologists/ Anesthetists, monitored recovery rooms, spacious waiting areas for a patient's family and friends, plenty of onsite parking, handicap accessibility and complimentary patient transportation, if needed.
Who Performs the Manipulation Under Anesthesia Procedure?
Those involved during the MUA procedure include the Board Certified Anesthesiologist, an MUA certified M.D./D.O. and/or D.C., who performs the manipulation and the skilled nursing staff of the Surgical Center.
Only a physician that has been certified in MUA can perform the MUA procedure. At the Surgical Centers we take pride in our doctors, who are not only certified by accredited institutions in MUA, but highly experienced, having helped to relieve the pain of hundreds of patients.
What are the Effects of Manipulation Under Anesthesia Procedure?
The proposed effects of Manipulation Under Anesthesia therapy include the following:
* Breaking up scar tissue (adhesions) both in and around the spinal joints, commonly caused by multiple injuries or failed back surgery.
* A decreasing chronic muscle spasm
* Overcoming super-sensitivity of injured areas, making the patient unable to cooperate for effective treatment
* Stretching persistent shortened muscles, ligaments and tendons
* Relief from pain and radiating symptoms caused by damaged intervertebral discs.
Most importantly however, Manipulation Under Anesthesia affords patients immediate relief and noticeable difference in their daily lives post-procedure. These positive results only continue to improve with time and post-MUA therapy.
My Doctor Says I am a Candidate for MUA
Patients who have been selected for Manipulation Under Anesthesia procedure by the doctor typically undergo a medical screening process to determine true MUA candidacy.
This screening process includes a medical history and physical examination and where indicated, CBC blood studies, chest X-Rays, EKG's and other diagnostic tests such as MRI or CT's.
Once a patient is cleared and medical necessity for MUA is determined, a Surgical Center representative will pre-certify and schedule the procedure dates and times. The Surgical Center will also handle the explanation of all pre and post-operative instructions, answer any questions the patient may have about the procedure and arrange transportation for the patient, if necessary. At the Surgical Center, we pride ourselves on working with our patients to make their MUA experience as hassle free, comfortable and successful as possible!
Is Manipulation Under Anesthesia Experimental?
Manipulation Under Anesthesia is not `new` nor is it `experimental`.
The MUA treatment has been part of the manual medical arena for more than 60 years.
A letter written by the American Medical Association dispels the myth that MUA is "experimental".
Do you accept insurance?
Yes, we work with most major insurance providers. They are BC/BS, Workers Comp, Cigna, Aetna, Humana, United Healthcare and more. Please ask whether we work with your specific health care provider. However, it would be very difficult to break down all the insurances individually, due to the large amount of insurance companies and the variation of coverage. We accept most insurance plans and are more than happy to verify insurance coverage and let you know what your responsibility is, prior to your MUA procedure,. This way there are no surprises to you.
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