Most patients notice an immediate reduction of
pain
and a fuller range of motion after only one session. While some temporary muscle soreness may be experienced, it is generally equivalent to that encountered after a vigorous workout.
How long does pain last after knee manipulation?
You may have pain and swelling in your knee for
a few days
. It may take several weeks for your range of motion and stiffness to improve. You may start physical therapy the day after your knee manipulation. This helps prevent your knee from becoming stiff again.
How painful is a knee manipulation?
It is not
uncommon to experience significant pain following
an MUA. You can make the pain manageable with icing of the knee and prescribed pain medication. There may be some swelling of the knee area. At first do not be surprised if the procedure results in poor flexion.
How long is recovery after MUA?
Rehabilitation should begin as soon as possible after MUA, typically
within a week to 10 days
, with a program of physical therapy appropriate to the individual patient. Rehabilitation programs usually include electrostimulation, ultrasound, heating and massage as well as physical therapy exercises.
Is manipulation under anesthesia painful?
Less force is applied
during the procedure making it painless and often effective. MUA is performed by trained and certified doctors who work in chiropractic medicine, rehabilitation, osteopathy, or orthopedics. It is considered to be a subspecialty which means it may not be available in every clinical office.
How much does it hurt after MUA?
Most patients notice an
immediate reduction of pain
and a fuller range of motion after only one session. While some temporary muscle soreness may be experienced, it is generally equivalent to that encountered after a vigorous workout.
Can I walk after MUA?
You will aim to
be walking around a few hours after your surgery
as long as your leg is not numb, the nursing staff can help you to get out of bed. You don’t necessarily need any walking aids but you can use them if you did so before your MUA or if you find walking difficult after your surgery.
When is Mua necessary?
Manipulation under anesthesia (MUA) is generally indicated for patients who
do not achieve >90° of flexion by 6-12 weeks postoperatively
. Complications from MUA are rare but can be devastating.
How do you break up scar tissue after knee surgery?
Mild cases of arthrofibrosis may be resolved with intensive physical therapy alone. Other treatments include
manipulation under anesthesia
, when a physician manipulates the knee in a controlled fashion to break up the scar tissue.
Can I drive after MUA?
After the spinal MUA procedure, the patient needs a friend or relative to drive him or her home to rest. After having anesthesia, such as propofol, it is
typically recommended to avoid driving for 24 hours
.
Is knee manipulation successful?
When knee stiffness is confirmed, it can be treated with manipulation under anesthesia, which is successful
85% of the time
.
Why is my knee so tight after TKR?
Arthrofibrosis is also known as stiff knee syndrome. The condition sometimes occurs in a knee joint that has recently been injured. It can also occur after surgery on the knee, such as a knee replacement.
Over time, scar tissue builds up inside the knee
, causing the knee joint to shrink and tighten.
What does it feel like when scar tissue breaks up?
Itching and burning sensation near the scar
.
Tenderness and sensitivity
in the region around the scar. Inflammation or swelling near the injury. Warm feeling in the affected area.
What happens during MUA?
The MUA is a second procedure after a knee replacement. During the procedure,
your surgeon will break-up the scar tissue, fibrous materials and adhesions that are causing stiffness
(essentially cleaning up the area around your knee joint). During this procedure, no incisions are made.
How is manipulation under anesthesia done?
Manipulation under anesthesia (MUA) consists of
a series of mobilization, stretching, and traction procedures performed while the patient receives anesthesia
(usually general anesthesia or moderate sedation). Manipulation is intended to break up fibrous and scar tissue to relieve pain and improve range of motion.
Will I be able to walk after knee manipulation under anesthesia?
It is essential to
regain functional range of motion by 6 weeks after surgery
. Remember, patients can only reliably regain knee range of motion for the first 6 weeks following knee replacement surgery. Beyond this point, scar tissue becomes too stiff and inflexible for simple stretching to be successful.
