Frozen Shoulder (Adhesive Capsulitis)

Understanding Frozen Shoulder (Adhesive Capsulitis)

Frozen shoulder, medically known as adhesive capsulitis, is a condition characterized by progressive stiffness and pain in the shoulder joint. The capsule surrounding the shoulder becomes thickened and tight, severely limiting range of motion. Dr. Joshi provides comprehensive treatment for frozen shoulder at all stages.

The condition typically progresses through three phases: the freezing phase (increasing pain and stiffness), the frozen phase (persistent stiffness with potentially less pain), and the thawing phase (gradual return of motion). The entire process can take 1-3 years without treatment.

While frozen shoulder can resolve on its own, treatment can significantly accelerate recovery and reduce pain. Treatment approach depends on the phase and severity of the condition.

Causes & Risk Factors

• Often occurs without clear cause (idiopathic)
• Diabetes (significantly increases risk)
• Thyroid disorders
• Prolonged immobilization after injury or surgery
• Cardiac or breast surgery
• Parkinson's disease
• Age 40-60, more common in women

Symptoms

Common signs and symptoms of frozen shoulder (adhesive capsulitis) include:

• Gradual onset of shoulder pain
• Progressive loss of range of motion
• Difficulty reaching overhead or behind the back
• Pain with movement at the end range
• Night pain affecting sleep
• Difficulty with daily activities (dressing, grooming)
• Stiffness that does not improve with stretching

Treatment Options

Treatment for frozen shoulder (adhesive capsulitis) depends on the severity of your condition and may include:

• Physical therapy focusing on gentle stretching
• Anti-inflammatory medications
• Corticosteroid injections to reduce inflammation
• Hydrodilatation (injection to stretch capsule)
• Manipulation under anesthesia
• Arthroscopic capsular release for resistant cases