This is a procedure that has been
done since the 1930s in the osteopathic
profession . The
procedure has been used extensively and very successfully.
day and age of cost conservation for hospitals the procedure has
not as well utilized. However, we still have a need for the
selected patients. We offer this procedure as
an out patient, in office
procedure. This saves considerable
money for medical bills.
The procedure has been extensively
evaluated in the osteopathic profession.
With the advent of
conscious sedation the use of general anesthetic is
unnecessary. That is why we can offer the procedure in our
office. The side effects of general anesthesia as well as
the expense can be
avoided. The use of conscious sedation allows
the patient to relax and
achieve the manipulation required
without the muscle contraction associated
with any discomfort
that the patient would normally experience with
musculoskeletal problem normally.
patients have been in pain and muscle spasm for many weeks
months. We realize that some patients are in so much pain or
have a need for
a more extensive treatment than the patient can
Generally, an osteopathic manipulative
treatment can be quite well
tolerated. However, sometimes
patients have considerable muscle spasm
and/or fibrous tissue or
anxiety making effective treatment impossible or
and time consuming.
In these cases we offer the option of
having anesthesia in the form of
nitrous oxide(laughing gas) or
intravenous sedation(conscious sedation) for
a short period of
time in order to get the treatment or procedure done. This
outpatient situation and does not involve any hospitalization. It
does not involve any need for another licensed physician to
co-manage your case which would considerably
increases the costs involved.
Another issue to consider is that
insurance coverage will generally pay for
your anesthesia since
you are dealing with a licensed physician and
The patient is not required to undergo any
specific number of treatments
under anesthesia. Frequently,
one treatment under anesthesia is sufficient.
involving manipulation without anesthesia may be
Some proposed effects of manipulation
under anesthesia therapy include
·breaking up fibrous tissues (adhesions) both in and around
spinal joint commonly caused by multiple injuries or failed
·decreasing chronic muscle
super sensitivity of injured areas, making the patient
cooperate for effective
·stretching persistent shortened muscles, ligaments and
pain and radiating symptoms from damaged intervertebral
Some disc injuries are serious enough to surgery, but these types of
injuries are relatively
Chrisman et al.: "A study of the results following manipulation
lumbar disc syndrome," Journal of Bone and
Saal et al: "The
natural history of lumbar disc extrusions
non-operatively.: Spine, Volume 15,
Haldeman S, "Medication-assisted spinal manipulation"
Journal, Volume 2(4) 2002.
You will hear more about this
procedure in the chiropractic profession
as some chiropractors
have recently been granted hospital privileges. As
are not fully licensed physicians and surgeons they
considered as ancillary hospital staff This is a
limited category of staff
privileges in a hospital that requires
the coverage of a fully licensed
physician and surgeon.
Chiropractors may be called physicians in some states
but they do
not have a full license to practice medicine in all its
Therefore, the chiropractor needs a fully licensed
physician and surgeon in
a hospital to take the full
responsibility for any medical or non medical
care rendered in
the hospital facility . You are likely to run up a
higher medical bill for the services rendered.
If you would
like more information on this procedure, please contact
office for an appointment.