Manipulation consists of accurately determined and specifically directed manual forces to areas of restriction, wether the restriction is ligaments, muscles or joints, the result of which may be improvement in posture and locomotion, improvement in function elsewhere in the body and the enhancement of the sense of well being. MUA has been utilized in manual medicine for over 70 years. MUA in recent years has rapidly become an international phenomenon.
Chiropractors (DC's) constitute the main group who most actively practice MUA along with a smaller group of medical doctors (MD's). While in Europe MD's and DC's actively practice spinal manipulation therapy, it largely remains the clinical domain of the chiropractor.
The answer lies in the physiology of anesthesia. Postural tone of the muscles is completely abolished. The muscle function of joint stabilization and the splinting action of the muscles of the joint structures is lost. Under anesthesia there remains only ligamentous action and articular changes to limit joint motion. This enables the physician to put an articulation through its normal range of motion, reduce or eliminate the restrictive adhesions, thereby correcting the involved region.
Patients trying to avoid surgery !!! The vast majority of MUA patients are represented with:
Chronic neck/back pain
Numbness & Tingling
How Long Does This Procedure Take?
MUA is a simple procedure usually performed 2-4 consecutive days. The procedure itself lasts about 10-15 minutes and the patient is released shortly thereafter. Patients are given either a "twilight sedation" or something a bit more relaxing. This is up to the discretion of the anesthesiologist based on patient history and safety protocols.
Scientific Evaluation & Results of MUA
Multiple prospective and retrospective clinical studies have been performed evaluating MUA in chronic unresolved back pain, acute and chronic disc herniations, cervicogenic cephalgia, and many other neuromusculoskelatal conditions with attendant articular dyskinesia. Robert Mensor, M.D. orthopedic surgeon, compared the outcomes of MUA and laminectomy's in patients with lumbar intervertebral disc lesions and found that 83% of MUA patients had good to excellent results while only 51% of surgical patients reported the same outcome.