Manipulation Under Anesthesia – A Chronic Back Pain Solution

Manipulation under anesthesia is a procedure that may help chronic back pain sufferers.  So today we’d like to talk about manipulation under anesthesia for chronic low back pain. So first off, let’s talk about chronic low back pain a little bit.

What makes chronic low back pain? So what do we consider chronic?

Well, it becomes chronic when it goes unresolved, and it goes on for a period of time where we have aggravations or exaspertations, meaning we have bad times of feeling really bad, and then times when it’s good, and you try multiple types of therapy and doctors but it keeps on coming back. You feel good for a little while and then it comes back, so we’re talking about unresolved low back pain that no one’s really giving you a real good answer for. Maybe you’ve tried different types of therapy, so maybe you’ve been to chiropractors and you’ve tried spinal manipulative therapy. Maybe physical therapy where they try to do some core strengthening and stretches and things like that.

Maybe even pain management where they’ve done things such as appropriate medication, epidurals, ablations, all kind of things. They have a whole host of things they do and you have to ask yourself what is this? Why am I having this chronic pain? I’m seeing specialists, why is it not getting fixed? You know what, I really don’t want to have surgery, and they may or may not be telling you that but usually when you go on for an extended period of time, it’s really only the other answer and that may not even be a good answer.

So it can be very very frustrating for the patient and even the doctors for that matter. Sometimes they just don’t have the right answer but the frustration part comes in to where you go to a doctor and you pay good money with your insurance and your co-pays and all that and you expect to get an answer and really you just expect and it doesn’t always happen. We see it time and time again with backs.

So what happens, why do we continue to feel this?

Well, one of the reasons why we may continue to feel back pain even while we go to see all these doctors, is that the condition of low back pain in itself creates more low back pain. What this means is when a joint goes dysfunctional or doesn’t work right, and it causes you all this pain whether it’s a herniated disc, whether it’s a pinched nerve, or sprain or whatever it is, it becomes dysfunctional and your body doesn’t move correctly. So maybe I sit a little different, maybe I lay down a little different, or I walk just a little different, the joints itself don’t work properly, they’re degenerating or causing inflammation and what happens is when our body doesn’t function the way that it was designed to we can build up adhesions in the muscles and in the joints.

You can get trigger points in the muscles, you can get modest increase tone meaning the muscles are tight, always feels like there’s pressure in there, the joints itself don’t work correctly and they build up adhesions.

So what are adhesions?

Adhesions are like a fibrous tissue kind of stuff. You know when you cut your hand or cut your finger, or really whatever, and it starts to heal when you have a little of that scar tissue formation down there, that’s kind of like a fibrous tissue formation.

You can also get that when we overuse certain muscles or certain joints, so we have multiple layers of muscles, and they are designed to work a certain way and the joints are designed to work a certain way, and when they glide or rub across each other the wrong way or dysfunction, they can build up friction, they build up heat, burns up tone, your body doesn’t like it, it deposits collegian through there and it can make the muscles more tight, more tone, more trigger point and it makes the joints and muscles not work properly.

A dysfunctional or repetitive type of injury can lead to more dysfunction which leads to more adhesive build up in the muscles and the joints and this chronic low back pain spirals and spirals and gets worse and worse.

Everyone’s trying their best to make you feel better but sometimes it can just be frustrating.

I know each and every case is different and each and every case requires certain things. Some people respond well to one thing and others people respond well to another thing. You have to remember when it comes to a pain management type of thing for your back, you have to find what works well for you. For some people, pain management through injections and medicines and things like that work great for them, that’s enough.

For other people, it’s just chiropractic, that works well and that’s enough.

But many times with a chronic low back patient, you have to find all the different doctors, combine them together and get them to work better in that way, so don’t get frustrated with it.

So back to the adhesions and dysfunction.

We’ve found that in the past or even really now, if we can break up those adhesions, if we can break up the muscle adhesions and joint adhesions, loosen the tone of the muscles, create better range of motion in the joints, we have better mobility, better function. If we have better mobility and better function, many times we get some decreased pain, decreased inflammation and patients begin to feel better.

Many times despite the fact you can walk to the mailbox and back or you can walk to the grocery store without being in pain is enough to get you feeling better mentally and physically and we’re pointing in the right direction.

So there’s a procedure that I do and have done many of them, probably hundreds of them, called Manipulation under anesthesia.

Manipulation Under Anesthesia isn’t for everyone. It’s only designed for chronic patients that have been unresponsive to medical and chiropractic intervention pain management. Meaning we’ve tried things, they’re not working the way we want them to, we can’t break up those adhesions so manipulation under anesthesia has been designed to do that.

Manipulation under anesthesia is a procedure that we do in a surgical setting and we put you to sleep for about 20 to 30 minutes. And by putting you to sleep, we then put you through a series of stretches and manipulations of the muscles and of the joints of your low back, your pelvis and your hips to break up those adhesions, to allow for better range of motion and better function.

Am I fixing the degeneration that you have in there, or are we fixing the herniations?

No, we’re not fixing any of that, what we’re doing is loosening up the spinal joints, the pelvis and the hips and all the supporting muscles there to allow for better range of motion.
To allow for less tone, for less pressure on the back, effectively decompressing the joint, allowing for better range of motion, hopefully getting some inflammation down, allowing you to function as close to normal as we can get your body.

Again, this is for patients with chronic back pain, patients that have tried everything else, it’s not getting where you want to be, or you plateaued in care, or you go up and down with your care, and never kind of settles down to one spot.

So again, the goal for manipulation under anesthesia, is to break up those adhesions, scar tissue in the muscles and in the joints.
The good news is number one, I’ve had a high success rate, I’ve done hundreds of these and I’m pushing close to a 90% success rate with this procedure.

Everyone gains motion back. I believe everyone has the ability to improve if we can better improve your body mechanics or the functionality of your back you’ll begin to feel better.

Will you feel 100%?

I hope so, not always but we can absolutely improve. More good news is, this procedure many times is covered by your health insurance so there’s not a whole lot of out of pocket costs there if any.
I know the insurances companies recognize it as a viable procedure to help patients get out of pain.

We do put you to sleep, we just use typically propofol where they are going to put you to sleep, the anesthesiologist is going to watch to make sure everything’s ok. It takes about 20 minutes so we’re going to be stretching you and manipulating you for about 20 to 30 minutes typically patients are a little bit sore the next day, kind of like that first workout of the year. Some muscle soreness, typically goes away in a day or two.

There is some post manipulation under anesthesia therapy that we recommend, so we’ll see you for a few weeks after we do the manipulation under anesthesia to further break up adhesions, decrease inflammation and improve your mobility.

So look if anyone out there has any questions or concerns considering chronic low back pain, or they have some questions about manipulation under anesthesia please feel free to message me.You can message me anytime on Facebook I respond to everyone and I look forward to helping everyone function and feel better.

Alright guys, so manipulation under anesthesia for chronic low back pain, if you’re interested in it, please give me a call or message me on Facebook and we’ll talk about it some more. If you want to see the video to this post, click onto our YouTube Channel.

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Dr Ray Marquez DC is a chiropractor and the owner of Back Pain Relief Center. He has two branches, one in Vineland, New Jersey, the other in Murrells Inlet, South Carolina.To learn more about him, check his site at Back Pain Relief Center Vineland or Back Pain Relief Center Murrells Inlet

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