Manipulation Under Anesthesia Frozen Shoulder
INTRO TO MANIPULATION UNDER ANESTHESIA (MUA)
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).
Developed and extensively recognized today in the Orthopedic and Osteopathic field for more than sixty years, MUA is a sensible option for individuals that have not be able attain long-term relief from pain after under going chiropractic care, physical therapy, narcotic pain meds or other medical procedures. MUA together with post treatment recovery has shown to be an effective treatment for a multitude of patients suffering with chronic pain syndromes.
WHAT IS MANIPULATION UNDER ANESTHESIA
Manipulation Under Anesthesia, also know as MUA, is a non-invasive manual physical medicine treatment. MUA is performed in an outpatient surgical center under conscious sedation. Being under anesthesia enables your body to relax consequently removing conscious resistance and muscle guarding permitting the physicians to achieve increased range of motion while not causing any perceivable pain and discomfort.
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WHAT IS THE HISTORY OF MUA?
Manipulation Under Anesthesia (MUA) is neither new nor experimental. It’s been utilized by osteopathic and also orthopedic doctors since the 1930s. Thanks to advances in anesthesiology and technique, Manipulation Under Anesthesia has actually become a multidisciplinary outpatient procedure. The MUA procedure continues to gain extensive support and also recognition in the Medical, Osteopathic and Chiropractic healthcare fields while providing much-needed relief to even more individuals than ever.
PROFESSIONAL RESEARCH STUDY ON MUA?
Numerous clinical studies & retrospective clinical research studies have actually been carried out evaluating the performance of MUA in persistent unresolved pain in the back, acute as well as persistent disc herniations, cervicogenic cephalgia, as well as numerous other neuromusculoskeletal problems.
Robert Mensor, M.D. orthopedic surgeon compares the outcomes of MUA and Laminectomy (a lower back surgical procedure) in patients with lumbar Intervertebral disc lesions and found that 83% of MUA patients had good to excellent results while only 51% of surgical patients reported the same outcome.
Donald Chrisman, M.D. orthopedic surgeon, reported that 51% of patients with unequivocal disc lesions and unrelieved symptoms after conservative care reported good to excellent results post-MUA at three years follow up.
Bradford & Siehl reported on 723 MUA patients, the largest clinical trial conducted on MUA, 71% had good results, and that 25% had fair results than 4% ultimately required surgical intervention.
Krumhansl and Nowacek reported on 171 patients who experience constant intractable pain, of durations from several months to 18 years, and who underwent MUA. All patients had failed the previous conservative interventions. Results reported that post MUA, 25% had no pain at all and were “cured”, 50% unaffected, 20% were “better but” pain continued to interfere with activities and finally 5% had minimal or no relief.
West et al reported in a 1998 study of 177 patients that 68.6% of patients out of work returned to unrestricted work activities after a series of three consecutive MUA procedures. At six months post-MUA, 58.4% of the MUA patients receiving medications prior to the procedure required no prescription medication post procedure.
In 2002 Palmieri et al demonstrate clinical efficacy of MUA performed in a series of three consecutive procedures. The average Numeric Pain Scale scores in the MUA group decrease by 50%, and the average Roland-Morris disability questionnaire scores decreased by 51% compared to the control group.
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The clinical research is packed with clinical studies and also literature evaluations on MUA, in addition to scientific tests, every one of which report favorable professional end results.
It is very important to note that to date there have been no scientific tests that show MUA to be ineffective in an appropriately chosen client population.
WHO CAN BENEFIT FROM MUA?
Manipulation Under Anesthesia can be a beneficial effective procedure for those individuals that have conditions that have actually not reacted to the treatments mentioned in this article above. These conditions consist of:
Post shoulder surgery stiffness or pain
Disc bulges or protrusions,
Disc herniations less than 3 mm in the cervical spine & less than 5 mm in the lumbar spine,
Chronic occipital or tension headaches
Traumatic or spastic torticollis
Neck, mid-back and low back pain
Chronic muscle pain and inflammation
Acute and chronic muscle spasm
Decreased joint range of motion
Myofascial pain syndrome
Restricted hip joint mobility
Nerve entrapment
Failed Back Surgery
Sciatica
WHO PERFORMS THE MANIPULATION UNDER ANESTHESIA PROCEDURE?
Your MUA procedure team consists of a board-certified anesthesiologist, our MUA certified doctors at Phoenix Pain Treatment Centers in addition to a qualified nursing personnel to assist in the treatment as well as pre-and post-procedure care.
Only Chiropractic Physicians accredited in performing MUA will perform the MUA procedure. At Phoenix Pain Treatment we take pride in our doctors that are not only licensed by recognized institutions in MUA,we are also pleased to have decreased the pain & suffering of hundreds of patients across the valley.
WHAT CAN PATIENTS ANTICIPATE FROM HAVING MUA?
Despite some soreness, you should experience an immediate increase in range of motion, flexibility and a reduction of pain. In cases involving fibrous adhesions and shortened contracted tissues, there should be significant change, either immediate or within a short period of time following the procedure. Post MUA rehabilitation is a very important part of our program and greatly affects the outcome and results. The post MUA procedure rehabilitation will be conducted by your referring doctor. The post-procedure rehabilitation will help you continue to gain complete function and range of motion established during the MUA treatment and will help avoid future discomfort & pain.
Insurance Covers Manipulation Under Anesthesia
Dr. John Quackenbush DC MUAC CICE CMVI 