Spinal Manipulation and Manipulation Under Anesthesia
Spinal Manipulation and Manipulation Under Anesthesia
The manipulation of the spine as well as other joints to relieve pain is a well-known ancient practice. Chronic pain sufferers across the nation understand that it offers health benefits and wellness can be restored when the manipulation is successful. When spinal manipulation or joint manipulation do not produce the desired results, spinal manipulation under anesthesia (M.U.A.) may be necessary. This process is recommended to alleviate:
- Chronic neck pain
- Chronic back pain
- Frozen shoulder
- Long-term lower back pain
- Knee stiffness after a surgical procedure.
Manipulation under anesthesia (M.U.A.) is a procedure which does not require a patient to undergo an invasive surgical procedure, but it does require sedating the patient. After the patient is sedated, a medical professional from Total Vitality Medical Group will manipulate and stretch the injured joint in ways that would prove to be too painful if the patient was awake due to scar tissue and muscle spasms.
Tell Me How the Manipulation is Helped by Anesthesia
When pain in the neck, back, shoulder or knee has become intolerable, the benefit of being treated while unconscious should be easy to identify, but the anesthesia is responsible for additional important functions like:
- Turns off the muscle spasm to allow movement
- Calms the nerves that recognize pain that have been irritated due to dysfunction
- Allows muscles to fully relax so that a medical professional from Total Vitality Medical Group can stretch muscle groups and break up scar tissue adhesion.
The M.U.A. Procedure
M.U.A. After Knee Surgery is a method by which limited range of motion and stiffness can be treated following knee revision surgery or after total knee arthroplasty. During the M.U.A. procedure the patient is positioned on the back and the hip is then flexed to 90 degrees. While the leg is held close to the knee joint, progressive pressure is applied by the medical professional until it is clear that the adhesions are breaking away. The knee is held in this position for about one-half of a minute and then it is fully flexed and extended several times. The patient is free to go home, the same day, but will need a family member or friend present to ensure a safe trip home after the procedure.
M.U.A. for a Frozen Shoulder is intended to break adhesions and return motion to a joint that is designed to handle a large amount of movement. This can include movement between the chest wall and shoulder blade, but the majority of the movement is found at the ball and socket joint. The shoulder can require manipulation because the joint and surrounding tissue can become tight and inflamed, often with no real reason being evident. The M.U.A. procedure requires that the patient lie on the back while the medical professional firmly holds down the scapula and then abducts the arm to the extent of the patient’s free limit, the shoulder is then abducted so that the patient’s elbow is in front of the chin. Finally, forcible external and internal rotation are applied but the procedure is executed with a great amount of care to minimize the chance of fracture. The patient is free to go home, the same day, but will need a family member or friend present to ensure a safe trip home after the procedure.
M.U.A. for Lower Back Pain began to make headlines as a potential treatment when it became evident that treatment in a traditional office setting was leading to an epidemic of chronic pain in adults. This procedure allows one of our medical professionals from Total Vitality Medical Group to address and stretch fibrous adhesions gathered around the spine and its surrounding tissue. Depending on the condition is that the patient has been diagnosed with, the M.U.A. procedure can use a combination of spinal manipulations, including:
- Short-lever spinal manipulations
- Articular and postural maneuvers
- Passive stretches.
The patient is free to go home, the same day, but will need a family member or friend present to ensure a safe trip home after the procedure.
M.U.A. for Neck Pain and Headaches is a treatment option that offers nearly miraculous results for patients. This is powerful because even a minor condition can spark the start of scar tissue in the neck and kick-off a host of nervous system symptoms like debilitating cluster headaches. This procedure, like the others mentioned above, allows a professional from Total Vitality Medical Group to gently stretch adhesions in the neck. The patient is free to go home, the same day, but will need a family member or friend present to ensure a safe trip home after the procedure.
After the M.U.A. Procedure
The regiment of care after the M.U.A. procedure is what will predict success or failure. After M.U.A. the patient will be directed to follow an intensive course of stretches that are the same as were used in the procedure and adjustments made in our office. Rehab for the next two to three weeks will include:
- Strengthening exercises
- Periodic adjustments as required.
This regimented post-M.U.A. care will help the patient return to better health and minimize future chronic pain and potential long-term disability.
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