Sarasota MUA

Also known as Sedative Stretching, and Manipulation Under Sedation

MUA (Manipulation Under Anesthesia) is an alternative for those patients who are not responding to traditional medical or traditional Chiropractic/Physical Therapy care. MUA is a non-invasive (non-surgical) outpatient procedure offered for acute and chronic conditions including: neck pain, back pain, chronic headaches, joint pain, muscle spasms, shortened muscles, failed surgery, and long term pain syndromes. Out patients receive comprehensive, personalized care and benefit from the convenience of a same day, Ambulatory Surgical Center.


MUA has been practiced since the late 1930's and used by osteopathic physicians and orthopedic surgeons for many years as a proven form of treatment for many chronic pain conditions. During the past several years, the use of MUA has greatly increased due to the advances made in both technique and anesthesiology. MUA is a multi-disciplinary outpatient procedure that takes place in a medical setting. Thousands of case studies continue to show that MUA is safe and effective.


MUA can deliver pain relief in just three days. It is a gentle treatment offered to patients who want to avoid the endless cycle of drugs, frequent doctor visits, and even surgery often associated with these chronic musculoskeletal conditions. Thousands of MUA patients have recovered from injuries where traditional therapies have failed.

The MUA procedure employs a team of highly trained MUA certified D.C.'s, M.D.'s, and/or CRNA (Certified Registered Nurse Anesthetist), and a skilled nursing staff at an Ambulatory Outpatient Surgical Center. After medical clearance, the patient is sedated to achieve a state of relaxation. This state of relaxation allows the doctor to complete a series of adjustments and stretching movements without patient apprehension or muscle congestion. The results for properly selected patients are longer lasting.


After a traumatic injury or surgery, the body immediately goes to work to try to heal itself. Part of the body's natural healing process is to lay down scar tissue at the injured site. Scar tissue formation within a joint can impair mobility sometimes resulting in frequent pain. Scar tissue also has the potential to entrap a nerve which can cause further pain, but it can also render traditional therapies ineffective. The main goal of MUA is to remodel or break down this scar tissue to free the joint for movement and relieve pain.

The MUA procedure begins with an Anesthesiologist/CRNA (Certified Registered Nurse Anesthetist) lightly sedating the patient. It is this "twilight sedation" which allows the manipulation and stretches that was once too difficult to be accomplished without pain. The sedated patient is also more responsive and less apprehensive during their session, thus increasing the effectiveness of their treatment.


MUA is an effective procedure for people with chronic neck, back, and joint problems. It is also effective for people with conditions caused by long term disabilities or accidents, and for injuries that have not been responsive to conventional treatment.

Here are some of the conditions MUA my help:

  • Chronic Herniated/Bulging Disc
  • Failed Back Surgery
  • Fibromyalgia
  • Scar Tissue and Fibro Adhesion
  • Chronic Sprains and Strains
  • Frequent Headaches
  • Torticollis
  • Injury from Accidents/Sports
  • TMJ

If you have any of these indicators and have received traditional healthcare with limited or no improvement, you may be a candidate for MUA.

The MUA procedure is covered by most major medical plans. Unfortunately Medicare and/or Medicare replacements or supplemental plans do not cover the procedure at this time.

If you have any further questions about MUA or would like to speak to a doctor, please do not hesitate to contact us!

Contact Us

Send Us An Email Today! We'll Provide You With That Winning Smile!

Our Location

Find us on the map

Office Hours

Find Out When We Are Open


8:30 AM-6:00 PM


9:30 AM-12:00 PM


8:30 AM-6:00 PM


8:30 AM-12:00 PM


8:00 AM-6:00 PM


By appointment