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MANIPULATION UNDER ANESTHESIA

The MUA procedure has been utilized for the last 70 years. It has been used by chiropractors and allopathic physicians alike with marked success over the years.

Patients are given the required amount of sedation (twilight anesthesia) by an anesthesiologist and several maneuvers are performed in sequence depending on the patient’s indication. The procedure consists approximately in 75% stretching and 25% thrusting. The goal is a marked increase in functional range of motion and joint/disc decompression via obtaining cavitation.

Depending on the severity and chronicity of the patient’s symptoms, the procedure may need to be performed up to three days in a row. Most patients have 50-70% improvement after the first day.

An intensive post-MUA regimen with modalities, stretching and rehabilitation is key to preventing recurrence, and has to be initiated after day one.

MUA is often combined with steroid injection of a joint, e.g. facet or sacroiliac, or the epidural space. This requires close allopathic/chiropractic cooperation. This variant, known as MUJA, seems to be providing the most promising results since it combines both deep ant-inflammatory and deep biomechanical interventions.

MUA CENTER

  1. MDs or chiropractors  not MUA-certified should contact C.O.P.P.S. to be enrolled in a course.
  2. Certified physicians who have an eligible patient should arrange for a consultation with Dr Bejjani at C.O.P.P.S. You will receive the report via fax the same day with Dr Bejjani’s recommendations.
  3. If the patient is a candidate for MUA, C.O.P.P.S will make arrangements for medical clearance and give you a procedure date.
  4. The procedure will take place at the C.O.P.P.S. MUA Center that is fully equipped as per AAA.
  5. All required forms and documents will be prepared by the C.O.P.P.S. staff.
  6. C.O.P.P.S. staff will assist you in preparing your procedure report and your bill.
  7. You will be responsible for initiating the post-MUA regimen ASAP.

Presentation

Who is a candidate?

Patient of any age group with acute, subacute, chronic pain in cervical, thoracic and/or lumbosacral spine as a result of intervertebral, articular dysfunction and/or myofascial dysfunction.

 

What to expect from this procedure:

  • Admission through the Hospital's Day Surgery Unit under the controls and orders of an MD;

  • Infusion of sedative (versed/diprivan) via IV;

  • Manipulation provided by a licensed chiropractor certified in MUA and a second chiropractor to serve as first assist. Procedure to include passive range of motion, stretching and manipulation to the appropriate region.(20-30min).

  • Recovery in recovery room and released.
  • Follow-up care by MD and chiropractor;
  • Repeat procedure up to 2 additional times in the 2 days to follow.
  • Follow up care in office for 7-10 days. Treatment to include modalities and mobilization progressing to manipulation.(3 x weekly for 2 weeks and then 1 x weekly for 2-4 weeks).

Brochure