Manipulation with the Patient Under Anesthesia
Greenman PE, DO. Manipulation with the patient under anesthesia. JAOA Sept 1992;92(9):1159-1170.
“Safety and effectiveness are favored by appropriate selection of patients, knowledge of indications and contraindications, suitable anesthetic, and services of a qualified physician trained in structural diagnosis and manipulative technique.” Page 1159
“The patient was symptom-free for the succeeding 18 months, …” Page 1160
“The patient’s condition was greatly improved 24 hours after undergoing manipulation under anesthesia, and she was symptom-free within 10 days. No subsequent sequelae occurred for 18 months. Minor recurrence then responded quickly to more usual forms of manual medicine.” Page 1160
“The purpose of the anesthesia is to obliterate the pain and muscle spasm that has prevented other forms of conservative manual medicine care from being effective.” Page 1167
“Additionally, an experienced team can accomplish the procedure more quickly and save anesthesia time. Many of the techniques recommended … require a minimum of two operators.” Page 1167