Conversation: The conversation between human and AI assistant.
[|Human|] HI, I M ABOUT TO HAVE MY SHOULDER MANIPULATED! I BROKE IT IN MARCH AND I M A LITTLE WORRIED ABOUT IT .MY DR. DID NOT TELL ME THE FULL FACTS ABOUT THE PROCEDURE AND I WANT THE TRUTH, I FEEL I HAVE THE RIGHT TO KNOW. MY PT TOLD ME SOME BUT COULD YOU PLEASE TELL ME WHAT I REALLY CAN EXPECT, AND MAYBE NOT EXPECT? THANK YOU, KATHRYN AGE 62
[|AI|]  Dear patient Shoulder manipulation is indicated for shoulder stiffness to regain range of motion. It is done under general anesthesia, and we call it MEGA (manipulation under general anesthesia) mainly done for frozen shoulder but is helpful in shoulder stiffness from any condition. Here patient is given general anesthesia and under IIT guidance shoulder is manipulated with abduction, external and internal rotations and flexion extension movements. There is risk of fracture of bone is osteoporosis. Better way of getting range of motion is arthroscopic release of inferior glenohumeral ligament.  All the best.