Manipulation Under Anesthesia aka MUA
Answers to your questions about MUA
What is MUA?
Chronic pain suffers across the nation have one thing in common; they have discovered the tremendous health benefits that can be restored by the procedure known as Manipulation Under Anesthesia, or MUA.
Manipulation Under Anesthesia is exactly what it sounds like. After medical clearance, the patient is lightly anesthetized to achieve total relaxation, then adjustments and stretching movements, which would normally be too painful to even consider, are easily, and painlessly and quickly accomplished.
For more and more chiropractic patients who are not finding relief through conventional treatments and other invasive procedures, such as surgery, MUA, combined with consistent, but simple post-procedure treatment and exercise, can eliminate or greatly reduce pain and restore or greatly improve range of motion. Plus, MUA procedures are cost effective, thousands of dollars less than traditional surgery and other more invasive treatments, and usually qualify for insurance coverage.
In addition, return to work is much faster, allowing MUA patients to get back to work and the pleasure of living much sooner than expected.
Is MUA New or Experimental?
MUA is neither new nor is it experimental. It has actually been practiced since the late 1930’s and used by osteopathic physicians and orthopedic surgeons for many years as a proven form of treatment.
During the past eight years, interest in MUA has greatly increased thanks to treatment advances in anesthesiology.
Today, MUA is a multi-disciplinary outpatient procedure that takes place in a controlled hospital or ambulatory surgery center. Treatments take place over three consecutive days.
Using specialized chiropractic techniques, supported by the expertise of MDs, RN’s and anesthesiologists, MUA achieves maximum result for qualified patients.
Countless recent case studies and medical research continues to show that MUA is widely regarded as safe and effective and is gaining acceptance by the medical community at large.
Who Can Benefit From MUA?
MUA can be a valuable procedure for people with chronic neck, back and joint problems also conditions caused by long term disabilities, accidents, injuries that have not been responsive to conventional treatments. MUA is not for everybody. If you are Pregnant, have Osteoporosis, Advanced heart disease, Advanced age, Bone weakening diseases, Cancer, Certain circulatory diseases, or Uncontrolled diabetes you are not a candidate for the procedure.
Common and general
indications that MUA could be effective for include but are not limited to:
Fibro adhesion
buildup Chronic
myofascitis
Chronic disc problems Chronic
re-injury
Herniated disc
without fragmentation Sciatica
Intractable pain from
neuromusculoskeletal conditions Torticollis
Failed back surgery Fibromyalgia
Low back pain Curvature
of spine
Neck pain Piriformis
Syndrome
Lumbar/thoracic disc displacement Neuralgia,
radiculitis
Headache/migraine headache Frozen
shoulder
TMJ (Costen’s Syndrome) Capsulitis
of hip
Cervical and lumbar
disc conditions Joint
calcification
Carpal Tunnel Syndrome Pelvic
instability
Gait
abnormality/imbalance
Chiropractic patients who have reached a plateau using traditional therapy also can significantly improve their quality of life using MUA.
Why Does MUA Work?
MUA achieves results where other treatments fail because it allows your caregivers to adjust the bones and muscles, the therapy of choice without the usual resistance. “Twilight” sedation allows you to be responsive, but not apprehensive.
Manipulations are completed very gently, and without the patient’s usual pain-trained psychological resistance.
Fibrotic adhesions, which limit range of motion and contribute to pain, are altered; muscles are stretched, collagen fibers are remodeled to eliminate or reduce restriction. Pain and discomfort are decreased.
The adjustments received using MUA are the same as those the patient receives during regular chiropractic visits, but require much less force simply because of the relaxed state.
How Do I Begin an MUA Treatment Plan?
Once proper patients are selected by the chiropractor, using standards of care as described by the National Academy of MUA Physicians, the typical MUA treatment plan begins with a medical screening process to clear the patient for anesthesia.
Medical tests will usually include:
CBC blood studies
SMA 6
Chest X-ray and EKG, or electrocardiogram for patients age 50 and older
And a pregnancy test for female MUA patients
Your chiropractor may also order additional tests such as MRI, or magnetic resonance imaging, CT scans, or cat scans, and other diagnostic tests, if needed.
After receiving medical clearance, the patient is scheduled at the facility where the MUA will be performed.
What’s the MUA procedure like?
On the day of the MUA, the patient must be accompanied by a friend or family member to drive the patient home after the procedure. No patient will be allowed to drive following this procedure.
The patient then confers with the anesthesiologist, is gowned and the sedative either deprivan, versed fentanyl or most commonly propofol is administered to achieve the comfortable “twilight” sleep that makes treatment possible.
If the full spinal procedure is performed, MUA begins with specialized techniques that first methodically stay in the cervical spine with gentle axial traction, forward flexion and lateral flexion movements followed by adjustive procedures.
The doctor then moves on to the thoracic spine, using mild stretching techniques and adjustment. Finally into the lumbar spinal regions using flexion and traction techniques, plus stretching, targeted massage and knee to chest rolls, as well as lumbar adjustment.
What happens after the procedure?
After the procedure is completed, the patient is repositioned and awakened, then taken to recovery, where he or she is carefully monitored by the O.R. nurse.
Recovery time is generally 15-20 minutes. After recovery, the patient receives fluids and a light snack. The doctor and anesthesiologist also remain in attendance until the patient is discharged.
To achieve results in most chronic cases the MUA procedure is repeated. The doctor may adjust only the area of abnormality, plus the adjacent area only, the adjacent area only, or all three areas, depending on the doctor’s assessment of the condition.
Post-procedure care is one of the most important parts of the MUA procedure and makes it truly effective.
The therapy begins immediately, the same day after each MUA procedure is completed.
At this time, the patient visits the chiropractor’s office and undergoes a combination of stretching exercises, cryo-therapy and electrical stimulation to eliminate or reduce soreness. The patient then returns home to rest.
Following the last MUA procedure, the patient should follow an intensive therapy program for seven day to ten days. This post MUA therapy should be the same stretches accomplished during the MUA procedure and adjustments made in the doctor’s office.
This is followed by rehabilitation for the next two to three weeks, including stretching, flexibility and strengthening exercises, plus periodic adjustments as required by the doctor.
A regimented program of post-MUA therapy will help the patient regain both pre-injury strength and help prevent future pain and disability.
To learn more about this topic and other health related topics visit www.roachchiro.com , www.orlandofamilychiropractor.com , and www.muaeducation.com . Call our office at 407-647-2009 to schedule a consultation if you feel you may be a candidate.
