Learn about Manipulation under Anesthesia Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Manipulation under Anesthesia and request assistance for cost estimates or appointments.

About Manipulation under Anesthesia

Manipulation Under Anesthesia (MUA) is a specialized therapeutic procedure performed by an Internal Medicine specialist to treat chronic pain and restricted mobility, particularly in the spine or large joints, that has not responded to conservative treatments. The patient is placed under light sedation or general anesthesia, allowing the physician to gently but firmly manipulate the affected area, stretching muscles, breaking up scar tissue (adhesions), and improving joint range of motion, without the patient's protective muscle guarding and pain response. This controlled manipulation aims to restore function, alleviate pain, and break the cycle of chronic pain and stiffness. It is often considered a bridge between non-invasive therapies and more invasive surgical options.

Key Highlights

    Performed under anesthesia, eliminating pain and muscle resistance during the procedure.Effectively breaks down scar tissue and adhesions that limit movement.Can restore range of motion and function in a single session.Offers a non-surgical alternative for chronic pain conditions.Often has a shorter recovery time compared to surgical interventions.May help patients avoid or delay the need for more invasive surgery./ul

Who is this surgery for?

  • Chronic back or neck pain with significant stiffness unresponsive to physical therapy.
  • Frozen shoulder (adhesive capsulitis) that has plateaued with conservative care.
  • Chronic joint pain and dysfunction, such as in the hip or knee, due to adhesions.
  • Failed back surgery syndrome with persistent pain and restricted mobility.
  • Certain types of chronic myofascial pain syndromes.
  • Post-traumatic stiffness in a joint that has not improved with rehabilitation.

How to prepare

  • Comprehensive medical evaluation and review of imaging studies (X-rays, MRI) to confirm diagnosis.
  • Discussion of medical history, allergies, and current medications with the internal medicine specialist.
  • Pre-anesthesia assessment to ensure fitness for sedation or general anesthesia.
  • Fasting for 6-8 hours prior to the procedure as instructed by the medical team.
  • Arranging for a responsible adult to drive the patient home post-procedure.
  • Wearing loose, comfortable clothing on the day of the procedure.

Risks & possible complications

  • General risks associated with anesthesia (e.g., allergic reaction, respiratory issues).
  • Temporary increase in pain, swelling, or bruising at the manipulation site.
  • Rare risk of muscle strain, ligament sprain, or joint injury.
  • Extremely rare risk of fracture, nerve injury, or disc herniation.
  • Dizziness or nausea following anesthesia.
  • Potential for the underlying condition to recur, requiring additional sessions or treatments.

Recovery & hospital stay

  • Immediate post-procedure monitoring in a recovery area until anesthesia effects wear off.
  • Application of ice packs to the treated area to manage initial soreness and swelling.
  • Initiation of a prescribed physical therapy program within 24-48 hours to maintain gains in mobility.
  • Taking prescribed pain relievers or anti-inflammatory medications as needed.
  • Avoiding strenuous activities, heavy lifting, or high-impact exercise for the period advised by the physician.
  • Attending all follow-up appointments to assess progress and adjust the rehabilitation plan.
  • checked Typical hospital stay: 0-1 days (typically outpatient)
  • checked Expected recovery time: 1-3 weeks for initial soreness; 4-6 weeks for full therapeutic effect with therapy

Frequently Asked Questions

If you are considering manipulation under anesthesia in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for manipulation under anesthesia compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 25 Thousand – 70 Thousand 0-1 days (typically outpatient) ~ 1-3 weeks for initial soreness; 4-6 weeks for full therapeutic effect with therapy Know More
Turkey TRY 87.5 Thousand – 245 Thousand 0-1 days (typically outpatient) ~ 1-3 weeks for initial soreness; 4-6 weeks for full therapeutic effect with therapy Know More

Top hospitals for Manipulation under Anesthesia in India

These partner hospitals in India have dedicated internal medicine teams and experience managing patients undergoing manipulation under anesthesia.

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Manipal Hospital Ghaziabad

  • IconGhaziabad, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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5734+ Rating

Manipal Hospital Siliguri

  • IconSiliguri, India
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89+ Rating

Manipal Hospital EM Bypass

  • IconKolkata, India
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65+ Rating

Manipal Hospital Salt Lake

  • IconKolkata, India
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12320+ Rating

Manipal Hospital Kanakapura Road

  • IconBangalore, India
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185+ Rating

Manipal Hospital Ranchi

  • IconRanchi, India
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1161+ Rating

Artemis Hospital Gurgaon

  • IconGurgaon, India
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181+ Rating

KMC Hospital Mangalore

  • IconMangalore, India
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PATIENT REVIEW

Sneha Das, a 42-year-old software architect...

Sneha Das, a 42-year-old software architect and mother of two, had been struggling with debilitating shoulder pain for eight months following a minor car accident. Despite months of physical therapy, anti-inflammatory medications, and corticosteroid injections, her right shoulder remained 'frozen', stiff, painful, and with severely limited range of motion. She could no longer lift her arm to style her hair, hug her children comfortably, or work at her computer for long periods. Her internist, Dr. Sharma, recommended Manipulation under Anesthesia (MUA), explaining it as a controlled procedure to break up the adhesions in her joint capsule while she was sedated, offering a chance to 'reset' the joint and make post-procedure therapy effective. Terrified of the idea of someone forcing her shoulder to move, but more afraid of a permanent disability, Sneha consented. The experience was surreal; she drifted off anxious and woke up groggy with her shoulder heavily bandaged, but without the seizing pain that had accompanied every previous attempt at movement. The following 48 hours were sore, but aggressive physical therapy began immediately. Within six weeks, she regained over 85% of her range of motion. Emotionally, she transitioned from a state of frustrated helplessness and fear of the unknown to one of profound relief and regained agency. The procedure felt like a decisive break from a painful chapter, allowing her to fully engage in her recovery and family life again.

Internal Medicine Specialists for Manipulation under Anesthesia

Explore experienced internal medicine specialists who regularly perform manipulation under anesthesia and provide pre- and post-operative care in India.

Dr. Geetha K Subramaniyam K
  • 41 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Sangeshwaran
  • 11 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Archana D
  • 8 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Arun Karthik P
  • 8 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. C Harish
  • 8 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Veerendra B Sutar
  • 22 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Ravi Kumar
  • 16 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Reshu Agrawal
  • 15 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Sanjiv Rao
  • 32 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Prashant Bhatt
  • 18 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Gurpreet Singh Dang
  • 14 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. Inderjeet Kaur
  • 8 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

OPD-desk synced • Updated
Dr. K Sriram
  • 13 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

OPD-desk synced • Updated
Dr. HARIKA UPPALAPATI
  • 9 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

OPD-desk synced • Updated
Dr. Sharada Shekar
  • 43 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

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Dr. Dinesh Kamath
  • 36 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Basavaraj Kuntoji
  • 23 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 650
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

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Dr. Arun Suradkar
  • 23 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 650
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Kharadi, Pune

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Dr. Vichar Shyam Nigam
  • 21 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 550
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Kharadi, Pune

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Dr. Vijay Narasappa Talkad
  • 15 Years Experience
  • Internal Medicine Specialist
Speaks: English, Hindi
Consult Charge ₹ 650
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar, Bangalore

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