Manipulation Under Anesthesia aka

         Fibrosis Release Therapy

  • Neck &Back pain-shoulders/hips, knees, TMJ, headaches?

  • Disc bulge, herniation,protrusion?

  • Nerve pain?

  • Post surgical pain?

  • Limited or temporary response to chiropractic care, physical therapy or massage?

  • Prior accident, injury, surgery?

  • Pain medication NOT WORKING?


MUA/FRT could be your answer!

What is MUA/FRT?
Manipulation under anesthesia (MUA) is a gentle outpatient procedure that involves manual medicine techniques delivered by a chiropractic physician, osteopathic physician, or orthopedic surgeon while you are lightly sedated. Key MUA techniques include:


  • Joint manipulation (i.e., extremity and chiropractic spinal adjustments)

  • Joint and soft tissue mobilization

  • Muscle stretching

  • Joint traction


Fibrosis Release Therapy

Includes MUA and perhaps better describes the procedure as it incorporates the elongation of muscles, stretching, passive range of motion and release of fibrotic adhesions (scar tissue) as well as joint manipulation.  If your muscles are tight and cause symptoms these therapies can be very helpful and long lasting.

How and Where is MUA/FRT Performed?
These procedures are performed by a chiropractor, osteopath or medical doctor who has advanced training in this technique. The lead physician is aided by a small support team that may include other DC’s, DO’d and/or MD’s. The following steps describe a typical MUA session:

  1. An anesthetic (MAC) is administered by a board-certified anesthesiologist.

  2. A MUA certified physician (DC, DO and/or MD) performs the key manual procedures listed above to restore proper tissue tone and joint function and reduce any scar tissue or adhesions.

  3. The anesthesiologist awakens you from the anesthesia a few minutes after the procedure is completed.

  4. You are taken to recovery and monitored until you are fully awake (usually a short period).

  5. You are discharged to rest and provided home care instructions for that day.

  6. You participate in post-MUA therapy with usually starts within a few days of the procedure for about 2-4 weeks.  This includes passive modalities,  passive and active stretching and light strengthening exercise.

MUA is always performed in a ambulatory surgical center (ASC).

How Long Does it Take?
A typical MUA session will lasts less than 15 minutes.  Another procedure may be necessary pending results but usually is not needed.  Several follow-up office visits with your physician may be required for a brief period after your MUA procedure. These visits help you preserve the flexibility, increased range-of-motion and improved function that you achieve from your MUA procedure.


This procedure is rarely reimbursed by insurance carriers. As a cash practice we charge a fraction of insurance pricing. Costs vary due to different procedures, surgery center, nursing staff,anesthesiology, follow up physical therapy (may be covered by ins.), MRI, etc. Regardless, our fees are always guaranteed lower than insurance pricing.

Please call for current price. Financing may be available through CareCredit.​



Spinal manipulation under anesthesia (MUA) is a procedure that was originally practiced by orthopedic surgeons and osteopathic physicians for the treatment of spinal pain since the late 1930's.  It is still performed by orthopedists for extremities (shoulder, elbow, wrist, knee,hip, ankle) with adhesions.  Since the 1960's Doctors of Chiropractic perform the majority of all spinal manipulative procedures.  Doctors of Osteopathy began specializing in other branches of medicine, and largely discontinued manipulations.


Documentation regarding the success and value of manipulation under anesthesia has been recorded in osteopathic literature since 1948 when Clybourne reported in the Journal of American Osteopathic Association a success rate of 80%-90%.  In fact, hundreds of studies have been performed over the years.  

  • Patients that had back pain for a minimum of 10 years reported an 87% recovery rate after MUA (1987 with Ongly et al).

  • 83% of 600 patients with EMG-verified radiculopathies (nerve) reported significant improvement following manipulation under anesthesia (Robert Mensor, M.D. orthopedic surgeon).

  • 51% of patients with unrelieved symptoms after conservative care had been exhausted reported good to excellent results three years post MUA (Donald Chrisman, M.D.

  • 71% of 723 MUA patients had good results (return to normal activities 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).

  •  Krumhansi and Nowacek reported on an MUA study done on 171 patients who experienced constant, intractable pain for several months to 18 years.  All of the patients of the study failed other conservative intervention.  The results of the study showed that 25% of the patients had no pain, 50% were much improved with pain markedly decreased, 20% were better and could tolerate their pain but it interfered with work and recreation.  Failures comprised 5% where there was minimal or no pain relief periods.

  • 83% of 517 patients treated with MUA responded well (Paul Kuo, M.D. Professor of Orthopedic Surgery).  

Theses studies were chosen because they were large studies with chronic patients. They show very good results for properly chosen patients, and results were long lasting.  There are many more studies available to review.


Dr. Barrett consults regularly with several physical therapists, neurologists, pain management physicians, orthopedic spine surgeons and neurosurgeons.  He strongly believes using a multidisciplinary team approach works very well in offering the best procedure or treatment for the patient.

Please call for an in office or phone consultation with Dr. Barrett.  618-529-1943.

  MWF    7:30pm to 1:00pm

                  3:00pm to 5:30pm

 TH         3:00pm to 5:30pm

all walk in hours

no appointment necessary 


           800 E Walnut St               Carbondale, IL 62901


On Rt 13 just east of

        Eastgate shopping center            


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