Understanding Frozen Shoulder: Diagnosis, Treatment, and Recovery

Frozen shoulder, medically known as adhesive capsulitis, is a painful and often debilitating condition that causes stiffness, limited mobility, and persistent discomfort in the shoulder joint. It typically develops gradually and can last several months to years if left untreated. Understanding its causes, symptoms, and treatment options is crucial for effective recovery.


What Is Frozen Shoulder?

Frozen shoulder occurs when the capsule of connective tissue surrounding the shoulder joint becomes thickened and inflamed, restricting movement and causing pain. Over time, this can significantly limit a person’s ability to perform simple tasks such as lifting an arm, dressing, or sleeping comfortably.


Common Causes and Risk Factors

While the exact cause isn't always known, several factors may increase your risk:

  • Injury or Surgery: Immobilizing the shoulder after an injury or surgery can trigger the condition.

  • Diabetes: People with diabetes are more prone to developing frozen shoulder.

  • Thyroid Disorders

  • Age and Gender: More common in people aged 40–60, especially women.

  • Stroke or Other Systemic Conditions: Conditions limiting shoulder movement can contribute to its onset.


Symptoms of Frozen Shoulder

Frozen shoulder progresses in three stages, each with distinct characteristics:

1. Freezing Stage (6 weeks to 9 months)

  • Gradual onset of pain

  • Increasing stiffness

  • Range of motion begins to decline

2. Frozen Stage (4 to 12 months)

  • Pain may reduce, but stiffness persists

  • Daily activities become difficult

  • Significant limitation in shoulder mobility

3. Thawing Stage (6 months to 2 years)

  • Gradual improvement in mobility

  • Pain continues to fade

  • Shoulder begins to regain normal function


How Frozen Shoulder Is Diagnosed

Diagnosis typically involves:

  • Physical Examination: Assessing shoulder movement, pain levels, and stiffness.

  • Imaging Tests:

    • X-rays to rule out arthritis or fractures

    • MRI or ultrasound to evaluate inflammation or other soft tissue issues

Your doctor may also ask about your medical history, lifestyle, and any recent injuries or surgeries.


Treatment Options for Frozen Shoulder

1. Physical Therapy

Physical therapy is the most effective non-invasive treatment. Specific stretching and strengthening exercises can help restore range of motion.

2. Medications

  • NSAIDs (like ibuprofen) to reduce pain and inflammation

  • Corticosteroid injections for temporary pain relief

3. Heat and Cold Therapy

Alternating hot and cold compresses can help manage symptoms in the early stages.

4. Joint Distension

Involves injecting sterile fluid into the shoulder joint to stretch the capsule and improve mobility.

5. Manipulation Under Anaesthesia (MUA)

For severe cases, the shoulder is gently moved while under anesthesia to break up adhesions.

6. Arthroscopic Surgery

If conservative treatments fail, minimally invasive surgery may be performed to remove scar tissue and adhesions.


Recovery and Outlook

Recovery from frozen shoulder varies but typically takes between 6 months to 2 years, depending on the stage and treatment approach. Adherence to a structured physiotherapy program is crucial for long-term recovery and prevention of recurrence.

Recovery Tips:

  • Stay consistent with physical therapy

  • Avoid overexertion or sudden movements

  • Maintain proper posture and ergonomics

  • Follow your doctor's guidance closely


Conclusion: Consult a Specialist for Long-Lasting Relief

Frozen shoulder can be frustrating and painful, but with proper care and timely intervention, full recovery is possible. If you're experiencing symptoms of frozen shoulder, it's important to consult a skilled orthopedic specialist.

Dr. Rakesh Kumar is a trusted expert in diagnosing and treating shoulder conditions, including frozen shoulder. With a patient-first approach and evidence-based treatment plans, Dr. Rakesh Kumar ensures that every patient receives personalized care for optimal recovery.

Book your consultation today and take the first step toward pain-free shoulder movement and improved quality of life.

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