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Manipulation Under Anesthesia (MUA) 
A Non-Invasive Alternative Procedure For Chronic Pain Manipulation Under Anesthesia is a non-invasive procedure offered for "chronic" conditions that have been unresponsive to conventional treatment, including: headaches, neck and back pain, leg pain, joint pain, muscle spasm, fibromyalgia, and long term pain syndromes. It is considered safe and is utilized to treat pain arising from the cervical, thoracic, and lumbar spine as well as the sacroiliac, pelvic regions, and joints. Manipulation under anesthesia is a technique that originated in the 1930's where patients are placed in "twilight" sedation so that the spine can be adjusted and the soft tissue stretched when the patient is in a more relaxed state. Licensed physicians who have specialized training for this procedure perform the treatment in a surgical center. A team approach is required to have a safe and successful outcome. The team includes an anesthesiologist, two primary physicians who perform the manipulation, and the nursing stafff who are specifically trained in pre/post procedure protocol. The combination of manipulation and anesthesia is not new as the treatment has been a part of the medical area for more than 80 years. Frequently Asked Questions Why use anesthesia? When body movement is difficult the benefit of being sedated is obvious, but anesthesia also interrupts the cycle of muscle spasm to allow for increased movements, sedates the "pain" nerves that have been irritated due to the dyfunctional spine or joint, and allows complete muscle relaxation so that the doctor can stretched shortened muscle groups and reduce adhesions caused by scar tissue. What happens during the procedure? On the day of the MUA, the patient must be accompanied by a friend or family member who can drive the patient home. MUA is not an invasive surgery. A small amount of anesthesia is administered by a board certified anesthesiologist. After the patient has fallen asleep, a process of stretching the muscles takes place for about 20 minutes. Afterward the patient wakes up and is monitored by qualified personnel until discharge. Most MUAs take place over a period of 3 consecutive days. What is post-procedure care? After the MUA procedure, the patient will follow an individualized 4-6 week program designed for MUA patients by physical therapists. Rehabilitation includes stretching, flexibility, and strengthening exercises. This regimented post MUA therapy will help the patient regain pre injury strength and help prevent future pain and disability. Will my insurance cover MUA? Due to the high success rate for patients who have previously experienced chronic pain, MUA procedures are now covered by most major insurance plans. If you or someone you know may benefit from Manipulation Under Anesthesia, schedule a complimentary consultation with Dr. Kennedy today!
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