It does not, but in the state of Florida, no-fault coverage is mandatory and will cover the cost of any treatment up to $10,000. I am still able to treat you to the highest degree; new injuries from car crashes will be paid for through auto insurance. “Direct Primary Care” memberships are contracts directly between physician-level providers and patients; insurance cannot get involved. On the other hand, medical insurance will not cover injuries sustained in a car due to a ‘primary’ policy being in place. This is why your primary care doctor and most urgent care facilities will NOT treat you for auto accidents… They won’t get paid! 

Once we treat your condition and you reach a level of ‘Maximum Medical Improvement’ for injuries related to a personal injury case- you may sign up for a Concierge membership. 

Because they aren’t trained to do it. 

MUA has been around for decades. While initially performed by Doctors of Osteopathy (DOs), most practice medicine in a similar fasion to Medical Doctors (MDs). There are rare occasions when Orthopedic Surgeons perform MUA during joint replacements and frozen shoulders, but most others have never even this exclusive procedure performed. 

Less than a fraction of 1% of chiropractors and other physicians are certified to perform Manipulation Under Anesthesia, so unless you were lucky enough to happen upon one of them (like me!), you weren’t ever educated on how it could help you. 

For cases in which you have NOT recovered from pain and dysfunction after trials of chiropractic, physical therapy, etc. it may be due to a MECHANICAL or STRUCTURAL movement problem limited by your brain. Just like your brain and nerves won’t let you pick up a hot pan off the stove due to pain… your unconscious mind won’t allow your movements to put stress on compromised structures. Injections do NOTHING for these conditions. Surgery permanently alters your body, and might *NOT* resolve your condition. 

MUA is not indicated for everyone, however. A thorough review of your symptoms, history of treatment, MRI, CT, and x-ray review (when possible) will be done. If you may benefit from MUA, we will discuss how to move forward. 

This list is not inclusive, but the major reasons a person may NOT be a candidate for MUA are as follows: 

• Current fractures
• Osteoporosis/Severe Osteopenia
• Pain directly over the site of prior compression fracture
• Cancerous lesions of the spine, active treatment for other cancers
• Allergy to twilight anesthesia medications
• Not being healthy enough for anesthesia clearance (severe lung, heart, or kidney disease, etc)
• Acute pain/injury (pain from injuries less than 6 weeks old)
• Spinal Infections
• Recent surgery (less than 8-12 months prior depending on the procedure)