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193 W. Beau St
Washington PA 15301
(724) 222-8322

Our Services


Manipulation Under Anesthesia or M.U.A. is a non-invasive, highly specialized technique performed by specially trained Chiropractic, Osteopathic and Medical Physicians for patients who are not finding relief through conservative treatment or who have been facing or have already had surgery. M.U.A. is an effective alternative to risky and invasive spinal surgery. Studies prove that M.U.A. eliminates or greatly reduces pain and restores or greatly improves normal range of motion.


M.U.A. can be an effective procedure for people with chronic neck, back and joint problems including pain and restricted motion. It is also effective for people with conditions caused by long-term disabilities, accidents and injuries that have not been responsive to conventional treatment.

Here are some conditions that M.U.A. may help:

  • Fibrous Adhesions
  • Pain from chronic disc problems
  • Herniated discs (without fragmentation)
  • Fibromyalgia
  • Torticollis
  • Frozen Shoulder
  • Frozen Hip
  • Chronic headaches
  • Cervicogenic headaches
  • Failed back surgery
  • Carpal Tunnel Syndrome
  • Tarsal Tunnel Syndrome
  • TMJ
  • Plantar Fascitis


M.U.A. achieves results because it allows the doctor to adjust/manipulate the bones and muscles without the usual resistance. Twilight sedation (light sedation) allows you to be responsive but not apprehensive. Adjustments are completed gently and fibrotic adhesions that restrict range of motion and contribute to pain are gently released. Muscles are stretched and the fibers are remodeled to reduce and eliminate restriction. The result: pain and discomfort are decreased if not eliminated.


No, M.U.A. is not "new". It has actually been around since the 1930's and used by osteopathic physicians for many years as a proven form of treatment for many chronic pain conditions. During the past several years M.U.A. has become the treatment of choice thanks to tremdous advances in techniques and anesthesiology like twilight sedation.


Patients who have failed conservative care or have reached a "plateau" are potential candidates for this procedure. However, careful selection of qualified candidates is key to success. Our doctors will determine if M.U.A. is an option for you.

Once you are approved for M.U.A., you will require a complete medical screening so you can be cleared for twilight sedation.

Our doctors may also order additional tests such as MRIs, blood tests, EKG, chest x-ray and pregnancy test.


Generally speaking, you will not be under any restrictons and you may return to your normal routine including work. To maximize M.U.A., physical therapy and adjustments/manipulation should be started soon after undergoing M.U.A. You should expect 6 - 8 weeks of these treatments which can be performed in our office. Treatment may include: stretching exercises, strengthening exercises, neuromuscular rehabilitation, electrical muscle stimulation, and cryo-therapy (ice). Following the prescribed program will help you regain pre-injury strength and help prevent pain and disability in the future.


"I got hurt 7 months ago and was not able to walk without pain and the use of a cane. I was imprisoned on my couch. It hurt to sit, so I layed most of the time. I had injections and a whole host of pills, nothing worked. I was told I was more than likely permanently disabled. I had the MUA done March 30, 31 and April 2, 2009. I can walk without a cane, I can jog, I can throw and catch with my son, all with little pain. It's been 3 weeks now since the MUA and I'm doing things I thought I'd never do again. There's a lot of work to get where I need to be, but with Dr. Wano and his staff, I know I'll get there. If you're living with back pain, ask Dr. Wano about MUA. It may change your life too!"

Kevin Johnson, Age 38 - April 22, 2009


"On 11/22/02 I had an injury to my lower back which resulted in a contusion. During the next 6 1/2 years and after going thru MRI's, myleograms, cortisone injections, xrays, EMG's and taking pain medications, Dr. Canterna suggested that I try manipulation under anesthesia (MUA). What did I have to lose? I was skeptical at first, but Dr. Wano explained how it works and I decided to try it. In my case, it did work. My pain level was a good 4 (out of a possible 10) and my walking was affected. After the MUA, (3 of them), my pain level is less than a 1 and my walking is level. I can't say that this is for everyone, but it is something that should be considered. Also, the staff is very courteous and professional."

Norman Fletcher, Age 53 - April 24, 2009


"I had alot of pain in my neck causing continuous headaches. I tried therapy, stretching, everything, but nothing helped. My pain level was always 9 - 10, even with pain meds. After the first MUA treatment I was 50% better. After the second treatment, I was at 85% and now after the last treatment, I am 100% better. I have zero neck pain, zero headaches and I feel 100% healed. I feel like a new person."

Angela Davis, Age 46 - May 1, 2009


"I would like to thank Dr. Wano and Dr. Canterna for recommending and performing MUA on me. I have 90% less pain and my flexibility is very much improved. Also, the Tri State Surgery Center staff was friendly, caring and very competent. I highly recommend MUA to anyone considering it."

