MUA, also known as Manipulation Under Anesthesia, is a non-invasive procedure increasingly offered for acute and chronic conditions, including the following:

• Neck, Back, and Joint Pain

• Muscle Spasms

• Shortened Muscles

• Fibrous Adhesions

• Long Term Pain Syndromes

MUA is generally considered safe and is utilized to treat pain arising from the cervical, thoracic and lumbar spine as well as the sacroiliac and pelvic regions.

Manipulation under anesthesia uses a combination of specific short lever manipulations, passive stretches and specific articular and postural kinesthetic maneuvers in order to break up fibrous adhesions and scar tissue around the spine and surrounding tissue.

The manipulation procedures can be offered in any of the following ways:

• Under general anesthesia

• During mild sedation

• Following the injection of anesthetic solutions into specific tissues of the spine.

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Supporting Studies/Great Results

There are several research studies about the effectiveness of manipulation under anesthesia, including:

1. 83% of 600 patients with EMG verified radiculopathies reported significant improvement - Robert Mensor, MD

2. Patients that had back pain for a minimum of 10 years reported an 87% recovery rate after MUA - 1987 with Ongly et al

3. 51% of patients with unrelieved symptoms after conservative care had been exhausted reported good to excellent results three years post MUA - Donald Chrisman, MD

4. 71% of 723 MUA patients had good results (return to normal activity relatively symptom free) and 25.3% had fair results (return to normal activity with slight residuals) and that flexibility, elasticity and range of motion can be restored following MUA - Bradford and Siehl

5. 83% of 517 patients treated with MUA responded well - Paul Kuo, MD professor of Orthopedic Surgery

6. Krumhansi and Nowacek reported on an MUA study done on 171 patients who experienced constant intractable pain for several months to 18 years. All of the patients of the study failed other conservative intervention. The results of the study showed that 25% of the patients had no pain, 50% were much improved with pain markedly decreased, 20% were better and could tolerate their pain but it interfered with work and recreation. Failures comprised 5% where there was minimal or no pain relief periods.

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