Manipulation under Anesthesia (MUA) involves deep tissue traction and stretching as well as joint mobilization techniques for the spine and extremities. Candidates should be suffering from chronic spine and extremity pain who have not responded to conservative treatment due to chronicity which has encompassed 4-6 weeks of physical medicine including but not limited to:Chiropractic, physiotherapy, exercises, and Acupuncture.
Treatment is beneficial for patients with bulging or herniated discs, myofascial pain, failed back surgery, adhesive capsulitis of the shoulder and hip. MUA should be performed in an operating room setting with an anesthesiologist sedating the patient using Monitored Anesthesia Care (MAC) most frequently Diprivan aka Propofol. Then a qualified Chiropractor will be able to perform spinal and extremity manipulation techniques, stretching and traction procedures to assist in the alignment of the spine as well as releasing painful adhesive tissue found throughout the body. A nurse is also required to assist the doctors.
Patient will be awakened usually within a few minutes after Propofol is stopped and. Patient is taken to recovery room until full recovery from sedation is achieved. Post MUA treatment should be followed up immediately consisting of heat, ice, electrical muscle stimulation and additional stretching. The MUA procedure must be repeated 2-4 days consecutively to achieve the desired outcome. MUA treatment must be followed up by 4-6 weeks of conservative care to prevent adhesive fibers from regrowing over associated soft tissue injuries. A portable TENS unit may also be provided to patient to assist decrease of pain and inflammation after treatment. Research has shown 80-97% improvement with proper candidate selection.