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‚ÄčManipulation Under Anesthesia (MUA)

For over 40 years Manipulation Under Anesthesia (MUA) has been well documented as a clinically effective method to treat chronic musculoskeletal pain conditions. Dr. Scott D. Ungemach is a licensed physician who has specialized training and certification to specifically perform manipulation under anesthesia in a surgical center or hospital. Physicians certified in MUA are being invited by hospitals, ambulatory surgery centers, and pain management groups to join their organizations to better serve the needs of their patients with chronic conditions.


MUA - manipulation under anesthesia is a noninvasive outpatient procedure offered for acute   and chronic painful conditions of the neck, back, sacroiliac joints, shoulders, elbows, wrists, hips, knees, and ankles. MUA is a viable alternative for those patients that are not responding to conservative treatment like traditional chiropractic care, physical therapy, invasive procedures such as injection therapy, or even surgery. With the use of sedation, painful muscles and joints are completely relaxed allowing Dr. Ungemach and his team of physicians to comfortably stretch, massage and adjust the involved areas more effectively than in an office setting. The results are usually life changing.


The MUA team consists of Dr. Ungemach who is trained and Certified in MUA, a board certified anesthesiologist, a second MUA trained medical physician (MD, DO, or DC) and one or two nurses. MUA is truly unique as it joins together the multiple specialties chiropractic, anesthesia, and medicine, for the therapeutic benefit of the patient. This procedure is only performed by physicians that have been trained in the practice of MUA. Dr. Ungemach has been trained by and studied under one of the foremost authorities in MUA procedures and techniques, Dr. Donald Alosio DC, who has performed over 3000 MUA procedures in practice.


In our opinion, MUA should be renamed to "stretching under sedation" as the MUA procedure is 85% stretching and 15% manipulation of involved areas of the body. The results are truly remarkable.

Stretching the patient while sedated breaks up scar tissue or fibrotic adhesions in and around the joints, muscles, discs, and connective tissues. These adhesions are commonly caused by multiple injuries, car accidents, sports injuries, poor posture, or even failed back, shoulder, or knee surgeries. These adhesions are usually the reason why patients are not improving with their chiropractic treatment, physical therapy or pain doctors, in an office setting, thus preventing full recovery from pain.


Manipulation Under Anesthesia has a very high safety profile do to the rigorous screening process for selecting the right candidates for this procedure. The side effects of the procedure are those of regular chiropractic adjustments.  Our multidisciplinary professional team monitors you the entire time while you are under sedation, as your safety is our most important concern.  The total procedure lasts about ten to twenty five minutes depending on which areas are being addressed and which procedures are being performed.  The patient can be in and out of the center (or hospital) and completely discharged within sixty minutes, not much longer than a typical office visit.


You could benefit from our MUA procedure if you have: 1. Treated with multiple physicians and therapists with limited results, 2. You have ongoing prolonged treatment with chiropractors, physical therapists, or pain doctors, with limited/temporary results. Have been through surgery and have failed to meet the expected outcomes or if you have been told you are not a candidate for surgery.  3. Long term or ongoing pain medications have failed to control your pain and have not helped with your ability to perform your activities of daily living. If you answered yes to any of these questions, then you may be a candidate and further screening would be advised.


  • Eliminate the need for ongoing and expensive in-office treatment
  • Avoid possible surgery, or have already had surgery and have failed to reach the expected outcome.
  • Avoid invasive painful non-surgical procedures such as injections (trigger point, epidural etc.)
  • Improve your quality of life by eliminating your pain and improving your ACTIVITIES OF DAILY LIVING

What do all these conditions have in common? They are painful conditions of the muscles, nerves, and joints that are chronic in nature (long term, unresponsive to traditional treatments) and that have scar tissue associated with it. This is the reason why MUA can successfully treat these conditions and why the others fail.  Studies have proposed that it is the adhesions and scar tissue that have built up around spinal joints and muscles that causes chronic pain. In order to offer long term pain relief, the fibrous adhesions in the joint capsules, discs, and surrounding supportive tissues must be treated.


The MUA procedure uses sedation to relax restricted muscles allowing the physician to gently stretch and adjust the spine, and extremities. The MUA physician is trained to recognize where and how much stretching and adjustments are needed for each patient. Following procedure, post MUA exercises begin which will help to achieve the optimal benefit.

Typically the rehabilitation program lasts for 4-6 weeks post procedure. The proposed effects of the MUA include altering pain producing scar tissue formations, decompression of bulging/herniated discs, stretching of chronically tight muscles, and eliminating pain by improving range of motion of the affected joints. Patients often undergo various treatments, such as physical therapy, traditional chiropractic care, epidural injections, and other treatments.


  • Neck, middle back and lower back pain
  • Sacroiliac Joint Problems
  • Pelvis and Hip pain
  • Herniated and Bulging Discs
  • Chronic muscle pain and inflammation
  • Acute and chronic muscle spasms
  • Decreased range of motion
  • Frozen Shoulder
  • Nerve entrapment
  • Sciatica
  • Failed back surgery syndrome
  • Chronic tension headaches
  • Chronic pain with narcotic dependence
  • Stable spondylolithesis
  • Fibromyalgia
  • and more!

What do all these conditions have in common?

They are painful conditions of the muscles, nerves, and joints that are chronic in nature (long term, unresponsive to traditional treatments) and that have scar tissue or fibrotic adhesions associated with it. This is the reason why MUA can successfully treat these conditions when the others fail. CALL Dr. Ungemach at 610 558-1001 TO SEE IF YOU ARE A CANDIDATE FOR THE MUA PROCEDURE.

Case Studies

  1. Patients that had back pain for a minimum of 10 years reported an 87% recovery rate after MUA (1987 with Ongly et al).
  2. 51% of patients with unrelieved symptoms after conservative care had been exhausted reported good to excellent results three years post MUA (Donald Chrisman, MD).
  3. 71% of 723 MUA patients had good results (return to normal activity relatively symptom free) and 25.3% had fair results (return to normal activity with slight residuals) after manipulation under anesthesia, which was also found able to restore flexibility, elasticity and range of motion (Bradford and Siehl).

Exclusive Offer

Suburban Spine  – The preferred choice for Chiropractic and Orthopedic Surgical care in Chadds Ford, Glen Mills, and West Chester.  If a referral from your Medical doctor, another Orthopedic specialist, Physical therapist, or another Suburban Spine patient led you hear, you’re on the right tract to reducing your pain, improving your health, and taking your life back!  Call us today at 610 558-1001. See why so many of your health-conscious neighbors in Chester and Delaware county already have!

THIS ---->https://5709562660com.chiromatrixbase.com/new-patient-center/mua---manipulation-under-anesthesia.html

Office Hours

Monday9:30 am5:00 pm
Tuesday9:00 am6:30 pm
Wednesday9:30 am5:00
Thursday9:00 am6:30 pm
Friday9:00 am1:00 pm
Day Morning Afternoon
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After 2 spinal fusion surgeries, Dr. Ungemach's techniques, along with the latest technology he uses, gave me the pain relief that i was looking for. He's very kind and understanding and actually takes the time to explain things clearly. Anyone with back or joint pain should definitely schedule an appointment with him.

-J.R. Wilmington DE - Yelp

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