Manipulation Under Anesthesia

Manipulation Under Anesthesia (MUA)

Manipulation Under Anesthesia is a conservative treatment alternative for chronic pain patients. Spinal manipulation under anesthesia is a procedure that primarily originated with the osteopathic profession and has been utilized for the treatment of spinal pain since the late 1930’s. Spinal manipulation under anesthesia is a procedure that is intended for patients that suffer from sometimes acute but mostly chronic musculoskeletal disorders. The procedure is extremely beneficial for the patient that has muscle spasm accompanied with pain and joint range of motion loss. The individuals have also been unresponsive to conservative care. Ones pain may be from a disc bulge / herniation, chronic sprain / strain, failed back surgery, and other musculoskeletal issues. These types of patients typically respond well to chiropractic manipulation / physical therapy / exercise, but the relief may only be temporary ( days – weeks). Manipulation under anesthesia consists of many of the same techniques utilized in a typical chiropractic office but with the advantage of having the patient fully relaxed. The procedure typically takes a total of 20 min. Inquire if you feel you are a candidate. Reach out to our conservative care specialist at insight to inquire more about Manipulation Under Anesthesia (MUA).

Meet Our Manipulation Under Anesthesia Team

Vincent Rampersaud, M.D.

Medical Director for MUA

Dr. Vince Rampersaud trained in orthopedic surgery with special interest in hand and spine surgery. He attended the University of Virginia Medical School and completed his residency at the Detroit Medical Center. He has been a respected member of southeast Michigan’s medical community since 2004, and beginning in 2009 he further specialized his practice in interventional pain management. He has practiced both in corporate as well as solo practices.

Keith Denning, DC, FACMUAP

Chiropractor, Director of Chiropractic

Dr. Keith Denning has been a board certified chiropractic physician in Michigan for over 20 years. He specializes in non-surgical decompression and manipulation under anesthesia.

Dr. Denning completed his undergraduate work from Purdue University in biomechanics in 1996. While attending Purdue, he was the lead laboratory instructor for several human anatomy/physiology courses as well as biomechanics courses at the university.

Dr. Denning then went on to complete his doctorate at Sherman College in 2000. He then completed his externship in Indiana before opening practice in Michigan in 2001. Dr. Denning is board certified and fellowship trained in manipulation under anesthesia, and is one of the top performing and most in demand MUA physicians in the country.

Siva K. Sripada, D.O.

Anesthesiology & Pain Management

Dr. Siva Sripada is board-certified in anesthesiology as well as in pain management. He completed his medical training at the University of North Texas HSC in Fort Worth, Texas. He then went on to complete his anesthesia residency at Parkland Hospital in Dallas, Texas.

After working as an anesthesiologist in the greater Dallas area, he went back to receive his subspecialty training in pain management from Texas Tech University in Lubbock, Texas. Dr. Sripada has been working exclusively as a pain management specialist in the southeast Michigan area for over 10 years. He is dedicated to providing a variety of treatment options for his patients to help them manage chronic pain.

Make an Appointment

To schedule an appointment, contact our office at (810) 275-9366 or fill out the form below.

Hours of


Monday, Wednesday, and Thursday
9 a.m. to 5 p.m.

8 a.m. to 5 p.m.

8 a.m. to 12 p.m.

“Our relationships with our patients are second to none.”

Next Lecture Series

Topic: Trigeminal neuralgia: percutaneous approaches and surgical outcomes
Speaker: Dr. Ramiro Pérez, M.D.
Date: February 18th, 2021. 12:00 PM

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The staff is very professional. The building is nice and modern. Dr. Tarabishy is very understanding and cares about your well being!  -Deisheha
Dr. Shah saved my son’s life.  -Anonymous Reviewer
An amazing experience! The staff was so caring and understanding. Dr Tarabishy's patience and compassion helped me through my procedure. I'm so blessed to be their patient!  -Kevin