Manipulation Under Anesthesia (MUA)

Manipulation Under Anesthesia, otherwise known as MUA, is a non-invasive, outpatient procedure offered for acute and chronic conditions which include: neck pain, back pain, joint pain, muscle spasms, shortened muscles, fibrous adhesions and long-term syndromes. By lightly anesthetizing a patient, once painful adjustments and movements are accomplished quickly and pain free helping to greatly improve or even restore range of motion. Manipulation Under Anesthesia is a viable alternative for those patients that are not responding to traditional conservative care or other invasive procedures, such as surgery. Only a physician that has been certified in MUA along with a Board Certified Anesthesiologist can perform the MUA procedure.
Who would be a Candidate for MUA?
In general patients selected for Manipulation Under Anesthesia are those with certain shoulder, hip, neck, mid-back, low-back or other spinal conditions that have received conservative care for six to eight weeks with limited or no improvement in symptoms or findings. MUA may also be appropriate for those patients that still experience pain after undergoing various invasive treatments, such as surgery. Common indications for MUA include neck, middle and lower back pain, chronic muscle spasm, chronic fibrosis, nerve entrapment, disk pathology including herniated disks, torticollis and failed back surgery. Most Importantly, Manipulation Under Anesthesia gives patients immediate relief and a noticeable difference in their daily lives post procedure. These positive results only continue to improve with time and post-MUA therapy. Not all patients qualify for MUA as contraindications prevent some from undergoing the procedure.


Common conditions treated

Neck Pain
Middle Back Pain
Low Back Pain
Chronic Muscle Pain
Muscle Inflammation
Acute Muscle Spasm
Decreased Range of Motion



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