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

Bradley Annas, DC, FACMUAP

Dr. Bradley Annas is a board-certified chiropractic physician and Lake Orion, native. Dr. Annas completed his undergraduate studies at Miami University in Oxford, OH. Dr. Annas graduated Valedictorian from Palmer College of Chiropractic (Davenport, IA) with his Doctorate in 2019.

Dr. Annas is an American College of Sports Medicine Certified Provider for concussion treatment. Dr. Annas is a Certified Provider in RockTape Functional Movement, FAKTR Sports Injury and Rehabilitation, and Motion Palpation Institute Full Spine & Extremity. He has several hundred post-doctorate training hours in Graston/IASTM, Active Release Technique, McKenzie Disc Protocol, and Carrick Functional Neurology Training.

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, DC, DACNB, FACMUAP

Chiropractic Neurologist

Dr. Sullivant began her journey into the field of health care as a high schooler when she obtained her first job as a chiropractic assistant at one of Flint’s most successful chiropractic practices. There, she learned what it looks like to work in the field of health care as well as what it takes to be a small business owner. She also grew a passion for people and helping her community in any small way she could.

From there, she went on to receive her Bachelor of Science in Neuroscience from the University of Michigan in Ann Arbor. While in her career at Michigan, she worked on a longitudinal health study at Michigan’s School of Public Health. She spent two years working with the SWAN Study (Study of Women Across the Nation) which helps provide useful research and data on aging in women and the health implications which they may face.

After graduating from Michigan, Dr. Sullivant went on to begin her post-graduate studies in the doctor of chiropractic program at Life Chiropractic College West in the Bay Area of California. While in school, she was very active in the school and chiropractic community. Dr. Sullivant graduated Summa Cum Laude from Life West in 2016 and has worked to bring functional neurology to Genesee County in Michigan. In 2018, she passed her diplomate exam through the American Chiropractic Neurology Board 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. She provides spinal care to the players and coaches, as well as post-concussive therapy.

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.


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




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.

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