Manipulation Under Anesthesia
What is M.U.A.?
Manipulation Under Anesthesia, or M.U.A., is a non-invasive, highly specialized technique performed by specially trained chiropractic, osteopathic, and medical physicians for patients who are not finding relief through conservative treatment, or who have been facing or have already had surgery.
M.U.A. is an effective alternative to risky and invasive spinal surgery. Studies prove that M.U.A. eliminates or greatly reduced pain and restores or greatly improves normal range of motion.
M.U.A. is not "new," but has actually been around since the 1930s and has been used by osteopathic and orthopedic physicians for many years as a proven form of treatment for many chronic pain conditions.
During the past several years, M.U.A. has become the treatment of choice thanks to tremendous advances in techniques and anesthesiology, such as twilight sedation.
Who can benefit?
M.U.A. can be an effective procedure for people with chronic neck, back and joint problems including pain and restricted motion. It is also effective for people with conditions caused by long-term disabilities, accidents, and injuries that have not been responsive to conventional treatment. |
Here are some conditions that M.U.A. may help:
• | Fibrous adhesions | ![]() |
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• | Pain from chronic disc problems | ||
• | Herniated discs (without fragmentation) | ||
• | Fibromyalgia | ||
• | Torticollis | ||
• | Frozen shoulder | ||
• | Frozen hip | ||
• | Chronic headaches | ||
• | Cervicogenic headaches | ||
• | Failed back surgery | ||
• | Carpal tunnel syndrome | ||
• | Tarsal tunnel syndrome | ||
• | TMJ | ||
• | Plantar Fascitis |
How does this work?
M.U.A. achieves results because it allows the doctor to adjust/manipulate the bones and muscles without the usual resistance. Twilight sedation (light sedation) allows you to be responsive but not apprehensive. Adjustments are completed gently and fibrotic adhesions that restrict range of motion and contribute to pain are gently released. Muscles are stretched and the fibers are remodeled to reduced and eliminate restriction.
The result: pain and discomfort are decreased, if not eliminated.
Am I a candidate?
Patients who have failed conservative care or have reached a "plateau" are potential candidates for this procedure. However, careful selection of qualified candidates is key to success. Call Dr. David Migdal's office at (561) 790-6388, to schedule a free consultation to find out if you are a candidate for this procedure.
Once you are approved for M.U.A., you will require a complete medical screening so you can be cleared for twilight sedation.
Your doctor may also order additional tests, such as MRIs, blood tests, EKG, chest x-ray and pregnancy test.
After the procedure...
Generally speaking, you will not be under any restrictions and you may return to your normal routine, including work. To maximize M.U.A., physical therapy and adjustments/manipulation should be started soon after undergoing M.U.A. You should expect 6-8 weeks of these treatments, which are typically performed at your doctor's office; however, your doctor may refer you to a physical therapist. Treatment may include: stretching exercises, strengthening exercises, neuromuscular rehabilitation, electrical muscle stimulation and cryotherapy (ice). Following the prescribed program will help you regain pre-injury strength and help prevent pain and disability in the future.
Get the relief you deserve — get your life back!
Call Dr. David Migdal's office at (561) 790-6388, to schedule a free consultation to find out if you are a candidate for this procedure.