Manipulation Under Anesthesia, or (MUA) is multidisciplinary manual therapy treatment system which is used to improve soft tissue movement using specifically controlled release, manipulation, and mobilization techniques. Orthopedic surgeons use this procedure as a means of breaking up scar tissue around a joint without complete range of motion. In cases of post-operative total knee replacement, for example, if a patient is having difficulty achieving their flexibility after a 6-8 week period, the surgeon may elect to bring the patient back to perform a manipulation under anesthesia. The procedure takes a relatively short period of time (15- 20 min) and results in improved range of motion for the patient. This can also be performed for other orthopedic musculoskeletal limitations, as indicated.