POST OPERATIVE CARE


The patient should experience an immediate increase in range of motion, even though there is usually some temporarily added muscle soreness similar to feeling of having completed an aggressive exercise session. In cases involving symptoms caused by disturbance from adhesions and shortened tissues, there should be a significant change, either immediately or within a short period following the procedures.


In effort to minimize the re-formation of adhesions, passive manipulation and active exercises are prescribed. Some use of additional therapies may also be prescribed, such as:



The most important post operative care is an active rehabilitation program, starting within one to two weeks after the manipulation under anesthesia procedure and lasting for a minimum of four to six weeks.

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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.

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