The Science Behind MUAmanipulation under anesthesia (mua)_2.jpg

We most certainly believe that an educated patient responds better to treatment when understanding the cause of pain as well as the science behind the procedure.  The intent of this section is to explain in understandable terms how and why MUA works.

The fact that chronic unresolved musculoskeletal pain responds well to manipulation under anesthesia is well documented in medical literature is not enough.  One must understand exactly how MUA will benefit their condition.  This procedure is constantly evolving and restores joint motion while reducing the painful cascading influence of scar tissue.  The result is improved flexibility, reduction in pain, and improved elasticity in musculature.  To know why, one must understand how and why chronic musculoskeletal pain can evolve to its unresponsive debilitating state.

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Take the neck as an example: the gliding joints between the vertebrae, the ligaments that connect vertebrae, the connective tissue "sleeves" that surround the nerves, the musculature and the discs (the fluid-filled cushions between vertebrae) all have a nerve supply that when irritated or injured, can be a potential source of pain.

A healthy joint is dependent on its ability to maintain its proper alignment, range of motion and integrity so that it can handle all the mechanical stresses put upon it our day to day lives.  Overtime, joints may become traumatized and overstressed to the point that they no longer function as a healthy unit.  This results in inflammation, fixation, and chemical imbalances that produce severe pain, and a decrease in fluid and nutrition between that joint.  Now, combine this scenario with adhesions, commonly known as scar tissue, and the result is a recipe for chronic, worsening pain.  Adhesions (among other things) stem from the result of trauma, chronic stress to the tissues, and a loss of functional ability between the joints over time.  Adhesions are more sensitive, less elastic, and weaker than our normal healthy tissue.  The result is unstable locked joints, along with adhesions is a cascading effect that causes worsening pain and loss of function.  Over a period of time, the patient develops a guarding reflex from these painful joints and adhesions that ultimately prevents improvement from typical healthcare methods.

Knowing this, you can now easily understand the benefit of utilizing anesthesia with manipulation.  The anesthesia breaks cycles - muscle spasm cycles and pain cycles, which allows the doctor to restore joint motion, stretch shortened spastic muscles and release the adhesions caused by scar tissue.  The result is improved range of motion and a substantial decrease in pain.


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