INDICATIONS
Neck,
mid back and low back pain
Chronic
muscle pain and inflammation
Acute
and chronic muscle spasm
Decreased
spinal range of motion
Chronic
fibrositis
Nerve
entrapment
Pseudo-sciatica
Sciatica
where disc bulges are contained less than 5 mm
Failed
back surgery
Chronic
occipital or tension headaches
Conditions
where narcotic pain relievers are of little benefit
Traumatic
torticollis
RSD
CONTRAINDICATIONS
Contraindications
to manual manipulation of high velocity, low velocity or soft tissue
techniques as established by current literature relative to technique
specific for articular derangements, bone weakening and destruction
disorders, circulatory and cardiovascular disorders, or neurological
disorders.
Specific
contraindications to manipulation of the spine under anesthesia
include:
Malignancy
with metastasis to bone
Tuberculosis
of the bone
Fractures
Acute
arthritis
Acute
gout
Uncontrolled
diabetic neuropathy
Syphilitic
articular or periarticular lesions
Gonorrheal
spinal arthritis
Excessive
spinal osteoporosis
Evidence
of cord or caudal compression by tumor, ankylosis and malacia bone
disease.
Evaluation
of the Patient
Candidates
are selected for manipulation under anesthesia after obtaining an
adequate history, thorough physical examination, and the appropriate
diagnostic imaging and laboratory procedures necessary for an
accurate diagnosis of the underlying condition.
Supporting
Studies/Great Results
There
are several research studies about the effectiveness of manipulation
under anesthesia, including:
1.
83% of 600 patients with EMG verified radiculopathies reported
significant improvement - Robert Mensor, MD
2.
Patients that had back pain for a minimum of 10 years reported an
87% recovery rate after MUA - 1987 with Ongly et al
3.
51% of patients with unrelieved symptoms after conservative care
had been exhausted reported good to excellent results three years
post MUA - Donald Chrisman, MD
4.
71% of 723 MUA patients had good results (return to normal
activity relatively symptom free) and 25.3% had fair results (return
to normal activity with slight residuals) and that flexibility,
elasticity and range of motion can be restored following MUA -
Bradford and Siehl
5.
83% of 517 patients treated with MUA responded well - Paul Kuo,
MD professor of Orthopedic Surgery
6.
Krumhansi and Nowacek reported on an MUA study done on 171
patients who experienced constant intractable pain for several months
to 18 years. All of the patients of the study failed other
conservative intervention. The results of the study showed that 25%
of the patients had no pain, 50% were much improved with pain
markedly decreased, 20% were better and could tolerate their pain but
it interfered with work and recreation. Failures comprised 5% where
there was minimal or no pain relief periods.
