SUPPORTING
STUDIES AND 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.
The
medical literature demonstrates that for over forty years chronic
neuromuscular skeletal conditions that have failed the conservative
protocol may respond well to manipulation under anesthesia.
The
overall effectiveness of spinal manipulation under anesthesia has
been reported by researchers with success rates varying according to
case selection criteria.
Diagnosis
of herniated disc reported excellent to good results in:
60%
- PC Colonna and ZB Friendenberg: 1949
64%
- Merrill C Mensor, MD: 1949
60%
- Donald Sielh, DC: 1963
Diagnosis
of myofibrositis reported excellent to good results in:
96.3%
- Donald Siehl, OD: 1963
75%
- BR Krumhansi and CJ Nowacek: 1988
By:
Richard Reid, MD,
Rosie
Desimone, D.C.,
Ben
Eubank, D.C.
October
23, 2002
References
1.
Greenman, PE: Manipulation with the patient under anesthesia. J.
Amer. Osteopathic Assoc., 92(9):1159 -1167, Sept. 1992.
2.
West, D.C., C.C.R.D., Mathews, M.D., Miller, PA-C, Kent, M.D.
"Effect of Management of Spinal Pain in 200 Patients Evaluated
for Manipulation Under Anesthesia." J. Neurol Oethop Med Surg.
(1998) 18: pp. 31-42.
3.
Guidelines for Chiropractic Quality Assurance and Practice
Parameters: Proceedings of the Mercy Center Consensus Conference,
Burlingame, CA, January 25 - 30, 1992. S Haldeman et al (eds.),
Gaithersburg, MD: Aspen Publishers, Inc. 1993.
4.
Dreyfuss P, et al. MUJA: Manipulation under joint
anesthesia/analgesia: A treatment approach for recalcitrant low back
pain of synovial joint origin. J Manipulative Physiol Ther.
1995;18:537-546.
5.
Davis CG. Chronic cervical spine pain treated with manipulation
under anesthesia. J Neuromusculoskeletal Syst. 1996;4:102-115.
6.
Francis R. Spinal manipulation under general anesthesia: A
chiropractic approach in a hospital setting. J Am Chiro Assoc. 1989;
Dec:39-41.
7.
Alexander GK. Manipulation under anesthesia of lumbar
post-laminectomy syndrome patients with epidural fibrosis and
recurrent HNP. J Am Chiro Assoc. 1993;June:79-81.
8.
Dan NG, Saccasan PA. Serious complications of lumbar spinal
manipulation. Med J Aust. 1983;2(12):672-673.
9.
Hughes BL.Management of cervical disk syndrome utilizing
manipulation under anesthesia. J Manipulative Physiol Ther.
1993;16:174-181.
10.
Aspegren DD, et al. Manipulation under epidural anesthesia with
corticosteroid injection: Two case reports.J Manipulative Physiol
Ther. 1997;20(9):618-621.
