Recent research and
textbook references regarding the Manipulation
Under Anesthesia procedure which may be of interest:
Managing
Low Back Pain. W.H. Kirkaldy-Willis,
Churchill Livingston. This author characterizes
the fibroblastic proliferation of scar tissue
in the paravertebral soft tissues of the spine,
with resultant restricted ranges of motion and
pain. This build-up of scar tissue around the
posterior spinal joints cause decreased motion,
increasing pain, and increasing dysfunction.
Principles
and Applications of Orthopedics.
Samuel Terek, MD. This author states that
"good to excellent" results can be
expected with MUA.
Diagnostic
Techniques in Orthopedic Medicine. Thomas
Dorman, MD This author recommends MUA for
patients that failed to adequately respond to
in-office conservative management.
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Robert
Mensor, MD, orthopedic surgeon, conducted
a large clinical trial of over 600 patients with
EMG-verified radiculopathy and found that 83%
responded well to MUA. These finding were verified
by Donald Chrisman, MD, orthopedic surgeon, reporting
that 51% of patients with unrelieved symptoms
after conservative care had good to excellent
results even three years after MUA.
Bradford
and Siehl reported on 723 MUA patients,
the largest trial conducted on this procedure,
and found that 71% had good results (normal activity
and relatively symptom free). They reported that
flexibility, elasticity and ranges of motion can
be restored for patients with chronic spinal pain.
Paul
Kuo, MD, Professor of Orthopedic Surgery,
reported the results of his clinical investigation
in 1986 of 517 patients treated with MUA and wrote
that 83% of the patients responded well.
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