Introduction

Frozen Shoulder, or adhesive capsulitis, is a condition that affects up to 5% of the general population and nearly half of those with diabetes. It is characterized by pain, stiffness, and a limited range of motion in the shoulder. Without treatment, Frozen Shoulder can last up to 30 months—or even longer—making early intervention crucial to recovery.

If you’re struggling with Frozen Shoulder, understanding the condition and its treatment options is the first step to regaining control.


What Is Frozen Shoulder?

Frozen Shoulder is an inflammatory condition that progresses through stages, typically affecting people aged 40-65 years. Its hallmark symptom is the gradual reduction of shoulder mobility, often accompanied by pain that radiates into the upper arm.

The condition is divided into four overlapping stages:

  1. Painful Stage: Shoulder pain increases with movement.
  2. Freezing Stage: Stiffness develops as pain persists.
  3. Frozen Stage: Shoulder mobility is significantly restricted, but pain may decrease.
  4. Thawing Stage: Mobility improves gradually as inflammation subsides.

Early diagnosis and treatment can sometimes prevent progression through all four stages.


How to Manage Frozen Shoulder

Pain Relief
  • Begin with over-the-counter painkillers like paracetamol or NSAIDs (e.g., ibuprofen).
  • Avoid movements that exacerbate the pain.
  • If pain persists, stronger medications or steroid injections may be necessary for short-term relief.
Physiotherapy

Physiotherapy plays a key role in recovery by restoring mobility and reducing stiffness. A tailored program, typically lasting at least six weeks, may include:

  • Gentle stretching and strengthening exercises.
  • Posture advice to minimize strain.
  • Pain-relief strategies, such as guided steroid injections when necessary.

Your physiotherapist will assess your shoulder’s range of motion and design a plan that fits your condition’s severity.

Other Interventions
  • Hydrodilation: High-volume cortisone injections provide short-term relief and can enhance the effectiveness of physiotherapy.
  • Surgery: Rarely needed, as it carries risks and limited evidence of effectiveness.

The Importance of Early Action

Left untreated, Frozen Shoulder can make even simple tasks—like reaching behind your back or putting on a belt—painful and difficult. The symptoms stem from actual rigidity in the shoulder joint, not weakness, so avoiding treatment may prolong the condition.


Next Steps

If you’re experiencing symptoms of Frozen Shoulder, don’t wait. Early intervention and the right physiotherapy approach can help shorten recovery time and prevent further stiffness.

Email us at admin@bodyreform.co.nz to book an assessment and begin your journey to recovery.