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There is no real alternative to underpinning, although mudjacking and polyjacking are other repair methods that can add support from underneath your foundation. Rather than placing supportive piers under your structure, these involve pumping a material under your slab to lift a sunken section back into its original position. Polyjacking, in particular, is sometimes a suitable solution for stabilization issues under slab foundations, but underpinning is often accepted as the best and most permanent solution.

On average, a mudjacking repair lasts between five and 10 years, though it can sometimes last for well beyond a decade under ideal conditions. Its longevity depends heavily on several factors, including the condition of the underlying soil, environmental conditions like freeze/thaw cycles and erosion, and whether the root cause of the sinking, such as drainage issues, is resolved. Because it doesn't always fix the underlying problem of loose soil, mudjacking is often considered a temporary solution. Proper maintenance and evaluation can help extend its lifespan.

Most houses are expected to settle over time, but foundation sinking of more than a few inches or uneven sinking of more than an inch for every 20 feet is cause for concern. Any significant or uneven sinking should be assessed by a professional to determine the cause and perform any necessary repairs. 

Yes, you can mudjack cracked concrete, but the cracks will need to be repaired once the concrete has been leveled. If the concrete is severely cracked in multiple places, replacement may be a better option, but for less severe cracking, mudjacking is a good solution as long as cracks are correctly caulked and sealed.