Manipulation Under Anesthesia (MUA)

Manipulation Under Anesthesia (MUA) in chiropractic care is a specialized procedure combining skeletal and soft tissue manipulation while the patient is under anesthesia. It is most often used to treat chronic pain and musculoskeletal conditions in patients who have not responded to traditional conservative treatments.

Manipulation Under Anesthesia allows deeper manipulation of the affected areas without the resistance or guarding reflexes typically present during conscious treatment. This procedure is conducted in a controlled clinical setting by chiropractors who have received specific training and certification in MUA techniques.

Our team of doctors, chiropractors, and physical therapists have helped countless patients in Georgia. If you have been hurt in an accident, we can connect you with a personal injury lawyer. Call us today at 1-800-HURT911 or 855-475-2588!

When Is Manipulation Under Anesthesia (MUA) Used?

MUA is often considered when other treatment options, such as manual chiropractic adjustments, physical therapy, medications, and injections, have failed to provide sufficient relief for chronic pain conditions. It is commonly used to address a variety of musculoskeletal issues, including chronic back pain, neck pain, joint stiffness, fibrous adhesions, and limited range of motion.

How Does MUA Help Patients?

One of the primary goals of MUA is to break up adhesions and scar tissue that may have developed in the soft tissues surrounding the spine or joints due to injury, chronic inflammation, or degenerative changes. By applying controlled force and manipulation techniques, the chiropractor aims to restore normal joint mobility, improve flexibility, and alleviate pain.

Additionally, MUA may help to release entrapped nerves, improve circulation, and promote tissue healing.

Pre-Procedure Evaluation

Chiropractors and medical professionals thoroughly evaluate medical history, physical condition, and diagnostic imaging studies to determine if the patient is a suitable candidate for MUA. Patients with certain medical conditions or risk factors may not be eligible for MUA due to safety concerns.

Once cleared for the procedure, the patient is scheduled for MUA in a hospital or outpatient surgical center, where they are placed under monitored anesthesia care (MAC) or general anesthesia administered by an anesthesiologist.

What Happens During Manipulation Under Anesthesia?

During the MUA procedure, the patient is in a state of sedation or unconsciousness, which allows the chiropractor to perform gentle stretching, mobilization, and manipulation techniques without causing discomfort or resistance.

The anesthesia also helps to relax muscle spasms and reduce pain sensitivity, facilitating more effective manipulation of the affected areas. The chiropractor utilizes specific adjustments and maneuvers tailored to the patient’s condition, targeting areas of restricted movement, scar tissue, and joint dysfunction.

After Chiropractic Adjustment Under Anesthesia

Following the MUA procedure, patients are monitored closely as they recover from anesthesia. They may experience some post-procedural soreness or stiffness, which is typically mild and temporary. Depending on the individual patient’s response and the nature of their condition, multiple MUA sessions may be recommended to achieve optimal results.

Aftercare instructions, including rest, hydration, and gentle exercises, are provided to support the recovery process and minimize the risk of complications.

Risks of Manipulation Under Anesthesia

While MUA can be an effective treatment option for certain patients with chronic pain and musculoskeletal conditions, it is not without risks. Potential complications associated with MUA may include anesthesia-related adverse effects, temporary soreness or bruising, exacerbation of pre-existing symptoms, and rare instances of injury to the spine or surrounding tissues.

Therefore, thorough patient evaluation, careful selection criteria, and adherence to established protocols are essential to minimize risks and ensure patient safety during MUA.

Part of a Treatment Plan

It’s important to note that MUA is not a standalone treatment but rather a part of a comprehensive multidisciplinary approach to managing chronic pain and musculoskeletal disorders. Patients undergoing MUA may also benefit from other treatment methods such as physical therapy, rehabilitation, and lifestyle modifications to optimize their outcomes and long-term well-being.


Manipulation Under Anesthesia (MUA) is a specialized procedure in chiropractic care designed to address chronic pain and musculoskeletal conditions in patients who have not responded to conventional treatments. By performing chiropractic adjustments while the patient is under anesthesia, MUA allows for deeper manipulation of the affected areas, targeting scar tissue, joint dysfunction, and restricted mobility.

While MUA can offer significant benefits for eligible patients, it’s essential to carefully assess each individual’s suitability and adhere to established safety protocols to minimize risks and maximize therapeutic outcomes. When integrated into a comprehensive treatment plan, MUA can be a valuable tool in helping patients achieve pain relief, improve function, and enhance their quality of life.


If You're Been in An Accident, Don't Wait!

Hurt 911 is your best solution if you’ve been injured in an accident. Our team can manage your treatments and set you up with an attorney.

Our goal is to help you recover. In other words, Get Better. Get Paid.