Manipulation Under Anesthesia (MUA) & Shoulder Manipulation Release Technique (SMRT)


Manipulation Under Anesthesia (MUA)

MUA is a procedure that was first used by Orthopedic Surgeons to break up adhesions and scar tissue after surgery. It uses a combination of specific short level manipulations, passive stretches and specific muscle, joint and tendon movements to break up fibrous adhesions and scar tissue while restoring function.


MUA has been found to be extremely effective in aiding people with chronic neck, shoulder and joint problems stemming from old injuries, surgery or chronic pain.


Patients with long-term disabilities not relieved through conservative treatment often find resolution through MUA. Studies prove, when compared to surgery and other procedures, MUA patients return to work faster, have higher activity rates and longer lasting results.


Several spinal conditions including chronic disc problems, failed surgery, sciatica and decreased range of motion caused by scar tissue buildup have shown to benefit from MUA. Also, soft tissue problems such as fibromyalgia, myofascial pain syndrome, chronic muscle spasm and headaches/migraines respond with excellent results from the MUA procedure.


Our physicians specialize in a proprietary technique specifically developed to target shoulder pain.



Shoulder Manipulation Release Technique (SMRT)

SMRT is a protocol developed by our team of Physicians, which utilizes a multidisciplinary approach allowing them to eliminate pain and restore function simultaneously. This dynamic technique successfully resolves the frustrating and painful condition of adhesive capsulitis (frozen shoulder).


Frozen shoulder, which is characterized by stiffness and pain in the shoulder with a severe loss of range of motion, is often associated with surgery, post-mastectomy pain syndrome, chronic neck problems and diabetes. It most commonly affects patients 40-60 years old.


If it is painful to lift your arms above your head, you could be a great candidate for SMRT.


The concepts of this technique are also applied to the knee and elbow in cases of arthrofibrosis, which is commonly found following surgery. Similar procedures can also be performed to alleviate hip pain.


All MUA techniques help restore range of motion quickly so that you can get back to physical therapy, rehab or exercising safely and effectively. That also means that you can get back to enjoying life and the quality of life that you deserve.