Manipulation under anesthesia (MUA) in Middletown, New Jersey

You may be a candidate for MUA or Manipulation Under Anesthesia.

Manipulation under anesthesia in Middletown, New JerseyMUA is a non-invasive outpatient procedure that is highly effective for neck pain, back pain, headaches, fibromyalgia, disc problems and more. Because the patient is lightly sedated (twilight anesthesia), they are able to be mobilized, adjusted and stretched in a way not possible through traditional physical therapy or chiropractic care. Manipulation of the spine with the patient sedated is one of the safest and effective methods of altering chronic pain. Many insurance companies cover this procedure, as it is a viable alternative to surgery or a lifelong dependency on pain pills. Dr.Grossman and Dr. Silverberg are both certified MUA practitioners, ask them if an MUA can help you, too.

What is the MUA procedure like?

On the day of the MUA, the patient must be accompanied by a friend or family member to drive the patient home after the procedure. No patient will be allowed to drive following this procedure. The surgery center also offers patient transportation. The patient is evaluated and prepared for the procedure by the competent team of Medical Doctors, Registered nurses, Anesthesiologists, and nurse anesthetists. The patient is then lightly anesthetized to achieve the comfortable "twilight" sleep that makes treatment possible. This sedative is similar to what a patient would experience if receiving a colonoscopy or oral surgery. The patient is gently and comfortably mobilized, stretched, and adjusted according to established and proven MUA protocols.  The procedure enables us to eliminate the “muscle-guarding” or patient anxiety that inhibits the full benefit of the treatment being performed. After the procedure the patient is taken to the recovery room, and returns home to rest. A prescription antiinflammatory may be prescribed at this time. This procedure may be repeated up to three times, as research has proven that 3 mini-sessions of MUA mobilization is often more effective than just one procedure.

What happens after the procedure?

Post MUA care is one of the most important parts of the procedure. The patient's compliance with the aftercare contributes greatly to the overall success of the procedure.

The patient will return to our office for rehab, massage and physical therapy including education on home stretching exercises and mobilization for 3-8 weeks, usually 2-3 times per week. This intensive therapy program helps maintain the results achieved during the MUA procedure. A regimented program of post-MUA therapy will help the patient regain both pre-injury strength and help prevent future pain and disability. The patient will be given an at-home protocol of stretching to perform daily.

Conditions Treated with Manipulation Under Anesthesia

  • Neck pain
  • Neck pain radiating into the arms or fingers
  • Back pain
  • Back pain radiating into the legs or feet
  • Sciatica
  • Facet Syndrome
  • Headaches (migraines, cluster, tension and many more)
  • Arthritis of the neck, back or hips
  • Fibromyalgia
  • Disc problems
  • Chronic muscle pain
  • Chronic trigger points
  • Post-whiplash syndrome
  • TMJ dysfunction
  • Frozen shoulder
  • Old auto injuries that were never resolved

What Can You Do?

Contact our office at 732-671-3535 to schedule an initial consultation with our Doctor to determine if you are a candidate for care. After carefully studying your case history and exam findings, he will sit down and explain his recommended plan of action for you. After answering any questions you may have about the recommended plan, you may begin your care with Spinal Decompression

Office Hours
Monday 8:00am - 7:00pm
Tuesday 8:00am - 7:00pm
Wednesday 8:00am - 7:00pm
Thursday 8:00am - 7:00pm
Friday 8:00am - 3:00pm
Saturday 8:00am - noon



Don't spend another day in pain, pick up the phone and give us a call.

Generations Physical Medicine


14 Cherry Tree Farm Rd
Middletown, New Jersey 07748
Phone: 732-671-3535


For more information, please call us at 732-671-3535