What Is Manipulation Under Anesthesia?
Manipulation Under Anesthesia (MUA) is a non-invasive procedure that treats acute and chronic loss of functional range of motion (ROM) such as with a frozen shoulder or torticollis (also known as wry neck) or as a result of a mastectomy, that has not responded to conventional treatment methods. MUA is also utilized to break up excessive scar tissue for patients who have not had optimal recovery of their joint's range of motion after orthopedic surgery which is often seen after a knee replacement or failed back surgery.
- The loss of functional ROM may have resulted from shortened muscle length due to damages or surgically repaired muscle and ligament tissue or from chronic over use. This restricted tissue will result in advanced degeneration of the affected joint and pain.
- For chronic pain sufferers nationally and abroad, a simple painless MUA procedure is giving a level of relief these patients never thought possible. Finally a place where Medical and Chiropractic doctors work together for the benefit of the patient!
How and Why?
MUA's require a full team of Medical and Chiropractic Professionals, who have specialized training in MUA in an Ambulatory Surgical Center environment. These professionals are licensed and certified. Our team includes a Board Certified Anesthesiologist, a Medical Physician and several chiropractors who perform the manipulation, and a nursing staff that is fully trained in "Pre and Post Operative" protocols. We also have a board certified pain manager who will evaluate and treat using with either a natural product called "serapin" or a steroid depending on the referral to reduce inflammation and pain from the procedure.
A "twilight sedation" is required to remove the guarded nature of the patient to their chronic pain. The sedation allows the patient to be treated with adjustments and movements quickly and pain free, helping to improve, or even restore, the range of motion. The sedation also allows the pain perceiving nerves, that are irritated due to the dysfunctional area, to fully relax and be stretched. Sedation also allows the reduction of adhesions caused by scar tissue.
The manipulation and stretching techniques of MUA, and pain management through injections are procedures once used independently, are now combined with excellent results. Together the two elements can result in increased joint motion, improved functional abilities and decreased pain. Following your MUA procedure will be a therapy program to prevent future pain.
Who Is Eligible For MUA?
Patients that suffer from any of the following symptoms could benefit from MUA:
- Piriformis Syndrome or Hip Contracture
- Frozen Shoulder
- Torticollis (Wry Neck)
- Loss of Knee ROM
- Ankylosis (Fibrotic Calcification) of the Ankle, Knee, Hip, Shoulder
- Dislocation of Vertebra in the Cervical, Thoracic or Lumbar Spine
- Severe TMJ
- Lumbar or Thoracic Disc Displacement
- Radiculitis & Neuralgia
- Neuralgia, Radiculitis
- Headache/Migraine Headache
- Joint Calcification
- Capsulitis of Hip
- Carpal Tunnel Syndrome
- Gait Abnormality/Imbalance
- Post Surgical Knee
If you are experiencing any of these conditions, please make an appointment with your physician. After a thorough examination your doctor will determine if you are a candidate for MUA.