Frozen shoulder, also known as adhesive capsulitis, is a condition where the shoulder joint becomes painful, stiff, and progressively difficult to move. It occurs when the connective tissue surrounding the shoulder joint, called the capsule, thickens and tightens, forming adhesions that restrict movement.
This condition typically develops in stages, and can last several months to a few years. It commonly affects adults between the ages of 40, and 60, and is more prevalent among individuals with diabetes, thyroid disorders or those recovering from shoulder injuries or surgery. Although the exact cause is not always clear, immobility or limited use of the shoulder often triggers its onset.
Frozen shoulder develops in 3 distinct stages, namely:
STAGES | CHARACTERISTICS |
---|---|
Stage 1: Freezing Stage | This initial stage lasts from 6 weeks to 9 months. You will notice increasing pain and a gradual loss of shoulder movement. The pain may worsen at night and limit your ability to perform daily activities. |
Stage 2: Frozen Stage | During this stage, which can last 4 to 12 months, pain may begin to ease, but stiffness remains. Shoulder movement becomes extremely limited, affecting tasks such as dressing or reaching overhead. |
Stage 3: Thawing Stage | The recovery phase may last between 6 months to 2 years. During this stage, movement slowly improves as the shoulder capsule loosens. Additionally, pain continues to decline and function begins to return. |
Often, frozen shoulders are the result of inflammation and tightening of the shoulder capsule. However, the exact causes are not always identifiable and can range between:
The symptoms of frozen shoulder generally worsen over time, and vary by stage. The most common symptoms include:
While frozen shoulder often improves over time, delayed or inadequate treatment can result in long-term complications that significantly impact quality of life. These include:
Although frozen shoulders can affect anyone, certain groups are more vulnerable, such as:
At Apicare Pain Clinic, understand that shoulder pain can interfere with everything from dressing to sleep. That is why we take a comprehensive, patient-focused approach to diagnosing frozen shoulders. That way, we not only confirm the condition, but also understand the severity, and root cause.
The diagnostic steps may involve:
Treatment for frozen shoulder focuses on relieving pain, restoring movement, and preventing long-term stiffness through a combination of non-surgical, evidence-based therapies.
Frozen shoulders can be long, and painful. But you do not have to go through it alone. At Apicare Pain Clinic, we offer comprehensive, and personalised care to help manage your pain, restore mobility, and return to the activities you enjoy. With targeted treatments, and a strong focus on recovery, we tailor your care to what matters most: your quality of life.
Book a consultation with us today to find out how we can help you regain control of your movement, and well-being.
No, frozen shoulder is not usually permanent. With the right treatment, and physiotherapy, most people regain full or near-full shoulder movement within 1 to 3 years. Remember, early diagnosis, and consistent rehabilitation are key to a smoother recovery.
Yes, while frozen shoulder often begins in one shoulder, it can sometimes develop in the opposite shoulder, especially in individuals with underlying medical conditions such as diabetes or thyroid disorders.
Absolutely. Gentle, and targeted exercises are one of the most effective ways to manage frozen shoulder. Additionally, a structured physiotherapy programme can gradually restore shoulder mobility, and reduce stiffness and pain.
Recovery can take anywhere from several months to a few years, depending on the stage of the condition, and how soon treatment begins. Regardless, most patients recover fully with non-surgical treatments.
Yes. People with diabetes are at a significantly higher risk of developing frozen shoulder. They may also face a longer, and more complex recovery, making early intervention even more important.
No, they are different conditions. Frozen shoulder involves thickening of the joint capsule, whereas rotator cuff injuries involve tears or inflammation in the shoulder tendons.
Once resolved, frozen shoulder rarely returns in the same shoulder, but it can affect the other shoulder in some individuals, especially those with risk factors like diabetes or thyroid issues.
If frozen shoulder is left untreated, it can lead to long-term stiffness, chronic pain, and reduced range of motion. In some cases, the joint may never regain full function, especially in older adults.