Even though there is usually some temporarily added muscle soreness (similar to the feeling of having completed an aggressive exercise session) after the manipulation, the patient should experience an immediate increase in range of motion post-anesthesia care.

In cases involving symptoms caused by disturbance from adhesions and shortened tissues, there should be a significant change, either immediately or within a short period following the manipulation procedures.

Post Anesthesia Care: Manipulation and Exercise

In effort to minimize the re-formation of adhesions, passive manipulation and active exercises are often prescribed after the manipulation under anesthesia procedure. Some use of additional therapies may also be prescribed, such as:

  • Electrical muscle stimulation. Electrodes that send light electrical pulses to different parts of the body are placed on the skin with the purpose of reducing inflammation, muscle spasms and any pain.

  • Ultrasound. Utilizing sound waves that create and apply deep heat therapy to the soft tissues, ultrasound is used not only to reduce stiffness and spasms but to increase blood flow and further stimulate the healing process.

  • Hot moist packs. By also applying heat to the muscles and tissues, hot moist packs promote blood flow and healing.

  • Massage. Massaging the soft tissues may be encouraged post anesthesia care to improve circulation and encourage quicker healing.

The most important post anesthesia care is an active rehabilitation program, starting within one to two weeks after the manipulation under anesthesia procedure and lasting for a minimum of four to six weeks.