Hi @damewocane - Welcome to Connect! I'm sorry to hear about your painful recovery. It does sound frustrating to have worked so hard and feel like you are not getting anywhere. Can I ask what led to them doing the manipulation under anesthesia in September? It sounds as if that was just 8 weeks or so after the TKR. I don't have any experience with MUA's so I'm curious what triggers their decision to use this technique?