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. A patient can expect to be here for approximately an hour but the procedure itself will only take 20 minutes of that hour. 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.


Rachel A. Sullivant

Chiropractic School: Life Chiropractic College West
Undergraduate: University of Michigan-Ann Arbor
Expertise: Chiropractic, Functional Neurology

Dr. Rachel Sullivant began her journey in the healthcare field in high school. Her first job was as an assistant in a Flint chiropractic practice where she developed a passion for people and helping her community. She attended the University of Michigan in Ann Arbor, where she worked on a longitudinal health study at Michigan’s School of Public Health. She also spent two years working with the SWAN Study (Study of Women Across the Nation), which provides research and data on aging in women and the health implications they may face.

After graduating from Michigan with a Bachelor of Science in Neuroscience, she began her post-graduate studies in the Doctor of Chiropractic program at Life Chiropractic College West in the Bay Area of California. She graduated Summa Cum Laude in 2016 and passed her diplomate exam through the American Chiropractic Neurology Board in 2018 after completing 300 hours of post-doctoral studies through the Carrick Institute in Clinical Neurology.

Since graduating, Dr. Sullivant has worked to grow the chiropractic department at Insight Institute of Neurosurgery & Neuroscience. She specializes in motor vehicle accidents, post-surgical patients, and migraines. Her office recently partnered with the Flint Firebirds, a professional hockey team in the Ontario Hockey League, providing spinal care and post-concussive therapy to the players and coaches.

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.


Mujtaba Syed

Chiropractic School: Parker University
Undergraduate: University of Michigan-Flint

Fellowship trained in Manipulation Under Anaesthesia | BIO: Dr. Mujtaba Syed is a board-certified chiropractic physician. He was born and raised in the beautiful city of Flint, MI, where he completed his undergraduate degree in Psychology from the University of Michigan-Flint. After obtaining his Bachelor’s degree, he spent a year working in clinical research studies. Dr. Syed then went on to obtain his Doctorate in Chiropractic studies from Parker University in Dallas, TX. During his time there, he obtained extensive experience in soft-tissue therapy, Activator Method, and Cox Flexion Distraction. Dr. Syed is also Fellowship trained and certified in Manipulation Under Anesthesia. After completing his doctorate studies, Dr. Syed moved back to Flint, with a true passion to give back to the community that he grew up in. In his spare time, you can find Dr. Syed on the basketball court, playing board games, or spending time with his family and friends.

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At Insight, we are constantly working to provide you with the best service and medical care possible. If you have comments, questions, or just want more information about Insight’s services, please fill out the form below or contact our office at (810) 275-9333




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4800 S. Saginaw St. Flint, MI 48507

21230 Dequindre Road Warren, MI 48091



4800 S. Saginaw St., Suite 1820 Flint, MI 48507

(810) 275-9366

(810) 213-0240


21230 Dequindre Road Warren, MI 48091

(810) 275-9152

(810) 213-0228


24430 Ford Road Dearborn Heights, MI 48127

(313) 749-0370

(313) 447-2234