Index to Chiropractic Literature
Index to Chiropractic Literature
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Monday, December 15, 2025
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Article ID
Title
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2943655/
Journal J Chiropr Med. 2010 Jun;9(2):77-83
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes 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.

This abstract is reproduced with the permission of the publisher; click on the above link for free full text.

      

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