Morningstar MW, Strauchman MN. Management of a 59-year-old female patient with adult degenerative scoliosis using manipulation under anesthesia.
J Chiropr Med 2011;
9:77-83. [PMID:
21629554 DOI:
10.1016/j.jcm.2010.02.002]
[Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2009] [Revised: 01/15/2010] [Accepted: 02/03/2010] [Indexed: 12/26/2022] Open
Abstract
OBJECTIVE
Manipulation under anesthesia (MUA) is an outpatient procedure that is performed to restore normal joint kinematics and musculoskeletal function. This article presents a case of a patient with idiopathic lumbar degenerative scoliosis who developed intractable pain as an adult and reports on the outcomes following a trial of MUA.
CLINICAL FEATURES
A 59-year-old female patient presented to a chiropractic office with primary subjective symptoms of lower back and bilateral hip pain. Numerical pain rating scores were reported at 8 of 10 for the lower back and 9 of 10 for the sacroiliac joint/gluteal region. A disability score using a functional rating index demonstrated a score of 26 of 40 (or 64% disability). Over the preceding 5 years, the patient had tried a number of conservative therapies to relieve her pain without success.
INTERVENTION AND OUTCOME
The patient was evaluated for MUA. The patient was scheduled for a serial MUA over 3 days. Numerical pain rating scores 8 weeks after the MUA were 1 of 10 for the lower back and 3 of 10 for the sacroiliac joint. Her disability rating decreased to 11 of 40 (28%). Radiological improvements were also observed. These outcomes were maintained at 6-month follow-up.
CONCLUSION
Pain, functional, and radiographic outcomes demonstrated improvements immediately following treatment for this patient.
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