What is Manipulation under anesthesia?
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
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