Home Patient Sign-Up Ark-La-Tex Health Center James D Raker D.C. 1414 Arkansas Blvd Texarkana, AR 71854-1604 Ph1: 870-773-7246 Fax: 870-772-2568 Arklatexhealth@aol.com Credit Cards      Insurance Most insurance plans accepted Blue Cross Blue Shield Medicare Clinic Administration   Chiropractic

Ark-La-Tex Health Center       Driving Directions Education About Chiropractic Bulletins   Testimonials Products About Staff About Clinic   Memberships         About Our Practice Medical and Chiropractic practice focusing on family care, and industrial medicine such as drug screens, physicals, ergonomic assessments, and safety. Additional Staff Therapists Clay Nash MD - Medical Director Lisa Daffern - Nurse Practictioner Office Manager Vickie   Techniques Palmer Package Diversified Gonstead Manipulation under anesthesia   Services Blood Analysis X-ray Examination Physiotherapy Urine Analysis   Specialties Ergonomics Industrial Consult. Carpal Tunnel Manipulation Under Anesthesia Medicine Scoliosis Acne Phototherapy Skin Lesion Therapy Manipulation Under Anesthesia GUIDELINES FOR THE UTILIZATION OF MANIPULATION UNDER ANESTHESIA Definitions and Objectives: Manipulation of the spine under anesthesia is the art, science and practice of the restoration of the function of bones, joints, muscles, tendons and ligaments. The overall objective is to relieve the patient�s pain and disability and normalize joint motion and musculoskeletal function without incisional surgery. It provides a more aggressive approach to conditions non-responsive to conservative clinical management. Indications: A. Acute conditions In acute spinal conditions when there is pain and spasm and an anesthetic is desired for manipulation to afford the patient relief of intractable musculoskeletal disorders. B. Chronic conditions In chronic spinal conditions when the patient has received regular conservative manipulative treatment over a long enough period of time to produce results and no improvement has occurred. Spinal manipulation under anesthesia is indicated but not limited to the following conditions: 1. Acute strain/sprain with intractable muscle spasm. 2. Acute intractable torticollis. 3. Chronic fibrotic changes in the paravertebral musculature. 4. Chronic myofascitis 5. Chronic myositis 6. Chronic fibrosis (intra-articular, articular and peri-articular). 7. Non-responsive or static paravertebral muscular spasm. 8. Peridural fibrosis. 9. Failed surgical back syndrome. 10. Bulging disc. 11. Herniated disc. 12. Anomalies with restricted motion following trauma (including secondary or adaptive muscle shortening)   Clinic Hours        open  close  open  close      Sun  Closed      Mon  9:00 AM  Noon  2:00 PM  6:00 PM      Tue  9:00 AM  Noon  2:00 PM  6:00 PM      Wed  9:00 AM  Noon  2:00 PM  6:00 PM      Thr  9:00 AM  Noon  2:00 PM  6:00 PM      Fri  9:00 AM  Noon  2:00 PM  6:00 PM      Sat  Closed   Driving Directions Across from the Sonic on Arkansas Blvd Map... (a new window will open)