Good Health Naturally
Good Health Naturally
Bartosek Chiropractic Center
Bartosek Chiropractic Center


Manipulation Under Anesthesia

For chronic pain sufferers across the United States and Abroad, a simple and painless procedure is offering a level of relief never dreamed possible.

Instead of allowing patients that failed to respond to conservative care slip into a cycle of drugs and surgery, doctors are giving them the opportunity to live pain free lives through a procedure known as Manipulation under Anesthesia (MUA).

Manipulation of the spine with the patient sedated is one of the most gentles and most effective methods of altering chronic conditions. MUA provides manipulation and adjustments of the spine and surrounding tissue in an atmosphere where the patient is more responsive and less apprehensive, therefore eliminating resistance and muscle contracture.

Established and widely recognized in the manual medical arena for more than sixty years, MUA is a viable alternative for patients that do not respond to traditional care or invasive surgical procedures. The MUA procedure continues to gain widespread support and recognition in the medical community and is helping to bring much-needed relief to a greater patient base than ever before.

This is a comprehensive guide to Manipulation Under Anesthesia.(MUA).

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What is Manipulation Under Anesthesia?

Manipulation Under Anesthesia, otherwise known as MUA, is a non-invasive procedure increasingly offered for acute and chronic conditions, including: neck pain, back pain, joint pain, muscle spasm, shortened muscles, fibrous adhesions and long term pain 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 of other invasive procedures such as surgery.

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What is the History of Manipulation Under Anesthesia?

Manipulation Under Anesthesia is an established and widely recognized procedure that has been part of the manual medical arena for more than sixty years.


The practice of MUA can be traced back to the late 1930's and its popularity has continued to grow in recent years as research has shown that MUA is not only safe, but also highly successful in treating acute and chronic musculoskeletal conditions.

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Who would be a Candidate for Manipulation Under Anesthesia?

In general, patients selected for Manipulation Under Anesthesia are those with certain 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 Manipulation Under Anesthesia include neck, middle and lower back pain, chronic muscle pain and inflammation, acute and chronic muscle pain and inflammation, acute and chronic muscle spasm, chronic fibrositis, nerve entrapment, disk pathology including herniated disks, torticollis and failed back surgery.

Not all patients qualify for MUA as certain contraindications prevent some from undergoing the procedure. Consult your physicians or contact Deerfield Outpatient Surgery Center to determine if you are an MUA candidate.

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What is Manipulation Under Anesthesia Procedure like?

The Manipulation Under Anesthesia procedure involves three consecutive days of treatment. During these three days a patient is treated with spinal manipulative theraphy and MUA stretches.

Since the patient is lightly sedated during the MUA procedure, the usual resistance and pain associated with manipulation is eliminated. Through the use of "conscious sedation," a patient is conscious and responsive, but relaxed, allowing the physician to administer adjustments similar to those received during regular chiropractic visits but more effectively.

After the procedure, treatment continues as strengthening and stabilization programs are initiated over the next few weeks. Post-Procedure care is a vital part of the MUA procedure. Follow-up visits with a Chiropractic Physicians are important at this time as the stretches accomplished during the MUA procedure are built upon, helping the patient to regain strength and prevent future pain and discomfort.

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Where is the Manipulation Under Anesthesia Procedure Performed?

The Manipulation Under Anesthesia procedure is performed at Deerfield Outpatient Surgery Center, an independently owned and operated, state-of-the-art, multi-specialty Ambulatory Surgery Center located in Deerfield FL. Here patients receive the best in comprehensive, personalized care as well as the convenience and privacy of a same day surgical center.

Deerfield Outpatient Surgery Center's facilities include fully-equipped, State Licensed and Medicare Certified operating rooms, Board Certified Anesthesiologists/ Anesthetists, monitored recovery rooms, spacious waiting areas for a patient's family and friends, plenty of onsite parking, handicap accessibility.

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Who Performs the Manipulation Under Anesthesia Procedure?

Those involved during the MUA procedure include the Board Certified Anesthesiologist, an MUA certified M.D./D.O. and or D.C. who performs the manipulation and the skilled nursing staff of Deerfield Outpatient Surgery Center.

Only a physician that has been certified in MUA can perform the MUA procedure. At Deerfield Outpatient Surgery Center we take pride our doctors who are not only certified by accredited institutions in MUA, but highly experienced, having helped to relieve the pain of hundreds of patients.

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What are the Effects of Manipulation Under Anesthesia Procedure?

The proposed effects of Manipulation Under Anesthesia therapy include the following:
  • Breaking up scar tissue (adhesions) both in and around the spinal joints, commonly caused by multiple injuries or failed back surgery.
  • A decreasing chronic muscle spasm
  • Overcoming super-sensitivity of injured areas, making the patient unable to cooperate for effective treatment
  • Stretching persistent shortened muscles, ligaments and tendons
  • Relief from pain and radiating symptoms caused by damaged invertebral discs.

Most importantly however, Manipulation Under Anesthesia affords patients immediate relief and noticeable difference in their daily lives post-procedure. These positive results only continue to improve with time and post-MUA therapy.

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My Doctor Says I am a Candidate for MUA...

Patients who have been selected for Manipulation Under Anesthesia Procedure by their doctor typically undergo a medical screening process to determine true MUA candidacy.

This screening process includes a medical history and physical examination and where indicated, CBC blood studies, chest X-Rays, EKG's and other diagnostic tests such as MRI or CT's.

Once a patient is cleared and medical necessity for MUA is determined, a Deerfield Outpatient Surgery Center representative will pre-certify and schedule the procedure dates and times. Deerfield Outpatient Surgery Center will also handle the explanation of all pre and post-operative instructions, answer any questions the patient may have about the procedure and arrange transportation for the patient if necessary. At Deerfield Outpatient Surgery Center, we pride ourselves on working with our patients to make their MUA experience as hassle free, comfortable and successful as possible!

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