Spinal manipulation under anesthesia (MUA) is a non-invasive procedure that may be suggested to relieve chronic neck and back pain when other treatments have not been effective. The procedure involves sedating the patient and performing spinal manipulation that would be too painful due to muscle spasms and/or excessive scar tissue. When spinal pain becomes so painful from causes such as scar tissue that forms near the joints of the spine from post injuries or surgeries. The scar tissue also known as fibrous adhesions may cause chronic inflammation for nearby structures, such as nerves and muscle. This will make painful and stiff. Spinal manucaption performed by Chiropractors here at ACCESS Surgery center can help to stretch out tissue. this is a team approach done at ACCESS with the Doctor, Anesthesia provider and skilled nursing staff.