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20 Q & A Manipulation Under Anesthesia

What is Manipulation Under Anesthesia?

Manipulation under anesthesia (MUA) consists of a series of mobilization, stretching, and traction procedures performed while the patient receives anesthesia (usually general anesthesia or moderate sedation). Manipulation is intended to break up fibrous and scar tissue to relieve pain and improve range of motion. Anesthesia or sedation is used to reduce pain, spasm, and reflex muscle guarding that may interfere with the delivery of therapies and to allow the therapist to break up joint and soft tissue adhesions with less force than would be required to overcome patient resistance or apprehension. MUA is generally performed with an anesthesiologist in attendance. MUA is an accepted treatment for isolated joint conditions such as arthrofibrosis of the knee and adhesive capsulitis (frozen Shoulder). It is also used to treat reduce fractures of vertebrae and long bones of the extremities and dislocations.

Who can perform Manipulation Under Anesthesia?

“The medical team performing spinal MUA typically includes: Lead chiropractor or other doctor who performs the manipulation. Co-attending doctor who is a first assistant and also certified in manipulation under anesthesia. Anesthesiologist in charge of administering the anesthesia and monitoring the patient.

What is knee/shoulder manipulation under anesthesia?

Knee – Manipulation of the knee under anesthesia is medically necessary when performed to treat significant arthrofibrosis of the knee, following total knee arthroplasty, knee surgery, or fracture in persons having less than 90 degree range of motion, six or more weeks status post-surgery or traumatic event after physical therapy has failed to improve range of motion at or equal to 90 degrees.

What is shoulder manipulation under anesthesia?

Shoulder – Manipulation of the shoulder under anesthesia is medically necessary when performed to treat adhesive capsulitis of the shoulder, when there is failure of conservative medical management, including medications with or without articular injections, home exercise programs and physical therapy has failed to improve range of motion after six or more weeks.

How long does it take to bend your knee after surgery?  

The Key is to Make Progress Even if only for a few minutes, the exercises must be done every single day the first two months after surgery, or until adequate range of motion has been restored. We aim to have a minimum of 90 degrees of bending by six weeks and ideally more.

How do you break up scar tissue after knee surgery?  

Warmth and swelling around the knee. Mild cases of arthrofibrosis may be resolved with intensive physical therapy alone. Other treatments include manipulation under anesthesia, when a physician manipulates the knee in a controlled fashion to break up the scar tissue. Surgery may also be an option for some patients.

What are scar tissues?  

Scar tissue is Fibrous tissue that forms when normal tissue is destroyed by disease, injury, or surgery. For example, scar tissue forms when a wound heals after a cut, sore, burn, or other skin condition, or when an incision (cut) is made into the skin during surgery.

What happens after knee manipulation under anesthesia?  

Regaining motion after knee surgery isn’t passive, so patients who put more into their physical therapy can usually nip stiffness in the bud. … If stiffness is impacting your ability to recover at the pace your care team expects, a manipulation under anesthesia (MUA) may be recommended.

What is manipulation under anesthesia of the shoulder?

A manipulation under anesthesia (MUA) is most commonly indicated in patients with simple frozen shoulder. This procedure is performed with the patient sedated under anesthesia. Your chiropractor moves the shoulder through a range of motion which causes the capsule and scar tissue to stretch or tear.

Will cortisone injection help frozen shoulder? 

The treatment of frozen shoulder requires a combination of non-steroidal anti-inflammatory medications, steroid injections, and physical therapy. Cortisone injections: Cortisone injections are given directly into, or near to the shoulder joint. It reduces the inflammation within the frozen shoulder joint. However, cortisone does not decrease fibrous scar tissue

What is manipulation surgery?

Manipulation under anesthesia (MUA) or fibrosis release procedures is a multidisciplinary, chronic pain-related manual therapy modality which is used for the purpose of improving articular and soft tissue movement.

Where does frozen shoulder hurt?

The main symptoms of a frozen shoulder are pain and stiffness that make it difficult or impossible to move it. If you have frozen shoulder, you’ll likely feel a dull or achy pain in one shoulder. You might also feel the pain in the shoulder muscles that wrap around the top of your arm.

Why is frozen shoulder more painful at night?

The most common cause of night pain in your shoulder is due to a process we call rotator cuff tendinosis and shoulder bursitis. While there is no exact science as to why your shoulder pain is worse at night, some factors may be sleeping on your side, direct pressure on your shoulder, and/or your mattress.

How long does it take to recover from scar tissue removal? 

Well, everyone is different and heals at different rates. In general, it takes about six to eight weeks to fully remodel injured tissue in the body. Just remember to take it slow and provide a nice, long duration low-load stress to your scar tissue. Note that is why we recommend Manipulation Under Anesthesia because there is very little recovery time.

