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Manipulation Under Anesthesia (MUA)

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Advanced Spine and Pain, in association with the Institute at ASAP, is the home of the MUA Procedure. Manipulation under anesthesia (MUA) is a non-invasive, multidisciplinary, chronic pain related manual therapy used to improve articulation and soft tissue movement.

MUA is used to break up adhesions (scar tissue) which have formed in the muscles, near the joint capsule, or around the nerve root. The goal of MUA is to restore range of motion, reduce pain, and improve overall patient function. MUA is used by osteopathic/orthopedic physicians and specially-trained (MUA certified) chiropractors.


Candidates for MUA

  • Disc Bulge Herniation
  • Facetogenic Pain
  • Failed Back Surgery
  • Adhesive Capsulitis
  • Chronic Recurrent Sprain/strain
  • Myofascial Pain Syndrome
  • Loss Of Joint Range-of-motion
  • Soft Tissue Contractures
  • Neuromechanical Dysfunction
  • Cervical Brachial Pain Syndrome
  • Chronic Cervicogenic Headaches


Phases of MUA

  1. Sedation
  2. Manipulative Procedures
  3. Additional Stretching/traction Procedures
  4. Patient Wake Up


Candidates for MUA

Serial procedures allow a more gentle, yet effective, treatment plan with better control of biomechanical force(s). This results in increased safety and more focused and effective subsequent procedures after monitoring the effects of those administered previously. The frequency of treatments vary, as they are customized to patients' specific pathology.


MUA in Further Detail

Stretching of the paraspinal and surrounding supportive musculature is performed to promote cervical, thoracic, lumbar, sacral, pelvic, and extra spinal flexibility in conjunction with attempting to restore proper kinetic motion.

The patient is taken through passive spinal, hip, shoulder, and extra spinal extremity ranges of motion, determined by the treating physician. Specific spinal manipulation is performed when the elastic barrier of resistance and segmental end range of motion is achieved.

MUA has been shown to achieve the desired outcome on average between 2-4 treatments. The concept is that increasing movement each day in incremental amounts accomplishes the desired increase in range of motion and decreases pain far better than spending large amounts of time in one day to achieve the same result.







Advanced Spine and Pain is a leading pain management group based in Phoenix, AZ, and quickly expanding throughout the state. Offering minimally-invasive pain care services, the ASAP group consists of Arizona's top pain management specialists, including Drs. Abram Burgher, Todd Turley, and Jarrett Leathem.

Contact info

If you have any questions about our services, or would like to schedule an appointment, please contact us.

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