In 2005, Dr. Gregory Kuhlman joined an elite group of chiropractors to become certified in Manipulation Under Anesthesia.  This revolutionary procedure, though around since the 1930's, is now gaining popularity again and offers a new treatment option for those suffering from chronic pain conditions. 

How Does MUA work?

MUA is a procedure in which the patient is placed under "twilight" anesthesia.  The chiropractor and an assistant then perform manipulations and stretches to the affected areas on the patient.  These manipulations are much like those performed in the chiropractor's office with a fully conscious patient.  The only difference is that, because of the anesthesia, the patient is fully relaxed.  This makes the manipulations and stretches more effective because the patient is not tensing up with pain or fear.

Am I a Candidate for MUA?

Anyone suffering from a chronic pain condition such as fibromyalgia, disc herniations/bulges, chronic sprains/strains, headaches, sciatica, failed surgeries and more are all candidates for the MUA procedure.  First, more conservative treatment options must be explored, such as chiropractic, physical therapy, massage therapy, and epidural injections.  If all of these have failed, MUA may be an option to consider even before resorting to surgery.

Where is the procedure performed?

Dr. Kuhlman performs the MUA procedure at our facility in Crystal Lake. 

What is the Process For the MUA?

First, Dr. Kuhlman will determine if you are an appropriate candidate for the MUA procedure.  Once this has been completed, your insurance benefits for the MUA will be verified and approved if necessary.  The procedure is then scheduled.  Prior to your procedure, you will have a chest x-ray and routine bloodwork completed. The day of your procedure, you will arrive at our facility approximately a half hour prior to your procedure time.  You will not be allowed to eat or drink anything after midnight on the days of the procedure. Further information will be provided to you by the doctor prior to the MUA procedure.

How does the MUA work?

The manipulation procedure works by breaking up scar tissue and adhesions.  As this tissue re-heals, the fibers will become more aligned, allowing for increased mobility and decreased pain.

What Happens After MUA?

The MUA procedure itself is just the beginning to your healing process.  Each patient will require 12-16 weeks of skilled physical therapy and chiropractic manipulations to ensure that the tissue affected by the procedure heals properly.  Massage therapy may also be utilized to decrease pain and inflammation.  Physical therapy will help maintain and even increase flexibility of the treated joints, increase muscle strength to stabilize treated areas, teach a home exercise program, and use various techniques for pain control.  Patient's home exercise programs must be completed daily to ensure proper healing.  It is also advised that all MUA patients begin a cardiovascular exercise program for gentle aerobic conditioning.