Frozen Shoulder

Also known as adhesive capsulitis, frozen shoulder typically presents as pain and stiffness of the shoulder that begins slowly but gets progressively worse. Pain or stiffness with internal rotation, such as placing your hand on your low back, is often the first complaint of patients suffering from frozen shoulder.

It is unknown why some people develop frozen shoulder but risk factors include diabetes and recent immobilization of the shoulder.

Treatment for frozen shoulder can include joint mobilization and manipulation as well as therapies that aim for reducing adhesions in the shoulder.

What causes Frozen Shoulder?

Frozen shoulder may be idiopathic. The exact reason why frozen shoulder develops is not known at present. It’s thought to be caused by inflammation of your shoulder joint and its surrounding capsule. Frozen shoulder can sometimes develop if you have had a shoulder injury, such as a fracture, or if you have had surgery on your shoulder.


The most obvious symptoms are pain and joint stiffness which may lead to insomnia. Patients cannot perform actions like raising hands, combing hair, wearing clothes and hand behind back.

The stiffness may make it difficult for you to do everyday tasks, such as driving, dressing or sleeping. You may also have difficulty scratching your back or putting your hand in your back pocket.

The pain usually comes on gradually, and is often worse when you move your shoulder joint. It may also be worse at night.


Frozen shoulder will usually get better on its own. However, it can sometimes take years to completely go away. Treatment for frozen shoulder depends on the stage of your condition.frozen shoulder would cause large area neck and shoulder pain. Afterwards, tension around shoulder joint would increase with neck function decreased, leading to cervical nerve roots disorder. Because of pain, patients are deterred from moving the painful shoulder joint. After series of inflammatory responses around the shoulder joint, fibrosis of tendons developed. Nervous transmission is thus blocked and causes muscle atrophy in the end.


Spine and Physiotherapist will do an examination of the shoulder and the spine determine if the diagnosis is frozen shoulder. The range of motion will be tested laterally raising the arm to the side and raising the arm forward in the sagittal plane. Raising the arm to the back is not as restricted or as noticeable for the patient.

After the examination, the Spine and Physiotherapist may adjust the spine and then the shoulder.Some of the frozen shoulder adjustments may be painful if no anesthesia is used, even though Spine and Physiotherapy adjustments in general are not painful.

However, adjustments for frozen shoulder will give the greatest amount of correction in the first visit. A short and sharp increase in pain may be felt directly after the adjustment, but the pain will calm down in a few minutes. After the pain subsides, the Spine and Physiotherapist will again test the range of motion, which can improve as much as 50% or more after the first visit with certain Spine and Physiotherapist.

Typically, the pain will be less severe than before the adjustment. The Spine and Physiotherapist will then recommended some exercises, which will also improve the effectiveness of the Spine and Physiotherapy adjustments.

1. Shoulder pain is most often caused by subluxations in the neck. Neck pain and stiffness is commonly associated with this condition confirming the neck problem. Without treating the cause adequately, often in the neck, NECK PAIN TREATMENT, all other treatment options are slow and dependent on the body's natural recuperative powers.
With no treatment at all this condition usually resolves within three years, owing to this natural healing power of the body. Three years of hell.

2. Movement. The worst treatment of this condition is immobilisation, as in a sling. It rapidly worsens the pain and stiffness. A gentle set of stretches for the FS, done frequently, numerous times a day, is an essential part of the Spine and Physiotherapy care. As the movement returns, and the pain lessens, active rehab exercises, ROTATOR CUFF STRENGTHENING are essential.

3. Key to shoulder treatment is mobilisation and/or adjusting the AcromioClavicular joint. The earlier the diagnosis is made and start treatment, the better the prognosis would be. Patients should comply to the treatment protocol so as to maximize the treatment effects.

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Visitors are advised to seek professional help from a registered Spine and Physiotherapist, as individual conditions vary.

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