Morningstar Mark W, Strauchman Megan N
Private Chiropractic Practice, Grand Blanc, MI 48439.
J Chiropr Med. 2010 Jun;9(2):77-83. doi: 10.1016/j.jcm.2010.02.002.
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.
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.
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.
Pain, functional, and radiographic outcomes demonstrated improvements immediately following treatment for this patient.
麻醉下手法治疗（MUA）是一种门诊手术，旨在恢复正常的关节运动学和肌肉骨骼功能。本文介绍了一例成年后出现顽固性疼痛的特发性腰椎退行性脊柱侧凸患者，并报告了MUA试验后的结果。
一名59岁女性患者到一家整脊诊所就诊，主要主观症状为下背部和双侧臀部疼痛。下背部的数字疼痛评分报告为10分中的8分，骶髂关节/臀区为10分中的9分。使用功能评定指数的残疾评分为40分中的26分（即64%的残疾率）。在过去5年中，患者尝试了多种保守治疗来缓解疼痛，但均未成功。
对该患者进行了MUA评估。患者被安排在3天内进行一系列MUA治疗。MUA治疗8周后的数字疼痛评分，下背部为10分中的1分，骶髂关节为10分中的3分。她的残疾评分降至40分中的11分（28%）。还观察到了影像学改善。这些结果在6个月的随访中得以维持。
该患者治疗后疼痛、功能和影像学结果立即得到改善。
