An Overview of Manipulation Under Anesthesia Manipulation Under Anesthesia (MUA) is one of the most exciting and effective chiropractic physical medicine procedures being performed today for the treatment of chronic and recurrent back pain, fibroblastic proliferative changes, chronic muscle spasm, failed back syndromes, herniated discs, unresolved headaches of non-organic origin and the procedure is within nationally published practice guidelines and parameters of care. Manipulation under anesthesia uses a combination of specific short lever manipulations, passive stretches and specific articular and postural kinesthetic maneuvers in order to break up fibrous adhesions and scar tissue around the spine and surrounding tissue. The manipulation procedures can be offered in any of the following ways:
The treatment is performed in a hospital or surgery center by licensed physicians with specialized training and certification specifically for the procedure. A team approach is required to have safe and successful results. The team includes the anesthesiologist, the prime physician/surgeon/chiropractor who performs the manipulation, and the first assistant, also a physician/chiropractor certified in manipulation under anesthesia. The procedure is commonly performed in a hospital or surgical center. The combination of manipulation and anesthesia is not new, as this treatment has been part of the manual medical arena for more than 60 years. Manipulation Under Anesthesia is an established medical procedure with a CPT Code designate of 22505. This is noted in the American Medical Association’s Current Procedural Terminology Publication.
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