What happens while under anesthesia? 

General anesthesia works by interrupting nerve signals in your brain and body. It prevents your brain from processing pain and from remembering what happened during your surgery. … Before your surgery, you’ll get anesthesia through an IV line that goes into a vein in your arm or hand.

Is manipulation under anesthesia considered surgery? 

Manipulation under anesthesia (MUA) consists of a series of mobilization, stretching, and traction procedures performed while the patient receives anesthesia (usually general anesthesia or moderate sedation). Manipulation is intended to break up fibrous and scar tissue to relieve pain and improve range of motion.

What is closed manipulation?

During closed manipulation, the doctor moves the arm at the shoulder joint. This is done to break up adhesions and loosen the stiff joint. The goal of the procedure is to improve range-of-motion by breaking up scar tissue.

Manipulation Under Anesthesia for spinal pain

Manipulation Under Anesthesia for Spinal Pain. Spinal manipulation under anesthesia (MUA) is a non-invasive procedure that may be recommended to relieve chronic neck and back pain when other treatments have not worked.

Where can I get Manipulation Under Anesthesia in Arizona?

You can call Dr. John Quackenbush DC MUAC, Phoenix Pain Treatment, 9140 W. Thomas Rd, b106 Phoenix Arizona 85037. Phone 602-449-9430 or CLICK HERE


Frozen Shoulder Treatment

Dr. John Quackenbush DC MUAC CICE CMVI — Manipulation Under Anesthesia Phoenix Arizona For chronic pain sufferers a dynamic and painless treatment procedure is providing pain relief never thought possible. Instead of managing chronic pain patients with addictive pain medications and surgery, our medical professionals are providing these patients with a drug free alternative and the possibility to live pain free via a procedure known as Manipulation Under Anesthesia (MUA).

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Take just 1.5 minutes and watch this video

Frozen Shoulder

What is Mаnірulаtіоn Under Anesthesia?

Manipulation Undеr Anеѕthеѕіа (MUA) is a nоn-ѕurgісаl sedative рrосеdurе uѕеd tо rееѕtаblіѕh range оf motion аnd relieve асutе and сhrоnіс ѕhоuldеr, knее, nесk, back, jоіnt, аnd migraine pain thаt оthеrwіѕе has not responded to сhіrорrасtіс or medical mаnаgеmеnt. MUA саn bе especially bеnеfісіаl tо раtіеntѕ with conditions caused bу lоng-tеrm dіѕаbіlіtіеѕ rеѕultіng from ассіdеntѕ аnd іnjurіеѕ. Tурісаllу уоu will bе mіldlу sedated, оur center’s MUA certified сhіrорrасtіс рhуѕісіаnѕ are thеn аblе tо реrfоrm dеер tіѕѕuе рrеѕѕurе, trасtіоn аnd muѕсlе wоrk аt a muсh mоrе іntеnѕе level thаn whаt wоuld naturally bе еndurеd wіthоut twіlіght ѕеdаtіоn. A combination оf short lever mаnірulаtіоnѕ, раѕѕіvе ѕtrеtсhеѕ, nоrmаl аnd еxаggеrаtеd joint rаngе of motion аѕ well аѕ muscle, joint, аnd tеndоn рhуѕісаl mоvеmеntѕ аrе used tо brеаk uр ѕсаr аdhеѕіоnѕ and fіbrоuѕ tіѕѕuе around joints аnd muscles. Whеn this іѕ accomplished scar tіѕѕuе аnd fіbrоuѕ аdhеѕіоnѕ no lоngеr rеѕtrісt rаngе оf motion аnd уоu will еxреrіеnсе a decrease оf раіn in bоth раѕѕіvе movement and active movement оf the аffесtеd jоіnt.

Whаt dоеѕ the асtuаl рrосеdurе еntаіl?
Thе fіrѕt a соmрrеhеnѕіvе examination and соnѕult wіth оnе оf our сеrtіfіеd MUA сhіrорrасtіс рhуѕісіаnѕ, whо will determine іf уоu are a possible саndіdаtе fоr Mаnірulаtіоn under Anеѕthеѕіа. Thе MUA procedure is реrfоrmеd while уоu аrе in a twilight sedative ѕtаtе ѕіmіlаr tо оr lеѕѕ thаn one ѕіmіlаr іf уоu were to get уоur wіѕdоm tооth rеmоvеd, ѕеlесtеd оn аn individualized bаѕіѕ by the anesthesiologist. Durіng the рrосеdurе, two ѕресіаllу trаіnеd physicians mоbіlіzе thе раtіеnt’ѕ restrictive аrеаѕ utіlіzіng controlled раѕѕіvе ѕtrеtсhіng tесhnіԛuеѕ. Thе раtіеnt is аlѕо іnjесtеd wіth anti-inflammatory mеdісаtіоn. He оr ѕhе іѕ аwаkеnеd when thе mаnірulаtіоnѕ and mоbіlіzаtіоnѕ are completed and then mоnіtоrеd during a recovery реrіоd.

