Treatment Options for Frozen Shoulder

Frozen shoulder (Adhesive Capsulitis) is a common and debilitating condition which can affect people at any stage of life. Whilst the cause is not well understood, women are at a higher risk of experiencing the condition than men. As pain and stiffness is felt most acutely in the shoulder joint, the condition can sometimes be confused with rotator cuff injuries. Left untreated, the condition can become chronic and life limiting.  Physiotherapy treatment can be very effective at alleviating pain and restoring range, strength and function.  

How does Frozen Shoulder Occur? 

 There is no clear consensus as to how frozen shoulder occurs. It can occur unexpectedly at any stage of life, although it is most common between the ages of 40 and 60. The condition is characterised by inflammation, thickening and contractions of the Glenohumeral (shoulder) joint capsule, resulting in the individual experiencing pain, stiffness and reduced range of motion. The condition may also occur as a result of a fall or surgery, in addition to being a common complication amongst those who have suffered a stroke. Medical professionals have also suggested that health conditions such as heart disease and diabetes may  predispose individuals to the condition.  

Complications of Frozen Shoulder 

Having frozen shoulder can limit your opportunities in life, as well as your ability to perform everyday tasks. You may have frozen shoulder if you experience any of the following: 

• Unable to extend arm above shoulder level 
• Unable to throw a ball 
• Unable to cross arms behind your back
• Pain or stiffness when reaching for items 
• Severe discomfort when sleeping/laying on your site 

Shoulder pain which persists for longer than one month should not be ignored. Frozen shoulder usually develops slowly over time, however early diagnosis and treatment will go a long way in reducing the impact on your lifestyle and promote a successful recovery.  

Stages of Frozen Shoulder 

Frozen shoulder symptoms occur in three distinct stages.  

1. Painful/Freezing Stage – Individuals experience acute shoulder pain and slight stiffness, which will eventually progress and result in loss of range. This initial stage can last for anywhere from 3-9 months, and intensive treatment is not advisable at this stage. To help manage your symptoms, you may wish to use over the counter anti-inflammatory medication.
2. Frozen Phase – Individuals experience peak stiffness and pain, rendering them unable to move the shoulder. Stage 2 can last anywhere from 9-15 months, and physiotherapy treatment can be very effective at improving range of motion and alleviating symptoms. 
3. Thawing Phase – Individuals notice pain and stiffness beginning to subside, with slight improvements in range of motion being made each month. This stage can last anywhere from 15-24 months, and it is important to continue your physiotherapy treatment to support and expedite the recovery process.  

Physio Treatment for Frozen Shoulder  

Your physiotherapist will propose the most appropriate form of treatment based on the stage of your condition. During the freezing stage, this will typically involve education/support and use of anti-inflammatory medication. A range of gentle exercises will be shown to you during the frozen and thawing phase, which are designed to restore range, strength and function. Massage treatments may also be used to alleviate pain. Working closely with your physiotherapist is important, as overdoing exercise can adversely affect your recovery.  

For most healthy people, recovery from frozen shoulder usually takes around 1.5 years. People with diabetes or other co-morbidities may have an extended recovery period.  

Experiencing Shoulder Pain? Visit Orthosports Physio Today 

Frozen shoulder is a difficult condition to live with, but it typically responds favourably to physiotherapy treatment. Orthosports Physiotherapy have a wealth of experience in treating shoulder conditions, so if you’re experiencing shoulder pain or stiffness, please don’t hesitate to call us today on 9744 2201 to book an appointment.