Joint stiffness can be frustrating. For many people in Perth, even after surgery or injury, movement may not return as expected. When physiotherapy and other treatments don’t help, a procedure called Manipulation Under Anaesthetic (MUA) may be recommended.

This technique is designed to restore mobility, reduce stiffness, and improve quality of life — all without major surgery.

What is Manipulation Under Anaesthetic?

Manipulation Under Anaesthetic (MUA) is a medical procedure where a surgeon moves a stiff joint while the patient is under general anaesthetic.

The anaesthetic ensures the patient feels no pain. The surgeon carefully bends and stretches the joint to break up scar tissue and adhesions that restrict movement.

Unlike traditional surgery, MUA does not require incisions. It is minimally invasive, short, and effective for many types of stiffness.

Why is MUA Needed?

Joint stiffness can occur for several reasons.

• Scar tissue formation after surgery.

• Immobility following fractures or injury.

• Post-operative stiffness in the knee, shoulder, or hip.

• Frozen shoulder (adhesive capsulitis).

When stiffness limits movement and prevents progress in physiotherapy, MUA is often the next step.

The Role of MUA in Perth

Perth has a highly active community. Sports, outdoor recreation, and physical work are part of daily life.

With this activity level comes a higher risk of joint injuries and surgeries. While most patients recover well, some develop stiffness that does not improve with conservative care.

MUA is increasingly used in Perth hospitals and clinics because it is:

• Quick.

• Minimally invasive.

• Effective for restoring mobility.

Common Conditions Treated with MUA

Knee Stiffness After Replacement

Some patients struggle to bend or straighten their knee after joint replacement. MUA helps improve the range of motion and function.

Shoulder Stiffness

Frozen shoulder and post-surgical stiffness are common. Manipulation can release adhesions and restore mobility.

Post-Fracture Stiffness

When a joint is immobilised for weeks after a fracture, scar tissue can build up. MUA helps loosen the joint.

Hip Stiffness

Although less common, MUA may be used after hip surgery to improve the range of motion.

How the Procedure Works

Step 1: Preparation

The patient is given a general anaesthetic to ensure comfort and safety.

Step 2: Manipulation

The surgeon gently bends, straightens, and rotates the joint in controlled movements. This breaks adhesions and stretches tight tissues.

Step 3: Recovery Room

The patient wakes up with improved movement. No surgical cuts are made.

Step 4: Physiotherapy

Rehabilitation begins immediately to maintain the gains achieved during MUA.

The entire procedure usually takes less than 30 minutes.

Benefits of Manipulation Under Anaesthetic

• No incisions – No scars or stitches.

• Quick procedure – Typically under half an hour.

• Day surgery – Most patients go home the same day.

• Fast improvement – Immediate gains in range of motion.

• Effective – More than 80% of patients report significant improvement.

Risks and Safety

Every medical procedure carries risks, though MUA is considered very safe.

Possible risks include:

• Temporary soreness.

• Minor tissue injury.

• Anaesthetic-related complications (rare).

• Very small risk of fracture.

Studies show complication rates are less than 1–2% when performed by experienced surgeons.

Recovery After MUA

First 24 Hours

• Some soreness and swelling.

• Walking and gentle use of the joint are encouraged.

• Pain relief may be prescribed.

First 1–2 Weeks

• Daily physiotherapy is essential.

• Exercises focus on maintaining and improving flexibility.

• Most patients return to light activities quickly.

Weeks 3–6

• Strengthening exercises added.

• Range of motion continues to improve.

• Normal daily activities are usually possible.

Long-Term

With consistent physiotherapy, results are lasting. Most patients regain excellent mobility.

Practical Recovery Tips

• Stay consistent with physiotherapy. This prevents scar tissue from reforming.

• Apply ice packs. Helps reduce swelling and discomfort.

• Follow exercise instructions. Stretching and strengthening are both important.

• Eat a balanced diet. Good nutrition supports tissue healing.

• Avoid rushing back into heavy activity. Gradual return ensures safe recovery.

Statistics That Highlight Effectiveness

• 5–7% of knee replacement patients experience stiffness requiring MUA.

• Over 80% of patients show major mobility improvements after MUA.

• 30 minutes – Average length of the procedure.

• Same day discharge – Most patients go home within hours.

• Less than 2% complication rate reported in Australian hospitals.

Why Choose MUA in Perth?

Perth offers access to highly skilled specialists and modern facilities. Patients benefit from:

• Advanced orthopaedic care.

• Tailored physiotherapy programs.

• Safe hospital environments.

• Experienced teams dedicated to joint recovery.

Selecting the right surgeon is crucial. With guidance from the best orthopaedic surgeon Perth, patients receive expert assessment, safe treatment, and strong follow-up care.

Key Takeaways

• Manipulation under Anaesthetic restores mobility when stiffness limits recovery.

• It is quick, minimally invasive, and highly effective.

• Recovery requires commitment to physiotherapy.

• Risks are rare but should be discussed with your surgeon.

• Perth patients have access to excellent orthopaedic specialists and facilities.

Conclusion

Manipulation under anaesthesia is a proven way to overcome joint stiffness and regain movement. For patients in Perth, it offers a safe, effective, and minimally invasive solution when recovery slows down. With the right surgeon and dedicated rehabilitation, mobility can be restored, allowing you to return to daily life with confidence.