Understanding Frozen Shoulder: Causes, Phases, and Treatment Options

24 Dec, 2024 | Dr. Malik | No Comments

Understanding Frozen Shoulder: Causes, Phases, and Treatment Options

 

Frozen shoulder, or adhesive capsulitis, is a condition that causes pain, stiffness, and restricted movement in the shoulder joint. This condition can make daily activities, such as reaching for items on a shelf, brushing your hair, or even putting on clothes, extremely difficult. At the Muscle and Joint Clinic, we aim to help individuals understand this condition, why it happens, and how to recover effectively.

What Is Frozen Shoulder?

 

Frozen shoulder occurs when the capsule of connective tissue surrounding the shoulder joint thickens and becomes inflamed. This thickening creates tightness and scar tissue, reducing the shoulder’s ability to move freely. While the exact cause of frozen shoulder is not always known, it is more common in individuals between the ages of 40 and 70, especially women, and those with certain health conditions such as diabetes, thyroid disorders, or cardiovascular disease.

A lack of shoulder movement is a significant risk factor. This can happen after an injury, surgery, or prolonged immobility. For example, someone who keeps their arm still for weeks due to a fracture or rotator cuff injury may develop frozen shoulder as a result.

The Three Phases of Frozen Shoulder

 

Frozen shoulder develops gradually and progresses through three distinct stages. Understanding these stages can help patients and caregivers manage the condition effectively.

1. Freezing Stage:

The freezing stage is often the most painful phase, lasting between 3 to 6 months. During this time:

•Pain develops gradually and worsens, especially with shoulder movements.

•The pain may feel sharp, deep, or burning, particularly when the shoulder is moved in certain directions.

•Stiffness sets in as the shoulder’s range of motion begins to decrease.

•Sleep may be disrupted due to discomfort, especially if pressure is applied to the affected side.

2. Frozen Stage:

During the frozen stage, which can last up to 12 months, the shoulder becomes significantly stiffer, although pain may begin to decrease. Common experiences in this stage include:

•Difficulty performing simple tasks, such as reaching overhead, behind your back, or even lifting light objects.

•Pain may become duller but persists with movement.

•Frustration due to the inability to move the arm freely or complete daily activities independently.

3. Thawing Stage:

In the thawing stage, which may last between 12 and 24 months, movement gradually improves as the shoulder begins to recover. During this phase:

•The range of motion improves slowly over time.

•Pain continues to fade, but the shoulder may still feel weak due to disuse during the earlier stages.

•With consistent treatment and exercises, most individuals regain full or near-full shoulder function.

What Are the Symptoms of Frozen Shoulder?

 

Frozen shoulder symptoms typically begin subtly and worsen over time. Common signs include:

•Persistent pain, especially with movement of the shoulder.

•Stiffness and difficulty rotating or lifting the arm.

•Limited ability to perform everyday tasks, such as brushing hair, reaching for objects, or getting dressed.

•Discomfort that disrupts sleep, especially when lying on the affected side.

These symptoms can be frustrating and significantly impact one’s quality of life, making early diagnosis and treatment crucial.

How Is Frozen Shoulder Treated?

 

Although frozen shoulder can be a lengthy condition to recover from, treatment can help alleviate symptoms and improve mobility. Here are the most common approaches:

1. Physiotherapy and Movement

Movement is essential in managing frozen shoulder, as prolonged immobility can worsen the condition. Physiotherapists can guide patients through:

•Gentle stretches to improve flexibility and maintain motion.

•Strengthening exercises to rebuild muscle lost during the frozen and thawing phases.

•Joint mobilization techniques to increase the range of motion.

2. Heat and Cold Therapy

Applying heat to the shoulder can help relax muscles and ease stiffness, while cold packs reduce inflammation and numb pain. Alternating between heat and cold may provide additional relief.

3. Chiropractic Care

Chiropractic adjustments, particularly targeting the neck and upper back, can help improve shoulder mechanics and reduce associated discomfort. Adjustments can relieve tension in surrounding areas, which may indirectly affect shoulder function.

4. Pain Management

For more severe pain, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen may be used. Corticosteroid injections are another option for individuals who require more targeted relief. Always consult a healthcare provider before starting any medication.

5. Home Exercises

Patients are often encouraged to continue gentle stretching and strengthening exercises at home. Simple routines, such as pendulum swings or wall slides, can help maintain progress achieved during therapy sessions.

6. Preventive Strategies for the Opposite Shoulder

Studies suggest a 10% increased risk of developing frozen shoulder in the opposite shoulder after recovering from the first. To reduce this risk:

•Stay active and maintain regular movement in both shoulders.

•Include exercises that strengthen and stretch the shoulders in your routine.

•Avoid prolonged periods of immobility after injury or surgery.

The Road to Recovery

 

While frozen shoulder can take months or even years to resolve, most individuals recover fully with appropriate care. Early diagnosis and treatment are crucial in minimizing pain and maximizing recovery. At the Muscle and Joint Clinic, we specialize in developing personalized treatment plans tailored to each patient’s unique needs and stage of frozen shoulder.

When to Seek Help

 

If you experience persistent shoulder pain or difficulty moving your arm, it’s essential to seek professional care. Ignoring symptoms can prolong recovery and lead to further complications. Our team of physiotherapists, chiropractors, and healthcare professionals is here to help guide you through your recovery journey.

Take the first step toward pain relief and restored mobility—book an appointment with us today. Together, we can help you overcome frozen shoulder and get back to living pain-free.

 

Disclaimer:

This blog is for educational purposes only and is not a substitute for professional medical advice. Always consult a qualified healthcare provider for concerns about your health or treatment options.

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