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Manipulation Under Anesthesia (MUA)


Chronic pain sufferers across the nation are discovering the tremendous benefits of a procedure called Manipulation Under Anesthesia, or MUA.

MUA is a non-invasive, highly-specialized technique performed by specially trained chiropractic physicians. After medical clearance, the patient is sedated to achieve a state of relaxation. This state of relaxation allows the doctor to complete a series of adjustments and stretching movements without patient apprehension or muscle congestion. The results for properly selected patients are phenomenal.

For patients who are not finding relief through conservative treatment or who may be facing (or recovering from) surgery, MUA could be an effective alternative. Studies prove that MUA eliminates or greatly reduces pain, and it also restores or greatly improves range of motion. Compared to surgery and other procedures, the return-to-work and return-to-activity rates for MUA patients are significantly faster and longer lasting.


MUA has been practiced since the late 1930s and used by osteopathic physicians and orthopedic surgeons for many years as a proven form of treatment for many chronic pain conditions. During the past several years, the use of MUA has greatly increased thanks to tremendous advances in both the technique and in anesthesiology.

Today, MUA is a multi-disciplinary outpatient procedure that takes place in a medical setting. Case studies continue to show that MUA is safe and effective.


MUA can be an effective procedure for people with chronic neck, back and joint problems. It is also effective for people with conditions caused by long-term disabilities or accidents, and for injuries that have not been responsive to conventional treatment. Here are some of the conditions MUA helps:
• Fibroadhesion buildup 
• Chronic disc problems 
• Herniated disc without fragmentation 
• TMJ 
• Intractable pain from neuromusculoskeletal conditions 
• Torticollis 
• Chronic re-injury 
• Failed back surgery 
• Frozen shoulder


MUA achieves results because it allows your caregivers to adjust the bones and muscles - the therapy of choice - without the usual resistance. Light sedation allows you to be responsive but not apprehensive.

Adjustments are completed gently. Fibrotic adhesions, which limit range of motion and contribute to pain, are altered. Muscles are stretched; and collagen fibers are remodeled to eliminate or reduce restriction. The result - pain and discomfort are decreased or eliminated.


Generally speaking, any chronic pain patient who has reached a plateau using traditional therapy should consider MUA. However, careful selection of qualified patients is a key to success. Your doctor will help determine if MUA is an option for you.

Once you are approved for MUA, you will need to complete a medical screening process so you can be cleared for light sedation. Your doctor will also decide whether you need one or more MUA procedures.

Medical tests usually will include: 
• CBC blood studies 
• SMA 6 
• Chest X-ray and EKG, or electrocardiogram, for patients 50 and older 
• A pregnancy test for female MUA patients.

Your doctor may also order additional tests, such as MRI, as needed. After medical clearance, your MUA procedure will be scheduled.


Post-procedure care is one of the most important parts of the MUA procedure. Post-procedure care should begin soon after the MUA procedure is completed.

Typically, you will visit your doctor's office and move through a combination of stretching exercises, followed by cryo-therapy and electrical stimulation. You then return home to rest.

Following your final MUA procedure (if more than one) you can maximize results by following a consistent post care therapy program for the next seven to ten days in the doctor's office. You will be taken through the same stretches accomplished during the MUA procedure.

You will then continue rehabilitation for the next four to six weeks with stretching, flexibility and strengthening exercises, plus regular adjustments as suggested by your doctor.

A consistent program of post-MUA therapy will help you regain pre-injury strength and help prevent pain and disability in the future.


Hundreds of case studies indicate that MUA has a 85% to 90% success rate with carefully selected patients. Following the MUA procedure and consistent post-procedural care, chronic pain patients enjoy restored mobility and restored range of motion, plus greatly reduced pain or no pain at all.

They are able to return to work quickly as well as resume the activities and daily pleasures they had been denied because of pain.

Now accepting qualified patients for the MUA procedure. Please call for a FREE CONSULTATION.


Jersey City Chiropractor | Petracco Chiropractic Center | 201-533-0055