There are a number of research and textbook references
regarding the Manipulation Under Anesthesia procedure.
This is a brief listing of referenced text regarding this
procedure:
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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