M.U.A

MANIPULATION UNDER ANAESTHETIC

 

 

Purpose

To increase the range of motion of the shoulder ( gleno- humeral joint)

 
Indications

Patients with a restricted range of motion from Adhesive Capsulitis ( Frozen Shoulder )

 

Procedure

Under general anaesthesia the shoulder joint is manipulated into the greatest possible range of motion, thereby releasing adhesions and/or a tight fibrotic capsule ( lining of the joint)

Possible associated procedures

Arthroscopy
Arthroscopic Capsular Release
Interscalene Regional Nerve Block
Main Possible Complications
Humeral Fracture
Pain causing recurrent stiffness

 

 

 

 

After your operation

  • The arm will be placed in a brace (Bradford sling), holding your arm stretched above your head during the anaesthetic ; so you wake with your arm in this position.
  • The physiotherapist will see you before you leave the hospital and move the arm for you stretching the shoulder joint into the maximum range of movement. He or she will then show you specific exercises which you must perform after you leave hospital on a daily basis at home. It is often useful if a relative or friend can attend during a physiotherapy session in order to learn how to help with these exercises at home.
    You will also need frequent physiotherapy outpatient appointments during the first 3 weeks after the procedure; ideally every other day during the first week.