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Manipulation Under Anesthesia Facts

mother in third trimester with back pains

Most people get great results from conventional chiropractic treatment and varying forms of therapy. Some don't.

But that doesn't mean surgery remains the only option for banishing low-back and neck pain. There's another established technique of healing -- one that's non-invasive, costs far less than surgery and is done on an outpatient basis.

Chances are you've never heard of Manipulation Under Anesthesia, but it's been helping people escape spinal pain since the 1930s.

Put simply, Manipulation Under Anesthesia is the gentle manipulation of the spine while the patient is anesthetized. The goal is to move through scar tissue and restore the fullest range of motion possible in a short period of time. Think of it as an unrestrained, super-effective yet gentle chiropractic treatment.

Osteopathic physicians and orthopedic surgeons have long utilized the technique, which is taught in medical schools and recognized as a "category 1" treatment by the American Medical Association.

Recent advances in anesthesiology allow more pain-sufferers to take advantage of this advanced technique.

Manipulation Under Anesthesia (MUA) is a multidisciplinary procedure in which the chiropractor and a medical doctor work together, ensuring maximum effectiveness and safety.

The light sedation, also called "twilight sleep" makes the body more receptive to the full range of movements that are optimal for getting at the root of chronic pain.

About Dr. George Kosmides 

He is among a select group of doctors in the world who are board-certified to perform Manipulation Under Anesthesia/Fibrosis Release Procedures. In fact, surgeons trust Dr. Kosmides to use this same healing procedure for their patients who experience residual pain as a result of operations (post-operative scarring).

Effectiveness of MUA/FRP

Researchers have found that these manipulations:

  • "Almost certainly confer worthwhile, long term benefit in comparison with hospital outpatient management."
  • "Can predictably normalize abnormal cervical spine motions."
  • "(Provide) more benefit and long-term satisfaction than those treated by hospitals."
  • "May be the only treatment modality of the assessed regimens that provides broad and significant long-term benefit."
  • In multiple studies, as many as 87% of patients responded well to MUA (see Mensor, Ogley, Kuo) (View research citations for quotes about spinal manipulation.)

Is MUA right for me?

Patients who considered a good match for the treatment have one or more of these conditions:

  • Suffer from adhesions, the stubborn buildups of scar tissue in and around the spinal joints.
  • Have an unfragmented herniated disc and chronic disc problems.
  • Are unable to tolerate the moderate discomforts of traditional physical therapy and chiropractic adjustments. Their bodies involuntarily resist standard manipulation.
  • Have acute myofascial pain syndrome and/or experience chronic muscle spasms.
  • Haven't responded satisfactorily to several months of chiropractic spinal adjustments, and physical or pain management therapy for neck pain or low-back pain.
  • Had back surgery that failed to relive their pain. Or they're recovering from another type of surgery and are experiencing spinal pain.

    • Manipulation Under Anesthesia won't work for everyone and the screening is quite specific. Talk with Dr. George today (877) 203-4407  to see if MUA can relieve your pain.

    What to Expect

    The MUA procedure usually takes about 15 minutes to 25 minutes. This typically will be repeated over the course of a few days.

    Patients are mildly sedated with Versed, a tranquilizer that enhances a brain chemical that is 100% naturally occurring. This is conscious sedation, or what's called "twilight sleep."

    The chiropractor uses gentle movements that are either high-velocity with a short duration or low-velocity with a longer duration. These include short-level arm manipulations, passive stretching, and specific articular (joints) and postural kinesthetic techniques.

    Then follows a rehabilitation period of about two months. Post-MUA therapy includes strength-building, stretching, and other flexibility exercises and therapies, as well as occasional adjustments by the chiropractor. The patient must be committed to this follow-up period, which has proven essential to the MUA's longterm success in relieving pain, and restoring strength and flexibility.

    The anesthesiologist's monitoring protocol includes electrocardiography, blood pressure, and oxygen level. This watchful care continues in the recovery room, where oxygen may be administered.

    Dr. Kosmides performs his MUA procedures at top surgical centers in California and Hawaii. Patients must be accompanied by someone who will drive them home (sorry, no taxis).

    Dr. Kosmides and MUA

    George Kosmides has 15 years experience in relieving chronic pain, having seen generations of patients helped by MUA.

    His certification comes through the California Academy for Manipulation Under Anesthesia. (He welcomes out-of-state clients, as well.)

    Dr. Kosmides has served as an expert witness on effective pain-management techniques and is a tireless advocate for proper care for his patients -- from on-the-job injury cases to chronic pain to the stay-at-home mom in constant pain. Find out if MUA is right for you.

    Don't live with the pain or rush into surgery. There is another way!

    Call Dr. Kosmides for more information on MUA pain relief at (877) 203-4407.

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