Manipulation Under Anesthesia (MUA) is a non-invasive procedure used to restore range of motion and relieve acute and chronic shoulder, knee, neck, back, joint, and migraine pain that has not responded to other treatments. MUA can be especially beneficial to patients with conditions caused by long-term disabilities that have resulted from accidents and sports injuries. When a patient is mildly sedated, our center’s trained physicians are able to perform deep tissue pressure, traction and muscle stripping at a much deeper level than what normally would be tolerated without sedation. A combination of short lever manipulations, passive stretches, and muscle, joint, and tendon movements are used to break up fibrous adhesions and scar tissue around joints and muscles. Scar tissue and fibrous adhesions can greatly restrict range of motion and cause pain.
The first step is a complete examination and consultation with one of the center’s physicians, who will determine whether a patient is a viable candidate for MUA. The procedure is performed under a sedative, selected on an individualized basis by the anesthesiologist. During the procedure, two specially trained physicians mobilize the patient’s restrictive areas utilizing controlled passive stretching techniques. The patient is also injected with anti-inflammatory medication. He or she is awakened when the manipulations and mobilizations are completed and then monitored during a recovery period.
Most patients experience dramatic improvement in their range of motion and a reduction in pain shortly after MUA. Following the procedure, patients must undertake a rehabilitation program for a minimum of two to four weeks to prevent the re-formation of adhesions and ensure long-term relief. For more than 60 years MUA has provided life-changing pain relief for a number of patients. The procedure boasts a success rate of 80-90 percent, according to the Journal of the American Osteopathic Association.
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