CR is a 34 year old woman with chronic spinal pain. She was injured at work and was treated medically for three months. Due to continual worsening and stiffness, she was referred for chiropractic treatment by her attorney.

12 visits of DC care with stretching, physiotherapy, and myofascial release techniques were implemented with little change in post CT bending views. Exercises and stretching were added and twelve additional visits were offered with slow but noted symptomatic change, but the patient still complained of difficulty sleeping and requiring high doses of Motrin.

The patient was sent for medical evaluation and pain management for six weeks in addition to continued chiropractic and adjunctive management. Upon a six week follow-up, the patient felt good when she took a strong muscle relaxer and pain killer, but her symptoms still reached moderate levels frequently. Work restrictions could not be lifted due to the pain levels reported. Re-examination after six additional weeks showed that the spinal dysfunction were not reducing as expected with the treatment being provided due to articular and myofascial fibrosis.

She was scheduled for two days of MUA and was re-x-rayed after the first procedure of Sedation Assisted Traction Procedures to Include Manipulation Under Anesthesia. Following are her pre and post radiographs, of the most restricted side, after one day of MUA. Note global and intersegmental improvements in motion. Patient response after two days was excellent and expected to continue to improve until the eight-week follow-up is completed.