Kevin L Kaldy D.C.

A Top Chiropractic Center of Excellence in Las Vegas

Our Goals

  • At The Center for Wellness and Pain Care it is our goal and mission to make you feel your best and pain-free.

  • We work with each patient on an individual basis and establish the BEST care for you as a whole.   

  • We believe in treating the patient as a whole and not just the pain as an isolate.

  • Through medically monitored pain management, minimally invasive surgery and several wellness solutions we can help you get out of pain FAST and get you back to living!


Manipulation Under Anesthesia (MUA)

What is MUA?

MUA or manipulation under anesthesia is a noninvasive outpatient procedure offered for chronic painful conditions of the neck, lower back, sacroiliac joints, shoulders, and hips. MUA is a viable alternative for those patients that are not responding to traditional chiropractic, physical therapy, invasive procedures such as injection therapy, or even surgery.

With the use of sedation, painful muscles and joints are completely relaxed allowing Dr. Lefcort to comfortably stretch, massage and adjust the involved areas more effectively than in an office setting. The results can be life changing.

Stretching With Sedation?

Stretching the patient while sedated breaks up scar tissue or adhesions in and around the muscles, discs, and connective tissues. These adhesions are commonly caused by multiple injuries, car accidents, sports injuries, poor posture, or even failed back surgeries. These adhesions are usually the reason why patients are not improving with their chiropractic treatment or pain doctors in an office setting, thus preventing full recovery from pain.


Manipulation Under Anesthesia has a very high safety profile. The side effects of the procedure are those of regular chiropractic adjustments. “Conscious sedation” is utilized for our MUA procedures. IV conscious sedation is extremely safe in an outpatient setting, as the patient is not under “general anesthesia”. Our patients are breathing on their own and are aware of the stretching procedures by the MUA provider. The total procedure lasts about ten to twenty minutes, and the patient can be in and out of the center and completely discharged within sixty to ninety minutes.


You would benefit from our procedure if you have: 1. Treated with multiple physicians and therapists with limited results, 2. You have ongoing prolonged treatment with chiropractors, physical therapists, or pain doctors, with limited/temporary results, and if you are not a candidate for surgery or ongoing pain medication. If you answered yes to any of these questions, then you maybe a candidate.


  • Eliminate the need for ongoing and expensive in-office treatment
  • Avoid possible surgery
  • Avoid invasive painful non-surgical procedures such as injections (trigger point, epidural etc.)
  • Improve your quality of life by eliminating your pain and improving your ACTIVITIES OF DAILY LIVING What do all these conditions have in common? They are painful conditions of the muscles, nerves, and joints that are chronic in nature (long term, unresponsive to traditional treatments) and that have scar tissue associated with it. This is the reason why MUA can successfully treat these conditions and the others fail.

How MUA Works

The MUA procedure uses twilight sedation to relax restricted muscles allowing the physician to gently stretch and adjust the spine. The MUA provider is trained to recognize where and how much stretching and adjustments are needed for each patient. Post MUA exercises begin after the procedure.

The proposed effects of the MUA include altering pain producing scar tissue formations, stretching of chronically tight muscles, and eliminating pain by improving range of motion of the affected joints. Patients often undergo various treatments, such as physical therapy, traditional chiropractic care, epidural injections, back surgery, and other treatments. These do not address fibrous adhesion’s. Some patients feel temporarily better with these treatments, but their pain often returns. Studies have proposed that it is the adhesion’s and scar tissue that have built up around spinal joints and muscles that causes chronic pain. In order to offer long term pain relief, the fibrous adhesions in the joint capsules, discs, and surrounding supportive tissues must be treated.


  • Neck, middle back and lower back pain
  • Sacroiliac Joint Problems
  • Pelvis and Hip pain
  • Herniated and Bulging Discs
  • Chronic muscle pain and inflammation
  • Acute and chronic muscle spasms
  • Decreased range of motion
  • Frozen Shoulder
  • Nerve entrapment
  • Sciatica
  • Failed back surgery syndrome
  • Chronic tension headaches
  • Chronic pain with narcotic dependence
  • Stable spondylolithesis
  • Fibromyalgia
  • and more!