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Manipulation Under Anesthesia (MUA)

Advanced Care for Persistent Pain and Restricted Movement

When pain, stiffness, and limited movement continue despite conservative treatment, Manipulation Under Anesthesia (MUA) may be an option.

MUA is a procedure designed to address restricted joint movement and soft-tissue dysfunction in appropriately selected patients who have not experienced enough improvement with treatments such as chiropractic care, physical therapy, or rehabilitation.

Orthopedic doctors and surgeons specialize in musculoskeletal injuries that occur in the bones, joints, ligaments, tendons and muscles after an auto accident. Neurologists and neurosurgeons are doctors who address problems with the brain and nervous system that cause pain or limited mobility. AICA’s experienced neurologists, neurosurgeons, and orthopedic specialists can precisely diagnose and treat various injuries or conditions that affect your quality of life. Get treatment for everything from musculoskeletal injuries to long standing neurological disorders and always feel confident that you’re in expert hands.

Chiropractors specialize in the treatment of a wide span of issues affecting the body using their understanding of how the spine needs to be properly aligned. It is core to the principles of chiropractic care that the whole body is connected through spinal alignment, and they work to treat their patients’ pain by restoring alignment and reducing tension.

What Is MUA?

Manipulation Under Anesthesia combines controlled stretching, soft-tissue techniques, and joint manipulation while the patient is under monitored sedation.

The sedation helps reduce muscle guarding and resistance, allowing the provider to work with restricted joints and soft tissues more effectively than may be possible during traditional in-office treatment.

The goal is to improve mobility, restore function, and help move recovery forward.

Why Is MUA Performed?

After an accident or injury, damage to muscles, ligaments, tendons, and other soft tissues can cause pain and restricted movement.

As the body heals, scar tissue and ongoing muscle guarding may contribute to continued stiffness and mobility limitations. While many patients improve with conservative care, some continue to experience symptoms despite treatment.

For these patients, MUA may be considered as a next step in care.

Who May Be a Candidate for MUA?

MUA may be considered for patients experiencing:

  • Persistent neck or back pain
  • Limited range of motion
  • Ongoing stiffness or muscle spasms
  • Restricted joint movement
  • Soft-tissue restrictions
  • Continued symptoms despite conservative treatment

Every patient is different. An evaluation is necessary to determine whether MUA is appropriate for your condition.

What Happens During MUA?

During the procedure, medication is administered by a licensed anesthesia provider and the patient is continuously monitored.

Once the muscles are relaxed, the treating provider uses controlled stretching, manipulation, and soft-tissue techniques to address areas of restricted movement.

What Happens After MUA?

Rehabilitation after MUA is an important part of maintaining improved movement and continuing the recovery process.

Depending on the patient’s needs, follow-up care may include physical therapy, chiropractic care, stretching, therapeutic exercise, and strengthening.

Is MUA Right for You?

If pain, stiffness, or limited movement continues even after conservative treatment, it may be time to explore another approach.

At AICA Orthopedics, our team can evaluate your symptoms and determine whether MUA may be an appropriate next step in your recovery.

Restore movement. Improve function. Keep recovery moving forward.

Schedule an appointment with AICA Orthopedics today.

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Atlanta Locations

MUA Reviews

16,254 Reviews from our Amazing patients

I’ve had a wonderful experience at AICA. The customer service is fantastic. The doctors and office staff were very caring and understanding of my situation. I’d highly recommend them to anyone!
Jordan C.
Jonesboro, GA
Thank you so much for the assistance! My back has never felt better, if you're ever in an accident and need healing this is the place to go!
Ryan M.
Jonesboro, GA
Love the atmosphere. Very relaxing. Everyone there gets 5 stars as far as I'm concerned. Excellent facility. Would definitely recommend.
Cassandra A.
Jonesboro, GA
Yesterday was my last day at AICA College Park since my accident in December, there is so much to say about the people who work here and the level of customer service, care, attention, friendliness, and overall amazing atmosphere that they provide. Location is perfect in College Park, right off the highway and in a small plaza with plenty of parking. The entire staff, from the front desk girls, to the physical therapy girls, to the chiros, and the medical team are AMAZING! I feel like I just lost my friends not being able to visit them twice a week every week. I will definitely miss coming here. All the smiles and warm welcomes received. The physical therapy - asking about my day, if everything is okay and helping my back and neck get better. I had the pleasure of having Dr. Hector as my chiropractor, he is awesome, was very helpful in the healing process and also a native Spanish speaker which is a plus for those of us who do speak Spanish. Before coming to AICA, I tried another injury clinic in ATL and walked out after 5 mins - so impersonal and cold. I am so glad that I found AICA in College Park. Trust me, if you are injured and need some healing and TLC you NEED to come to this clinic! Highly recommend to everyone. Thank you again to the guys and girls at AICA - xo Ms. Colon
Francheska Colon
College Park, GA
WOW, THIS IS AN AMAZING PLACE OF BUSINESS FROM THE RECEPTION DESK TO THE DOCTORS OFFICE AND TREATMENT ROOM. I RECEIVED THE BEST CARE AND INFORMATION CONCERNING MY INJURIES. EXCELLENT SERVICE. I WILL BE BACK. I RECOMMEND THIS BUSINESS.
Sherille Gayle
College Park, GA
The ladies at Aica are very helpful and nice, I really enjoyed my visits to the office personally I’m going to refer friends in the near future.
Marco Starr
College Park, GA
Great service and treatment.
Chicolla Berry
College Park, GA
Very professional group and excellent teamwork
Earnestine Moss
Lawrenceville, GA