John Lennox, Age 59 - May 7, 2009


"Somehow I injured my shoulder. Within 6 months I could not lift my elbow above my shoulder. Other movements were also limited. I went through six weeks of therapy. There was very minimal change. Dr.'s Wano and Canterna called it a frozen shoulder. They also suggested a procedure (not surgery) with a 95 - 100% success rate. I did this MUA procedure, then six more weeks of therapy and I got 100% movement back in my shoulder. Thank you Dr. Wano and Dr. Canterna."

Irene Winters, Age 48 - April 17, 2009


" I had relocated to the Washington area in February and on Feb 27th I was involved in an automobile accident which compromised my quality of life. Due to the accident, I had chronic pain from headaches, neck, left arm, carpal tunnel in my hand that made my fingers numb, not to mention severe back pain from top of my head and neck to where I thought my tailbone was outside of my body at times, also a chronic nagging pain that radiated down my left hip to the bottom of my feet, my legs would fall asleep and I would feel completely helpless. I could not stand the pain and I was unable to sleep at night, I could not sit, stand or move without pain. My home life was suffering due to the irritability caused by the constant pain which compromised my life skills. I had lost my job and just found myself in a downward spiral with a depressed state of mind.

I have tried shots that did nothing for me as well as chiropractic manipulations with diversified techniques, deep tissue massages, traction, bone scans, MRI's, nothing but pain and tears.

I spoke to Dr. Wano and Dr. Canterna who explained Manipulation Under Anesthesia to me. I had the procedure in late May and I have been free of the nagging pain. My whole body just feels rejuvenated! It's hard to put into words the instant relief that I feel. My 16 yr old daughter has stated to me that she's happy to have me back in her life. This MUA has changed my overall disposition and demeanor towards everybody. No more tears or anger due to living with pain.

Thanks Doc."

Maniya Kennedy, Age 42 - June 1, 2009


"I came to see Dr. Wano in January 2009 because I hurt my hip and back and I could barely walk. I tried therapy and injections and still had no improvement. Dr. Wano discussed the MUA procedure with me. I wasn't interested in an invasive surgical procedure and MUA offered me a non-invasive alternative. I had the MUA in May and I feel a good 95% better. I was living on pain pills before and now I barely use any at all. I highly recommend this procedure."

Teresa Bazyk, Age 51 - June 5, 2009


"I would like to extend my thanks to Dr. Wano and his staff. My overall experience with the MUA has been a wpmderful relief to my pain. I definately would recommend this procedure. I feel so much better! Thank you again Dr. Wano!"

Deborah Hancher, Age 42 - July 13, 2009


"I have had pain for 24 years with no relief. I have been to many doctors with no success. I have had everything from nerve blocks to pain pills and nothing that any doctor was able to do for me relieved the pain. After meeting Dr. Wano and Dr. Canterna I was referred for the MUA procedure. I thought there was no hope for how I was feeling. After this procedure I feel 110% better. I have no pain in my shoulders, neck or back. Thank you!"

Debra Zimmer, Age 51 - July 13, 2009


"Manipulation Under Anesthesia was performed on my lumbar and cervical areas 25 & 26 June and again 30 June 2009. Since then, I've noticed greater flexibility, approximately 70-75 percent. I'm also getting improved mobility and have begun the physical therapy process. As a military service member, staying in shape is critical. I would like to thank Dr. Wano and his staff for helping me move toward health, posture and overall wellness."

Mark Winklosky - July 13, 2009


"Prior to my experience and procedure by Dr. Wano, my neck and arm pain prevented me from enjoying my day to day job as well as activities. Since my procedure my pain has decreased to the point in which I hardly notice it. Thanks to Dr. Wano and his caring rehab team. I am confident that my pain will remain unnoticed."

Mary Beth Gold - July 15, 2009


"I would recommend the MUA to anyone that has chronic neck pain. I have had chronic neck pain for 6 years and have tried everything. Thank you Dr. Wano and staff."

Amy Manning - July 22, 2009


"Periodic adjustments have kept pain in my low back, hips and between my shoulder blades low. At Dr. Wano's suggestion I tried the MUA and I'm amazed at the difference in my mobility and the absence of any pain. The procedure and follow up each day took about 4 hours and I felt marked improvement the first day. The pain in my low back is gone and my entire body moves easier and pain free. I am still amazed each time I reach and feel free movement instead of a twinge. Amazing results."

