What Is Frozen Shoulder, and How Does Physiotherapy Help?
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Frozen shoulder (adhesive capsulitis) occurs when the capsule surrounding the shoulder joint thickens and stiffens, leading to gradually increasing pain and restricted movement. It typically follows a long course, and physiotherapy plays an important supportive role throughout.
The Stages of Frozen Shoulder
The condition is generally described in three stages: a "freezing" stage where pain dominates and movement gradually becomes restricted; a "frozen" stage where restricted movement is most prominent but pain has somewhat eased; and a "thawing" stage where movement is gradually regained. The physiotherapy approach is shaped by which stage you're in.
The Role of Physiotherapy
In the painful stage, the focus is on pain management and preserving safe range of motion without forcing movement. As restricted movement becomes more prominent, manual therapy and graded stretching techniques aimed at improving range of motion become more important.
How Long Does It Take?
The course of frozen shoulder varies considerably from person to person and can be a long process in some cases. A patient, consistent physiotherapy follow-up is an important part of managing it well.
Frequently Asked Questions
Does frozen shoulder resolve on its own?
Some cases show partial improvement over the long term, but the process can be lengthy and restricted movement may persist. Physiotherapy is considered to support this process.
Which movements should be avoided with frozen shoulder?
Forceful or sudden movements are generally best avoided during the painful stage; which movements are safe is determined at assessment.
When should physiotherapy start?
Getting an assessment early once symptoms are noticed can help the process be managed more effectively.
For more detail, see our Orthopedic Rehabilitation service page, or contact us with any questions.
This article is for general information only and is not medical advice; please consult a physician or physiotherapist about your specific situation.
Send us a brief note about your concern and we'll get back to you to arrange a suitable assessment appointment.