Manipulation Under Anesthesia

Manipulation Under Anesthesia (MUA), Florida Chiropractic

Manipulation under anesthesia (MUA) is a non-operative outpatient procedure that has become extremely popular for both acute and chronic musculoskeletal disorders such as:
• Back pain – herniated disc, degenerative disc disease, failed back surgery, sciatica
• Neck pain – degenerative arthritis, radiculopathy
• Shoulder pain such as frozen shoulder (adhesive capsulitis)
• Other joint Pain and stiffness (e.g. knee stiffness after total knee replacement)

The Manipulation Under Anesthesia (MUA) procedure has a low risk profile with very good results. Anesthesia is utilized and it is non-surgical. Manipulation Under AnesthesiaThe procedures are done by licensed doctors, such as Florida chiropractors and pain management doctors, with specific training and certification for the MUA procedure. The procedures are done in an outpatient surgery center under light intravenous sedation, which is not general anesthesia (patients are not completely put out).

A team approach with 2 doctors is utilized to break up the individual’s scar tissue. To set the patient up for the best possible long term outcome, the treatments are typically performed over several days, usually three. Chiropractors and pain management doctors in Florida who do the procedures must receive special training in manipulation under anesthesia.

The manipulation under anesthesia procedure has been in use for over 60 years to break up scar tissue, decrease muscle spams, and overcome hyper sensitivity of injured areas such as pain from reflex sympathetic dystrophy (RSD). Conditions such as RSD involve continuous pain from sympathetic nerve overload, which the MUA procedure can help by “breaking the cycle”.

Patients with the following diagnoses may be candidates for the MUA procedure:
• Failed back surgery
• Fibromyalgia
• Sciatica
• Degenerative Disc Disease
• Chronic headaches
• Chronic back pain or neck pain of all varieties
• Reflex Sympathetic Dystrophy (RSD)

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MUA is a very rewarding procedure. The treating provider manipulates the problematic region and soft tissue beyond where the person normally could achieve range of motion since anesthesia is used and the patient is amnestic.

If the MUA were performed while the person was awake, there would be too much resistance to achieve maximum benefit due to pain. Also, doing the procedure over a few days has shown increased benefits for better range of motion and pain reduction.

The patient receives good results from the procedure by enhancing the range of motion without feeling pain Manipulation Under Anesthesiaduring the manipulation. The pain experienced after the procedure is usually low with a fairly short recovery time. Patients are required to attend therapy sessions for a few weeks after the procedure to ensure maintenance of the the range of motion achieved.

Several professional athletes have had a successful MUA, including Baseball Hall of Famer Gary Carter and the likes of 4 time Heavyweight Boxing Champion Evander Holyfield.
Mostly, though, it is done on regular individuals who have not responded to substantial conservative treatment and are seeking a non-surgical option for pain relief.