Frozen Shoulder

What is Frozen Shoulder?

Frozen shoulder, also known as adhesive capsulitis, is a condition that causes stiffness, pain, and limited movement in the shoulder joint. It occurs when the connective tissue around the joint thickens and becomes inflamed, restricting movement. This condition develops gradually and can take months to resolve.

Certain factors increase the risk of developing frozen shoulder. These include medical conditions such as diabetes, thyroid disorders, and heart disease. Individuals who have undergone surgery or suffered shoulder injuries are also at higher risk, particularly if the shoulder has been immobilised for extended periods. The condition is most common in women between the ages of 40 and 60, often due to hormonal changes related to menopause.

The Three Stages of Frozen Shoulder

Frozen shoulder progresses through three distinct stages:

• Freezing Stage (Painful): Gradual onset of pain, which intensifies with movement and even at rest. Everyday activities become difficult, and sleep is often disrupted. This stage lasts 3-9 weeks.
• Frozen Stage (Stiff): Pain begins to subside, but stiffness and restricted movement increase. Reaching overhead, behind the back, or lifting objects becomes increasingly difficult. This stage lasts 4-6 months.
• Thawing Stage (Recovery): Inflammation decreases, and mobility gradually returns. Recovery time varies depending on the severity of stiffness and duration of symptoms.

Common Symptoms of Frozen Shoulder

Frozen shoulder can have a significant impact on daily life. Symptoms typically develop gradually and worsen over time, including:

• Pain and discomfort: Often severe at night, making sleep difficult.
• Stiffness and reduced movement: Restriction in lifting, reaching, or performing routine tasks.
• Difficulty with everyday activities: Dressing, washing hair, or reaching behind the back can become painful or impossible.
• Work and hobby limitations: Tasks involving lifting, carrying, or repetitive movements become challenging.
• Emotional strain: Chronic pain and reduced mobility can lead to frustration, stress, and a sense of helplessness.

Diagnosing Frozen Shoulder

A qualified physiotherapist can diagnose frozen shoulder through a thorough clinical assessment, evaluating pain, stiffness, and restricted movement. It is important to rule out other conditions such as rotator cuff injuries, shoulder impingement, or osteoarthritis, as they require different treatments.

At Recover Physio, we provide expert assessment and treatment for frozen shoulder. If imaging such as X-rays or ultrasound is required, we facilitate appropriate referrals to ensure comprehensive care.

Physiotherapy for Frozen Shoulder

Physiotherapy is the most effective treatment for frozen shoulder, with targeted techniques depending on the stage of the condition:

• Freezing Stage: Focus on pain relief and maintaining mobility through gentle soft tissue massage, muscle release, and activity modification.
• Frozen Stage: Hands-on therapy combined with stretching and strengthening exercises to support mobility and function.
• Thawing Stage: Restoring full movement and strength through manual therapy, progressive stretching, and weight-bearing exercises.

At Recover Physio, our personalised treatment plans ensure each patient receives care suited to their condition and recovery goals. We incorporate full-body exercises to enhance overall movement and function, preventing future recurrence.