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The Procedure

Gentle axial traction is used in several places in the cervical spine (neck) before manipulation of the vertebral segments

Applying axial traction before manipulation begins

Straight leg raises using progressive linear force allows for gentle stretching of tight hamstring muscles.

Using leg raises to stretch hamstring

Single knee/hip stretches single out tightened pelvic muscles that help with return of lower back flexibility.

Lower back stretches help alter accumulated adhesions around the discs, joints, joint capsules and surrounding soft tissues (muscles).

Using lower back stretches to alter adhesions

Manipulative therapy is much easier to perform when adhesions that cause chronic joint fixations are altered using stretching while the patient is in restful twilight sleep (deep IV sedation using monitored anesthesia care (MAC)).

Performing MUA under deep anesthesia