Objective: To retrospectively evaluate the results of the arthroscopic capsular release followed by manipulation (MUA) for refractory adhesive capsulitis of the shoulder with one to five years of follow-up, comparing the pre-and postoperative range of motion. Methods: This was a retrospective study of 45 patients who underwent arthroscopic capsular release followed by manipulation (MUA) for refractory shoulder stiffness. The mean age was of 55.09+/-10.34 years (range: 35 to 75), with male predominance 24 (53.3%) and eighteen cases left shoulders. There were 24 primary (53.3%) and 21 secondary cases (46.7%). Arthroscopic capsular release followed by manipulation (MUA) was performed in all patients after a mean of 9.33 months of physical therapy (range: 6 to 20 months) with a mean follow-up of 20.9 months (range: 8 to 38 months). Results: The active range of motion improved in all planes at the final follow up. There was a significant difference between the pre-and postoperative range of motion (p< 0.001). The mean absolute improvement in passive forward flexion, abduction and external rotation was 92.5⁰, 99.6⁰, and 23.6⁰ respectively. At the final follow up, the amount of internal rotation achieved was up to T7 in twenty-one shoulders, T10 in twenty and T12 in four shoulders. According to the constant-murley functional score (rom), the value increased from 27.4 (preoperative mean) to 77.1 points (postoperative mean).The average total score increased from 28.4 to 77.4 points with the use of ASES score. Postoperatively, all patients showed diminished shoulder pain, with the average pain score on visual analog scale of shoulder index ASES improved by 6.5 points. Conclusion: arthroscopic capsular release combined with manipulation (MUA) is an effective treatment for refractory shoulder stiffness.