Kathie Knouse - July 24, 2009


"21 years ago I had back surgery. For the past 19 years I've had major back problems. If I stood too long, my back would lock up. If sat too long, my leg and tail bone would kill me. It affected everything I did. I was miserable. Dr. Wano suggested MUA. I'm so happy I did. What a difference! I forgot what it was like to feel good. I would highly recommend this procedure to anyone with chronic pain"

Tracy Mowl - July 28, 2009


"I've received relief after 22 years of chronic cervical pain following a car accident. The MUA procedures were alot easier than I'd anticipated and worth every minute. Thank you!"

Linda Fonte - August 21, 2009


"I've been coming to Dr. Wano for years for regular adjustments. In February of 09, I got hurt at work. Having the MUA done and in the middle of physical therapy I'm feeling alot better. I'm starting to be able to do things I wasn't able to do a month ago. Just when I felt hopeless and I'm going to be in pain for the rest of my life, I have gotten some hope. Thank you Dr. Wano and all of his staff. I feel like I'm getting my life back."

David Kilgallen - September 2, 2009


"I underwent MUA for manipulation of my neck and shoulder. The procedure was done 3 times. The procedure itself was completely painless and relatively quick. The results have been great. My neck feels 100% improvement and the range of motion is great. My shoulder and arm are very greatly improved. No ache/pain daily as I had before. Range of motion very improved. I'm glad I did this!"

Charlotte Sypula - September 2, 2009


"Jan. 2009 and began having pain in my lower back, leg and foot due to a herniated disc. I went to Dr. Wano for chiropractic treatments which relieved some of the pain, but not enough. I considered surgery, but my Dr. and Dr. Wano suggested MUA. I received a treatment Monday which relieved approximately 50% of my pain, Tuesday's treatment approximately 70% and after the 3rd treatment, I am 90% free of pain. The treatments are painless and other than a little discomfort and drowsiness, all was well. I am almost pain free and all back to my normal activities. I feel great! and I recommend it. (Highly recommend it!)"

Richard Snider - August 28, 2009


"For 4 years, I had pain in my back. Unable to do things that I enjoyed doing such as hiking, swimming, yard work and gardening. Even effected my job. Went through painful injections which lessen the pain butnever resolved it. After the MUA I am starting to return to a normal life. No more constant pain. I am happy that I was sent to Dr. Wano. Everyone there is great! Thank you for a pain free back!"

Julie Mounts - September 25, 2009


"I highly recommend the procedure of manipulation under anesthesia. I experienced a tear in my rotator cuff in my right arm and right neck pain. My pain has lessened considerably and my range of motion in my right arm is gradually returning to normal. Dr. Wano, Dr. Canterna and their staff have been very helpful in making my rehabilitation as smooth as possible. I would suggest this procedure to my family and friends who experience any problems with their back, neck or arm."

Kathy Babeji - October 5, 2009


"I came to see Dr. Wano hurting and I had almost lost the use of my left shoulder. I was given treatments with electrical stimulation and ultrasound. I was told I would also undergo manipulation under anesthesia. I did this and I noticed after each manipulation I had more movement. At the end of the three treatments I was ecstatic. I could once again use my arm. I could actually reach for something andput my arm up and over my head. Thank you Dr. Wano and Dr. Canterna for the use of my left arm and shoulder again.

Myra Hatfield - October 16, 2009


"I came to see Dr. Wano for right shoulder pain. I was in so much pain that I couldn't even brush my own hair. Dr. Wano recommended the MUA procedure to me and I had it done last May. After the two treatments I feel 100% better. I forgot what it was like to be pain free. I would highly recommend this procedure to anyone who asks."

Penny Anderson - October 16, 2009


"I had MUA in August. I have been suffering from fibromyalgia for the past seven years. Dr. Wano has always been supportive and helpful as my physician. The MUA has decreased my overall pain and my range of motion has increased. I have tried many different types of treatment to aleviate my pain. I would suggest MUA for anyone suffering from fibromyalgia."

Darlene B. - October 16, 2009


"I came to see Dr. Wano because I was in extreme pain. I had back pain that radiated down my right leg. Dr. Wano recommended the MUA procedure. I have had three treatments and therapies done and I have improved to a point that I am now 99% better. So glad I did this!"

Pamela Linhart - October 19, 2009


"I came to see Dr. Wano in July 2009, after being in pain with my hip for the past 12 months. At that point I had been to 4 other doctors with no relief. Dr. Wano worked with me for a few months and suggested I would be a good candidate for MUA. I had the treatments in October 2009 and after the last treatment, I am now pain free. I am back to walking a mile every night. I would recommend this treatment to anyone loving with pain."

Christy Kirkwood - October 21, 2009