Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Mobilisation Under Anaesthetic MUA
Manipulation under anaesthesia (MUA) is a specialised manual therapy procedure aimed at restoring movement in patients with frozen shoulder (adhesive capsulitis). This condition occurs when the capsule surrounding the shoulder joint becomes inflamed, thickened, and contracted, resulting in pain, stiffness, and a significant loss of glenohumeral motion.
During MUA, the patient is sedated either with a local (regional) anaesthetic, keeping the patient awake while the arm is numb, or with a general anaesthetic, putting the patient fully to sleep. Sedation relaxes the shoulder muscles, allowing the clinician to safely mobilise the joint. The surgeon or physiotherapist then carefully moves the arm through its available range and gradually into end-range positions. This controlled manipulation breaks down scar tissue and adhesions, improving joint mobility and reducing stiffness.
MUA is typically indicated when conservative treatments, including physiotherapy and pain management, have failed to restore normal shoulder movement. Post-procedure physiotherapy is essential to maintain the restored range of motion, improve strength, and prevent re-adhesion.
Physiotherapy Before Manipulation Under Anaesthesia (MUA)
Physiotherapy before undergoing manipulation under anaesthesia (MUA) is highly recommended. It helps in managing frozen shoulder symptoms conservatively, reducing stiffness, and improving range of motion. At Acephysiosports.com, pre-surgical physiotherapy not only eases discomfort but also prepares the shoulder for surgery, creating a strong foundation for post-surgical rehabilitation. Common treatments include:
- Heat therapy
- Pain management techniques
- Joint mobilisations
- Stretching routines
- Myofascial release
- Strengthening programmes for surrounding muscles
- Guidance on surgery and recovery
Symptoms After Manipulation Under Anaesthesia
After MUA, your shoulder will typically be supported in a sling, but physiotherapy is started immediately to prevent stiffness and maintain mobility. Early rehab ensures faster recovery and better functional outcomes. Post-procedure symptoms may include:
- Pain
- Stiffness
- Swelling
Physiotherapy After Manipulation Under Anaesthesia
A structured physiotherapy programme is essential to maximise the benefits of MUA. At Physio.co.uk, treatment plans are tailored to personal, occupational, and sporting needs, with goals designed to restore function, reduce pain, and regain strength.
Weeks 1–3
Focus: acute symptom management and early mobilisation
- Cryotherapy & pain relief
- Heat therapy and massage/li>
- Postural education /li>
- Passive and active-assisted range of motion exercises/li>
- Pendulum and scapular setting exercises/li>
- Active hand, wrist, and elbow exercises/li>
- Stretching and electrotherapy /li>
- Sling management and advice
Weeks 4–6
Focus: maintaining gains and preventing stiffness recurrence
- Increased active and passive range of motion
- Joint mobilisations and soft tissue release
- Stretching and rotator cuff strengthening
- Scapular stabilisation and biomechanical retraining
- Taping for support
Weeks 7–12
Focus: advanced mobility, strength, and endurance
- Progressive strengthening and proprioceptive training
- Shoulder stability and endurance exercises
- Functional, sporting, and occupational training
- Advanced joint mobilisations and soft tissue work
Weeks 12+
Focus: long-term recovery and return to full activity
- Full range of motion restoration
- Advanced rotator cuff and shoulder strengthening
- Proprioceptive and functional training
- Long-term management strategies
Summary
Manipulation under anaesthesia is a proven treatment for frozen shoulder, helping to break down scar tissue and restore lost movement. To maintain these results, a consistent and comprehensive physiotherapy programme is vital. With expert guidance from Acephysiosports.com, patients can achieve pain-free mobility, improved strength, and a full return to daily, occupational, and sporting activities.
To arrange an assessment with AcephysioSports.com, please contact us or call +65 8153 5374. Alternatively, you can book an appointment online today!
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