What is MUA?
Manipulation under anesthesia (MUA) is a gentle outpatient procedure that involves manual medicine techniques delivered by a chiropractic physician while you are lightly sedated. Key MUA techniques include:
- Joint manipulation (i.e., chiropractic adjustments)
- Joint and soft tissue mobilization
- Muscle stretching
- Joint traction
MUA is a conservative, noninvasive treatment and an effective alternative to conventional therapies for pain and dysfunction, including physical therapy, pain medication, and injections. MUA yields significant health benefits in over 80 percent of patients. The following problems (among many others) respond favorably to MUA:
- Back and hip pain
- Neck pain
- Jaw pain
- All injuries
- Frozen shoulder
- Migraine headache
- Chronic pain in all joints
How and Where is MUA Performed?
MUA is performed by a chiropractor, osteopath or medical doctor who has advanced training in this technique. The lead physician is aided by a small support team that may include other DC’s, DO’d and/or MD’s. The following steps describe a typical MUA session:
- An anesthetic (MAC) is administered by a board-certified anesthesiologist.
- A MUA certified physician (DC, DO and/or MD) performs the key manual procedures listed above to restore proper tissue tone and joint function and reduce any scar tissue or adhesions.
- The anesthesiologist awakens you from the anesthesia a few minutes after the procedure is completed.
- You are taken to recovery and monitored until you are fully awake (usually a short period).
- You are discharged to rest and provided home care instructions for that day.
- You participate in post-MUA therapy with usually starts within a few days of the procedure for about 4 weeks. This includes passive modalities, passive and active stretching and light strengthening exercise.
MUA is always performed in a ambulatory surgical center (ASC).
How Long Does it Take?
A typical MUA session will last for less than 15 minutes. The exact procedure described above is usually performed on two consecutive days to achieve maximum health benefits. Another procedure may be necessary pending results but usually is not needed. Several follow-up office visits with your physician may be required for a brief period after your MUA procedure. These visits help you preserve the flexibility, increased range-of-motion and improved function that you achieve from your MUA procedure.