Manipulation Under Anesthesia
Manipulation Under Anesthesia (MUA) is provided by highly-qualified experts at Montvale Health & Wellness.
MUA is a highly specialized, non-invasive chiropractic stretching technique for treating chronic pain patients who are no longer responding to regular conservative care.
MUA works by altering adhesions and scar tissues to restore range of motion and mobility while the patient is in a safe, temporary “twilight sleep.” As an alternative therapy to surgery and medication, MUA consistently generates life-changing results for carefully selected patients.
Indication for Manipulation Under Anesthesia
Spinal manipulation under anesthesia is effective for those well-selected patients whose pain can be caused by disc bulge/herniation, chronic sprain/strain, failed back surgery, or myofacial pain syndromes. The procedure is extremely beneficial for the patient that has muscle spasm accompanied with pain and terminal joint range of motion loss.
MUA Procedure and Post-Follow Up Care
In manipulation under anesthesia (MUA), the patient is taken through passive cervical/thoracic and lumbar ranges of motion in flexion, lateral flexion and rotation. Specific spinal manipulation is performed when the elastic barrier of resistance and segmental end range of motion is achieved. Then, stretching of the paraspinal and surrounding supportive musculature is performed to promote cervical, thoracic, lumbar and lumbopelvic flexibility in conjunction with attempting to restore proper kinetic motion.
Post-MUA therapy is a vital part of the MUA procedure and is accomplished the same day as the procedure to help continue the alteration of adhesions in the joints, joint capsules, and surrounding holding elements. Post MUA therapy consists of warming up the involved areas with passive stretching as was accomplished in the MUA procedure, followed by interferential stimulation and cryotherapy. The patient is then sent home to rest.
This exact procedure is repeated serially in most cases by having the patient return to the facility the next day and the following day(s). The average time for the MUA procedure to accomplish the desired outcome has been shown to be between 2 to 4 days. The concept is that a little more movement each day in incremental amounts accomplishes the desired increase in range of movement and decrease in pain far better than trying to spend great amounts of time on one day to accomplish the same goal.
This also has a dramatic effect on decreasing the post-MUA therapy time. The protocol for post-MUA therapy is repeated 7 to 10 days consecutively after the final MUA, followed by pre-rehabilitation and then formal rehabilitation for 3 to 6 weeks using post-MUA therapy.
In most cases, patients return to work and daily lifestyle with a renewed feeling of confidence in their ability to accomplish everyday tasks that they have previously been unable to manage due to pain and reduced movement. Marked improvement (80-97%) has been the general rule when the properly selected cases have received MUA.