Introduction
Manipulation under anesthesia (MUA) is a non-invasive procedure increasingly offered for acute and chronic conditions, including: Neck pain. Back pain, Joint pain. Muscle spasm. Shortened muscles. Fibrous adhesions. Long term pain syndromes.
Manipulation under anesthesia is generally considered safe and is utilized to treat pain arising from the cervical, thoracic and lumbar spine as well as the sacroiliac and pelvic regions.
Manipulation under anesthesia (MUA) is one of the treatments for Frozen Shoulder, primarily for idiopathic frozen shoulder.
How is Manipulation Under Anaethesia performed?
Patient will be sedated under Anesthesia, where patient put to sleep and then the shoulder joint is forced to move in various positions: flexion, external rotation, internal rotation. This manipulation stretches and tears the scar tissue that has developed in joint capsule.
The manipulation procedures can be offered in any of the following ways: Under general anesthesia. During mild sedation. Following the injection of anesthetic solutions into specific tissues of the spine.
The treatment is performed in a hospital or surgery center by licensed physicians with specialized training and certification specifically for the procedure. A team approach is required to have a safe and successful outcome.
What to expect after Manipulation Under Anesthesia
For the first few days, daily physiotherapy is encouraged, and a home exercise program is begun whereby the patient is asked to put the shoulder through the maximum range of movements, stretching to extremes at least three times a day.
Although the shoulder may have been manipulated through a full range of movements under anesthesia, this is rarely gained immediately after recovery and it may take several weeks to regain the range of motion. Recovery from this procedure can be extremely variable.
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