Whаt kіnd оf rеѕultѕ can bе еxресtеd after hаvіng Mаnірulаtіоn Under Anеѕthеѕіа?
Most раtіеntѕ еxреrіеnсе drаmаtіс improvement іn thеіr range оf mоtіоn аnd a reduction іn раіn shortly аftеr MUA. Following thе procedure, patients muѕt undеrtаkе a rehabilitation рrоgrаm for a mіnіmum оf twо to four wееkѕ tо рrеvеnt the rе-fоrmаtіоn оf аdhеѕіоnѕ and еnѕurе lоng-tеrm rеlіеf. Fоr mоrе thаn 60 years MUA hаѕ provided lіfе-сhаngіng раіn relief fоr a numbеr оf раtіеntѕ. The рrосеdurе bоаѕtѕ a success rate оf 80-90 percent, according to thе Journal оf the Amеrісаn Oѕtеораthіс Aѕѕосіаtіоn.

If you hаvе any ԛuеѕtіоnѕ, рlеаѕе CALL 602-449-9430

 What is Manipulation under anesthesia?

Manipulation undr Anesthesia

Manipulation under Anesthesia 602-449-9430

Manipulation Under Anesthesia (MUA) is by far one of the most exciting and effective osteopathic, chronic pain and physical medicine procedures being performed today for the treatment of chronic and recurrent back pain, frozen shoulder, fibroblastic proliferative changes, chronic muscle spasm, failed back syndromes, herniated discs and unresolved headaches of non-organic origin. The procedure is within nationally published practice guidelines and parameters of care.

MUA expands the primary role of the M.D., D.O., D.C., D.P.T. and other Physical Medicine and Rehabilative Physicians in chronic pain treatment and physical medicine. It enables the physician to provide a higher level of care, as well as an alternative to surgery to their patients. When proper treatment protocols are followed, MUA consistently generates life changing results for carefully selected patients.

Manipulation Under Anesthesia, or MUA, is a highly specialized, non-invasive stretching technique for chronic pain patients who have failed to respond to long term conservative care. Manipulation Under Anesthesia works by breaking up adhesions and scar tissues to restore range of motion while the patient is in a safe, temporary twilight sedation. Click here for entire article.

Dr. John Quackenbush has performed over 500 Manipulations under anesthesia helping patients to move freely again without pain. Dr. Quackenbush or “Dr. Q” explains that Manipulation under anesthesia is a wonderful technique that can prevent surgical procedures.

Is MUA a forceful and painful procedure that requires anesthesia?

Quackenbush states that “although Manipulation under anesthesia sounds like an aggressive procedure it really is more gentle than most manipulative procedures that are performed in Chiropractic offices across the US and Europe, because the patient is sedated.” I prefer to call manipulation under Anesthesia Sedative Physical Medicine and when observed is actually taking the patients’ affected joints through a normal and exaggerated range of motion that can only be achieved by having the patient under twilight sedation. The twilight sedation renders reflexive muscle reaction delay by 7 or more seconds which allows the performing physician to take the patients true and full range of motion which looks exaggerated compared to range of motion in a normal non-sedated state of being. These passive stretches and specific articular and postural kinesthetic maneuvers allow the performing doctor to break up fibrous adhesions and scar tissue around the spine and surrounding tissues of the affected joints.

Dr. Quackenbush performs Sedative Physical Medicine or Manipulation under Anesthesia at Nobilis Healthcare of Scottsdale Arizona an ambulatory surgery center (ASC). He has co-attending licensed Chiropractic physicians with specialized training and certification specifically for the procedure. A team approach is required to have safe and successful results. The team includes an anesthesiologist, Dr. Quackenbush who performs the manipulation, and the co-attending physician, also an M.D., Osteopathic or Chiropractic physician certified in Manipulation Under Anesthesia.

What Will you feel like after your Manipulation under Anesthesia?

Typically post procedure pain is described like how you feel after a good work out at the gym such as lifting weights or playing volleyball. There is some muscle tension and soreness that decreases over the next 24-48 hours



CALL US TODAY 602-449-9430 for a free no obligation consultation concerning your own sedative physical medicine procedure!!

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