The restoration of motion and the reduction of scar tissue results in more flexibility and visco-elasticity of the paraspinal musculature and associated articulations thereby increasing the functional capacity of the patient.
MUA is a procedure utilized in a selected patient population which has been recalcitrant to an adequate trial of conservative care in the office setting. MUA requires the use of non-paralyzing anesthesia (patients continue to breath on their own during the procedure) towards an effort to provide relaxed skeletal musculature enabling the manipulator to reduce fibroblastic proliferative tissue and restore articular motion without patient guarding and pain. Generally, pre-op medications include Versed and Fentanyl with Propofol used in the Operating Room without intubation to accomplish flaccid muscular relaxation.
This procedure is an out patient procedure and is performed in an appropriate setting providing access to monitoring and resuscitation equipment in a facility certified or licensed to provide a safe operative environment which can provide transfer capability to inpatient care.
Spinal Manipulative Therapy is designed to restore biomechanical integrity to areas of articular dyskinesia due to pathomechanical factors including loss of joint mobility, fibroblastic proliferative changes of the supporting soft tissues resulting in decreased or lost flexibility/visco-elasticity and neurological and vascular changes resulting from articular dyskinesia.