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Manipulation Under Anesthesia (MUA)

This is an outpatient procedure that effectively treats chronic neck, back and extremity pain and dysfunction. Most candidates for MUA have already had an adequate trial of conservative care including medications, injections, in-office manipulations, rehabilitation and physical therapy. Many have even been considered for interventional pain injections and/or surgical intervention. These individuals have mechanical dysfunction of the joints and scar tissue build up in the supporting soft tissues of the spine resulting in joint and muscle dysfunction, chronic stiffness and pain. Many patients with herniated discs have avoided surgery by undergoing a series of MUA procedures. Numerous patients who have already undergone surgery and still have significant pain and dysfunction develop scar tissue and are often referred by their surgeons and treating physicians for the MUA procedure and achieve incredible results.

Treatment Areas

Knee Manipulation Under Anesthesia

Knee MUA has been performed by orthopedic surgeons for many years to reduce the scar tissue formed from post surgical restriction. Our techniques are similar but again, accomplished in multiple days allowing for the body to respond to the necessary movement, rather than forcing the movement potentially hurting the patient and requiring longer post conservative care. By gentle movement, the knee MUA accomplishes the return to normal movement with increased range of motion and with much less pain and debilitation.

Manipulation Under Anesthesia for Shoulder Pain

MUA of the shoulder has been one of the many types of therapies that has been offered for restriction of “frozen shoulder” for many years by orthopedic surgeons. The procedure that we offer is a little less traumatic, and involves taking the shoulder through specific ranges of motion over two to three days. By gently returning the shoulder to its normal ranges, with small incremental movements rather than one giant pulling movement as others would do, not only is there less chance of tearing surrounding tissues, but there is a much greater chance for full recovery with less post care required. MUA of the shoulder as performed by our doctors is a life changing experience.

Manipulation Under Anesthesia for Neck Pain

Manipulation Under Anesthesia of the cervical spine (neck) is one of the most gentle procedures that we offer our patients. If you suffer from Migraines, cluster headaches, painful movement from automobile accidents, then MUA is the treatment of choice for you. As stated in the Low Back section, gentle movement is accomplished to relieve muscle spasm and the motion that has been decreased from trauma, or chronic recurrent types of headaches. MUA is gentle, and the force that is used to move the spinal segments is less than half the force that is used in the office environment. This allows the treating doctor to judge the motion and movement necessary to return your neck to its normal mobile state without hurting you in the process like some types of therapy might cause. MUA of the neck is one of more successful types of MUA.

Manipulation Under Anesthesia for Lower Back

Low back pain is one of the leading causes of debilitation for the general public, and specifically in the work environment. Many types of treatment have been offered to the general public as a “cure” for low back, with little successful results. Happily in recent years, the MUA procedures have been one of the most successful types of procedures offered as an alternative to prolonged conservative care with minimal relief, or potential surgery. If you ( as a patient of back pain) are able to be gently taken through painful ranges of motion when you are asleep, and the joints, joint capsules, and holding musculature is gently stretched into normal motion, the chances of recovery is so much greater than if you were to try this same type of movement when you are awake and in spasm from pain emanating from abnormal movement.

FAQ

What is MUA?

Manipulation Under Anesthesia (MUA) is an outpatient procedure that effectively treats chronic neck, back and extremity pain and dysfunction. Most candidates for MUA have already had an adequate trial of conservative care including medications, injections, in-office manipulations, rehabilitation, physical therapy, and some have even been considered for surgical intervention. These individuals have mechanical dysfunction of the joints and scar tissue build up in the supporting soft tissues of the spine resulting in joint and muscle dysfunction, chronic stiffness and pain. Many patients with herniated discs have avoided surgery by undergoing a series of MUA procedures. Numerous patients who have already undergone surgery develop scar tissue and are referred by their surgeons and treating physicians for the MUA procedure.

Who can benefit from MUA?

MUA can be a valuable procedure for people with chronic neck, back and joint problems caused by long-term disabilities, accidents, and/ or injuries that have not proven to be responsive to conventional conservative treatment.

Common, general indications that MUA could be effective include:

  • Fibro Adhesion Buildup
  • Chronic Disc Problems
  • Herniated Disc without Fragmentation
  • Chronic Myofascitis
  • Chronic Headaches/Migraines
  • Intractable Pain from Neuromusculoskeletal Conditions
  • Torticollis
  • Chronic Re-injury
  • Failed Back Surgery
  • Chiropractic patients who have reached a plateau using traditional therapy also can significantly improve their quality of life using MUA.
What are the risks?

MUA has been around since 1938 when it was brought to the United States from Great Britain. Even back in the early days of MUA, there was a high rate of success with minimal risk. Today, 85 to 90% of all patients that have MUA have significant results that last long term. When your doctor determines that you are a candidate for the MUA procedure, a comprehensive examination will be performed specific to the areas that will be treated. You will undergo a medical clearance for the MUA and anesthesia. On the day of your procedure, a follow-up evaluation will be performed by the anesthesiologist and the medical team at the surgical center. You will be asked to sign an informed consent that will insure your understanding of the procedure and that all of your questions have been answered. The anesthesia that is used is Monitored Anesthesia Care or MAC for short, and is very gentle and allows for patient self preservation.

Is MUA new or experimental?

MUA is neither new nor experimental. It’s actually been practiced since the late 1930s and used by osteopathic physicians and orthopedic surgeons for many years as a proven form of treatment. During the past eight years, interest in MUA has greatly increased thanks to the tremendous advances in anesthesiology. Today, MUA is a multi-disciplinary outpatient procedure that takes place in a controlled hospital or ambulatory surgical setting, usually over the course of one to three days. Using specialized chiropractic techniques, supported by the expertise of MDs, RNs and anesthesiologists, MUA achieves maximum results for qualified patients. Countless recent case studies and medical research continue to show that MUA is widely regarded as safe and effective.

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