Message 840 of 5701

Manipulation Under Anesthsia??

Hi everyone!

I don't post often, but do trust you people on here and respect your opinions. I need to know if anyone has either heard of or used this manipulation under anesthsia?

My pain doctor has suggested it as a "next step" I also see a regular chiropractor in this same practice. I have looked this info up on the net, of course, but would love any personal input.

What is the difference between this dr (who wants to do the mui) and my regular chiro???

He also is wanting me to do this process asap. There are 3 initial prosedures lasting 30 minutes each on 3 days in a row.

Thanks in advance for your input,
Pat

ps.....the reason that my regular pain dr has advized this procedure is in the hopes that we can control my fibro without an increace of drugs

thanks again,
Pat Bergstedt
aka Candle Lady
candlelady's profile
Replies 1 - 10 of 15
ive never heard of this. but being a nurse, i am skeptical. generally a chiropractor stops when it gets painful. pain being a warning that it is tooooo much. under anesthesia this warning sign is not there. also anesthesia is hard on the body. i wouldnt do more then absolutely necessary.

but thats me. like i said, i never heard of it. so i obviously havent had any experience with it.
hippiemama's profile

over 2 years ago
I'd be a little leery of it if it was me. I have never heard of this as a treatment for FMS. However, if you feel it is right for you you have to go on your gut feeling.
PrisHaff's profile

over 2 years ago
I too am skeptical of this, as you cannot tell them when it hurts you. Myself I never have heard of this. I would get a second opinion if it makes you feel more comfortable. Best of luck to you, Pat!
Makkadawn's profile

over 2 years ago
I haven't heard of it either. I do trust my chiropractor but I am wondering what kind of anesthesia it is? General, where you are knocked right out or just some light sedation so that they can manipulate you more easily? I would read up on it before I would allow it. It does sound like it could be promising if you were lightly sedated and therefore not able to "guard" by stiffening up.

over 2 years ago
I would ask the doctor more questions:
What type of manipulation is being done that can't be done without anesthesia?
How much pain will you experience after the anesthesia wears off?
What are the risks of the particular type of anesthesia being used?

Some of us would benefit by deep tissue massage, for instance, but cannot tolerate the intensity of the massage. If anesthesia like a Valium push was used we could tolerate it, perhaps. If areas cannot be addressed by regular chiropractic manipulations due to pain I would hesitate to have them manipulated under anesthesia.

If it is muscle groups that need stretching I would ask if physical therapy is an option. If bone groups are in need of adjustment that require anesthesia to be manipulated (particularly the spine) I would consult an orthopedist before proceeding.

I would not be just skeptical, I would need much more info and a second opinion before proceeding.

After quesioning your doctor would you let us know specifically why this procedure was recommended and what you decided? Best of luck, Marcia

**KULPN** Do you have knowledge of this????
nanaflower's profile

over 2 years ago
Here is a link with detailed info: view link

Note that it states the procedure should be done by a team of doctors in a surgical outpatient setting.
nanaflower's profile

over 2 years ago
ok thanx nana,

i have more questions of course.

1. i have never heard of scar tissue being removed this way. and having been an orthopedic nurse for years one would think i would have. i dont see how it can be, from a biological point of view.

2. since when do dr's work with chiropractors. in my experience they hate each other

3. if its been around for so long, how come none of us have ever heard of it. including the nurses.?

your idea of much much more info, is the best suggestion.

i personally would not do this, unless i was in so much pain, that nothing else could help me.
hippiemama's profile

over 2 years ago
HM, I've never heard of it either. The link provided good info but even after reading it I still can't fathom how it would help with Fibromyalgia. I have no medical background but the procedure sounds kind of like grasping at straws. My main concern for Pat would be that her chiropractor is referring her to another "specialist" in the same group. She didn't say if this treatment was to administered in the office. The link specifically says that a team consisting of a doctor, anesthesiologist and chiro/orthopedist work in conjunction to do the procedure. Also, that it is done after a full barrage of tests, xrays, scans, etc. and is done in an outpatient or hospital setting.

Lots of red flags went up on this to me.
nanaflower's profile

over 2 years ago
Hi everyone!

I knew that I could count on this group to speak up with questions and ideas!!

I have answers to lots of the questions that you were asking....if I can remember them all!!

The entire issue with the pain being a "flag" that tells you when enough is enough is the reason that they use the anesthsia............it is called "twilight sleep" I will still be able to talk. The anesthsia allows the chiro to push past my pain limit. This is scary for me too! Kulpn, you explain it very well.

The manipulation is very similar to what I get each time I visit my chiro, only taken to the "next step" where my pain would normally stop me.

The doc says that it will be painfull afterwards, not a fibro pain, but as if I exercized WAY too much and was sore from that. I will have the procedure (if I decide to do it) 3 days in a row. It is very short in length, should be awake from anesthsia within 30 minutes. I do have an entire team in the room with me during the procedure (preformed at a free standing surgi center) I'll have an anesthsiologist, along with a a nurse, another surgery nurse, my regular MD, and the chiropractor that is certified for MUA. The doctors stay with you until you are alert and awake. I'm not sure of the medication used for twilight sleep, but think he said fentanol.............good question to ask.

I am very lucky in that my doctors all work together as a team!! My regular chiro (that also works in the same practice) won't be preforming the procedure as you need to be certifyed and he isn't. He did tell me that he is going to see if they will let him be there too though.

The day following the last procedure I will start an intense therapy cycle. At first with the chiropractor, then progressing to phycical therapists, then to home. I believe that this process last 12 weeks!!

I actually have already gotten second (third and forth too) opinions...........still not confident though.

As to why this procedure was reccomended, my pain was beginning not to be under control by just using medications.........both the dr and I do not want to increase my dosage. With a previous pain doctor I went through some trigger point injections and some steroid injections into my spine......way too invasive for me..........that's why he is a "previous" doctor!! We are already using physical therapy, massage, and chiropractor along with medications and between us this option looked to be the least invasive of what we could try next.

Apparently I will notice the difference right away. They said that most patients are amazed at their ROM while doing the stretching afterwards with the doctor.......

Yes, I do have to go through a barage of exams before the procedure.............just have done e-rays so far, but will have MRI (hip and shoulder) 2 hours!!!!!!!!! I don't want to have to go through that if I decide that I don't want to go through with the procedure!! It's painfull for me to lay in the same position for 2 hours!!! I guess you all know what I'm talking about.

As for why haven't we all heard of this before????????????? THAT is the question! There are reams of pages on the internet about it.........both pro and con of course. I wanted to get some opinions here from those of you that I kinda know and trust. Maybe, I'll be the ginny pig!! I do have some disc problems in my back, so that may have swayed the doc towards this.........got this info from reading on the internet!! Apparently it's been being used since the 1930's. It is now becomeing more popular since the anesthsia isn't as dangerous as it once was.

You can actually see several of these MUA being done if you look it up on Utube!! They looked horrible to me, but you could hear the gal speaking throughout.

I'll keep you all posted!
Pat

ps...........another BIG question is insurance!! This doc said that after many of the tests and scans beforehand are used to prove this is a medical problem that can be helped.
candlelady's profile

over 2 years ago
its sounds like you have already decided to go for this. so good luck, and keep us posted.
hippiemama's profile

over 2 years ago
Replies 1 - 10 of 15

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