Co-Founder
Dr. Mazyar “Maz” Neshat, D.C.
North Carolina–licensed chiropractor and founder of The Pain & Weight Loss Center. A U.S. Army veteran who previously served in a chiropractic role with the Carolina Panthers.
Manipulation Under Anesthesia · North Carolina
Advanced Care.Beyond ConventionalTreatment.
Discover Manipulation Under Anesthesia — a non-surgical approach for carefully selected patients experiencing persistent pain and restricted mobility.
Candidacy is determined only after a clinical evaluation. Individual results vary.
Illustrative image — not the AMT facility
- 01Non-Surgical Approach
- 02Individualized Evaluation
- 03Coordinated Rehabilitation
Illustrative image — not AMT staff or patients.
The procedure, in context
When Progress Stalls, A Different Approach May Be Worth Exploring.
Manipulation Under Anesthesia (MUA) is an outpatient, non-surgical procedure for selected patients with persistent musculoskeletal pain and restricted motion that has not adequately improved with conservative care.
A licensed anesthesia professional provides sedation while a trained MUA physician performs controlled stretching and mobilization. There are no incisions. Structured follow-up rehabilitation is an important part of the process.
The process
Three measured phases.
Each phase is individualized. Timelines vary and no outcome is guaranteed.
- 01
Clinical Evaluation
Records, imaging, and measured range of motion are reviewed against guideline-based criteria to determine whether MUA is appropriate.
Details - 02
Manipulation Under Anesthesia
A licensed anesthesia professional provides sedation and monitoring while a trained MUA physician performs controlled stretching and mobilization.
Details - 03
Guided Rehabilitation
Individualized follow-up care — commonly over several weeks — continues with your treating provider, with outcomes measured and documented.
Details
Areas of treatment
Regions commonly evaluated.
Whether any area is appropriate for MUA depends entirely on your individual evaluation.
- 01NeckCervical spine
- 02ShouldersGlenohumeral region
- 03Mid BackThoracic spine
- 04Lower BackLumbar spine
- 05Pelvis / SI JointsSacroiliac region
- 06HipsCoxofemoral region
Experience & clinical leadership
Rooted in the published MUA literature.
Co-Founder · Author & Educator
Dr. Robert C. Gordon, D.C.
Editor of Manipulation Under Anesthesia: Concepts in Theory and Application (CRC Press, 2005) and lead author of the 2014 peer-reviewed MUA practice guideline.
Three pathways
Where would you like to begin?
Research & standards
Published guidance, honestly presented.
AMT evaluates every candidate against published, guideline-based selection criteria. If MUA isn’t appropriate, we’ll tell you.
What guidelines are
A standard of practice
Guidelines describe how MUA should be selected, documented, performed, and followed up. They are not proof that MUA works for everyone.
What trials show
Limited evidence base
Research on spinal MUA consists largely of observational studies and case series. Some insurers consider it investigational.
[1] Peer-reviewed guideline · 2014
Gordon R, Cremata E, Hawk C. Guidelines for the practice and performance of manipulation under anesthesia. Chiropractic & Manual Therapies. 2014;22:7.doi.org/10.1186/2045-709X-22-7
[2] Textbook · 2005
Gordon RC, ed. Manipulation Under Anesthesia: Concepts in Theory and Application. CRC Press; 2005.
Begin here
Your Next Step Starts With an Evaluation.
Candidacy for MUA is determined only through clinical assessment — a review of your history, prior care, and measured motion before any recommendation is made.