What Is Frozen Shoulder and Its Causes

Frozen shoulder occurs when the capsule surrounding your shoulder joint thickens and tightens, restricting movement and causing pain. This condition typically develops slowly, progressing through three stages: freezing (painful stage), frozen (stiffening stage), and thawing (recovery stage).

Several factors increase the risk of developing frozen shoulder. People with diabetes are 2-4 times more likely to experience this condition. Other risk factors include prolonged immobilization after injury or surgery, thyroid disorders, cardiovascular disease, and Parkinson's disease. Women are more commonly affected than men, and it most frequently occurs between ages 40-60.

The exact cause remains somewhat mysterious, but medical researchers believe it involves an inflammatory process. When inflammation occurs in the shoulder capsule, adhesions (bands of stiff tissue) form, limiting the space for proper joint movement and causing the characteristic stiffness and pain.

Common Symptoms and Diagnosis

Recognizing frozen shoulder early can help manage symptoms more effectively. The primary symptoms include dull, aching pain in the outer shoulder area, restricted movement, and difficulty with everyday activities like reaching overhead, brushing hair, or fastening clothing behind your back.

Pain often worsens at night, making sleep difficult. As the condition progresses through its stages, the level of pain and stiffness changes. Initially, pain dominates while mobility gradually decreases. Later, pain may diminish but stiffness increases. Finally, during the thawing stage, mobility slowly improves.

Healthcare providers typically diagnose frozen shoulder through physical examination, evaluating your range of motion both when you move your shoulder actively and when the doctor moves it passively. Imaging tests like X-rays or MRIs may be ordered to rule out other conditions such as arthritis or rotator cuff tears.

Non-Surgical Treatment Options

Most frozen shoulder cases resolve with non-surgical treatments, though recovery may take 1-3 years. The primary goal is to manage pain and maintain as much shoulder mobility as possible during the healing process.

Physical therapy forms the cornerstone of treatment. A structured program from American Physical Therapy Association certified therapists typically includes stretching exercises to improve range of motion and strengthening exercises to stabilize the shoulder.

Over-the-counter pain medications like ibuprofen or naproxen can reduce inflammation and pain. For more severe cases, doctors might recommend prescription-strength anti-inflammatory medications or corticosteroid injections into the shoulder joint.

Alternative therapies showing promise include acupuncture and therapeutic massage. Some patients find relief through heat therapy before exercises and ice afterward to manage inflammation.

Provider Comparison for Treatment

When seeking treatment for frozen shoulder, various healthcare providers offer different approaches. Consider these options based on your specific needs:

Provider TypeApproachBest For
Primary Care PhysicianInitial diagnosis, medication, referralsFirst assessment and treatment plan
Physical TherapistCustomized exercise programs, manual therapyImproving mobility and function
Orthopedic SpecialistAdvanced diagnosis, injections, surgical optionsComplex or resistant cases
American Academy of Orthopedic SurgeonsEvidence-based protocols, surgical expertiseComprehensive treatment planning
ChiropractorSpinal adjustments, soft tissue techniquesComplementary care approach

When comparing providers, consider their experience with frozen shoulder specifically. Ask about their typical treatment protocols and success rates. MoveForwardPT offers a directory of physical therapists specializing in shoulder conditions.

Some healthcare systems offer integrated care teams that coordinate between different specialists. This approach can be particularly effective as it combines expertise from multiple disciplines to address all aspects of frozen shoulder recovery.

Home Exercises and Self-Care Strategies

Complementing professional treatment with home care can accelerate recovery. Consistent daily exercises are crucial for maintaining and improving shoulder mobility. Consider these effective self-care approaches:

Pendulum stretch: Lean forward with your good arm supporting your weight on a table, allowing the affected arm to hang down. Gently swing your arm in small circles, gradually increasing the diameter as comfort allows.

Towel stretch: Hold a towel behind your back with one hand at the top and the affected arm at the bottom. Gently pull upward with the good arm to stretch the affected shoulder.

Heat therapy before exercises helps relax muscles and increase blood flow. Apply a heating pad for 10-15 minutes before stretching. Afterward, ice can help manage any post-exercise inflammation.

Products designed for shoulder support and rehabilitation are available from TheraTape and similar companies. These include specialized taping methods, supportive braces, and ergonomic tools to assist with daily activities during recovery.

Maintain good posture throughout the day, as slouching can exacerbate shoulder problems. Consider ergonomic adjustments to your workspace and sleeping position to reduce strain on the healing shoulder.

Conclusion

Recovering from frozen shoulder requires patience and consistent effort. While the condition typically resolves over time, proactive treatment can significantly reduce pain and accelerate the return to normal function. The combination of professional care from qualified providers, diligent home exercise programs, and appropriate pain management creates the most effective path to recovery. Remember that each case is unique—what works quickly for one person may take longer for another. By understanding your condition and actively participating in your treatment plan, you can overcome frozen shoulder and return to pain-free movement.

Citations

This content was written by AI and reviewed by a human for quality and compliance.