Manipulation Under Anesthesia

Treatment in Florida with MUA = Manipulation Under Anesthesia

Manipulation under anesthesia (MUA) is a nonsurgical procedure that has become very popular for musculoskeletal conditions including :
• Shoulder pain including diagnoses such as frozen shoulder
• Back pain – sciatica, degenerative disc disease, failed back surgery, herniated disc
• Neck pain – radiculopathy, degenerative arthritis, chronic whiplash
• Other joint stiffness and Pain and stiffness (e.g. knee stiffness after artificial knee replacement)
Manipulation Under Anesthesia (MUA) procedure has fairly low risk associated with the procedure and has shown very good outcomes. Anesthesia is used and the procedure is nonoperative. Manipulation Under AnesthesiaLicensed doctors perform MUA’s such as Florida chiropractors and pain doctors, who have received certification and special training in Manipulation Under Anesthesia. MUA is done in an outpatient procedure center with low grade IV sedation, which means people are not completely put out for the procedure.

Two doctors work as a team on the patient to break up the person’s scar tissue. Typically, an MUA is performed over multiple days, often three.

For over sixty years, the manipulation under anesthesia procedure has been used to overcome hyper sensitivity of injured anatomic areas such as pain from RSD, to break up scar tissue, and reduce muscle spams. Conditions such as RSD (also known as CRPS) involve continuous pain from overload of sympathetic nerve activity, which the MUA procedure can assist with by “breaking the cycle”.

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

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MUA is a procedure with excellent outcomes. The treating doctor manipulates the problem soft tissue area beyond where the individual could typically achieve range of motion without anesthesia. With the person being under IV sedation, extra range of motion is gained.

If the procedure were done with the person awake, too much resistance would be encountered due to pain to receive maximum benefit. Also, by performing the procedure over multiple days  better range of motion is achieved along with more effective pain reduction.

The patient obtains great results from the MUA by increasing the range of motion without the individual feeling pain Manipulation Under Anesthesiaduring the manipulation. Usually, the pain felt aftwerwards is typically low with a fairly short recovery time. People attend physical therapy sessions for several weeks afterwards to ensure the new level of rang of motion is maintained.

Several pro athletes have had successful results with an MUA procedure, including Four time Heavyweight Boxing Champ Evander Holyfield and Baseball Hall of Famer Gary Carter.
Mostly, though, it is performed on regular individuals who have not responded to considerable conservative treatment and need a nonoperative option for pain relief.