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Manipulation under Anesthesia
This is a procedure that is performed in a hospital or surgery center where the patient receives conscious sedation through IV in order for the doctor to perform specialized maneuvers to break up scar tissue in specific areas. This has been around for about 60 years however it is now becoming more popular due to insurance coverage. There is no cutting or surgery with this procedure, it is classified as manual surgery.
MUA is relatively safe with little to no side effects from the mild sedation. The doctor is highly trained to perform this procedure and is assisted by another physician, anesthesiologist, and nurse.
It requires three consecutive treatments back to back for optimum results. Each treatment takes about 15 minutes to perform.
This procedure is recommended when certain neck, mid back, low back or other spinal conditions respond poorly to conventional care. One proposed theory for this is that, as a result of past or present injury, adhesions and scar tissue have built up around spinal joints and within the surrounding muscles and causes chronic pain.
Patients often undergo various treatments, such as physical therapy, chiropractic care, epidural injections, back surgery, or other treatments that do not address fibrous adhesions. Some patients feel temporarily better with these treatments, but their pain often returns.
In general, patients selected for manipulation under anesthesia are those who have received conservative care for six to eight weeks. If limited or no improvements in symptoms or objective findings have occurred, then manipulation under anesthesia may be an appropriate alternative.
Prior to treatment, protocols of diagnostic testing should document the nature of the diagnosis, support the need for treatment and eliminate questions of psychosocial factors that can influence pain responses. In addition to X-ray, MRI scan or CT scan, a musculoskeletal sonogram or nerve conduction velocity test may be ordered.
Also, this procedure is recognized as a legitimate treatment by the American Medical Association for chronic pain conditions.