Spinal manipulation under anesthesia (MUA) is a procedure intended for patients who suffer from musculoskeletal disorders in conjunction with biomechanical dysfunction. Performed using monitored anesthesia care, this technique is overcoming its controversial image and receiving regular use by a great number of practitioners.
Manipulation Under Anesthesia is the first book to present the procedure from a historical perspective to present day use. Focusing on all aspects of MUA technique, the text provides an outline that represents this procedure from a scientific perspective, along with information concerning patient selection criteria, and documentation explaining outcomes from patient procedures. It discusses the protocols and standards by which the procedure should be incorporated into the facilities where it is being performed, features an overview of the generic procedure and policies for documenting results, and addresses the overall use of the procedure from pre-MUA through post-MUA rehabilitation.
With justification for the procedure from both a clinical and patient management standpoint, this unique compilation of information is useful as both a reference and as an educational aid for doctors. It provides the necessary tools for investigating the procedure and incorporating it into any healthcare specialty.
Table of Contents
Introduction to MUA, Robert C. Gordon
An Historical Perspective on MUA, Robert Francis
The Scientific Basis of MUA Basic Spinal Anatomy in Relation to MUA, Robert C. Gordon
Pathobiomechanics of MUA, Robert Francis
The Myofascial Component and Predetermining Factors to Consider in MUA, Anthony B. Morovati
The Pathopysiology of Pain and MUA, James Giordano and Thomas Schultea
The Core of the MUA Procedure: Tissue Injury Repair Sequence and Fibrosis Release with MUA, Robert C. Gordon
Manipulative Energy: High Force vs. Low Force and MUA, Timothy Kersch
Indications and Contraindications for MUA, Robert C. Gordon
MUA Principles and Practice, Robert C. Gordon
Support for MUA: Research and Literature Review, Robert C. Gordon
Evaluation of the MUA Patient, Robert C. Gordon
Anesthesia for Manipulation Under Anesthesia, Anthony Rogers
Pre-Anesthesia Evaluation, Ramona Carter
The Role of the Medical Specialist, Robert Mathews and Matthew Miller
The MUA Procedure, Robert C. Gordon
Post MUA Therapy, Fred Russo
Hospital Staff Privileges and Ambulatory Surgical Center Protocols for the Chiropractic Physician, Robert C. Gordon
The Risk/Benefit Ration of the MUA Procedure, Robert C. Gordon
A Case for MUA, Robert C. Gordon
Samples of Forms, Reports and Analysis, Burt Rubin and Robert C. Gordon
Sample 1:……………….Creating an H&P (History and Physical)
Sample 2:……………….Sample OP Report
Sample 3:……………….Sample Discharge Summary
Sample 4:……………….Schematic for Patient Flow
Sample 5:……………….Pain Index and Evaluation Form
"…the use of algorithms is helpful, and the section on patient selection is also quite useful. A great deal of time went into this, and it shows. I recommend it."