Adhesive Capsulitis (Frozen Shoulder): Causes and Treatment with Physiotherapy

Frozen shoulder, also known as adhesive capsulitis, is a condition that leads to pain and stiffness in the shoulder joint. Over time, the range of motion becomes severely limited, making daily tasks difficult. The primary symptom is rigidity and persistent shoulder pain, often leaving patients in significant discomfort. If untreated, frozen shoulder can result in a reduction in flexibility and function. Physical therapy is an effective way to restore movement, reduce pain, and improve quality of life. At Dr. Anil’s Physiotherapy Clinic, our team provides specialized physiotherapy to manage frozen shoulder symptoms at every stage.

Physical Therapy for Frozen Shoulder

Physiotherapy for frozen shoulder includes a variety of exercises and treatments designed to enhance flexibility, reduce pain, and restore movement. Here’s what to expect from a comprehensive therapy plan:

  • Resistance training exercises
  • Swimming or other physical activities
  • Massage therapy
  • Heat and ice pads for pain relief

These techniques work together to improve the range of motion and alleviate shoulder discomfort caused by this inflammatory condition. Frozen shoulder leads to fibrosis of the GH joint capsule, gradually worsening stiffness and limited movement—particularly external rotation.

When Should You Seek Physiotherapy?

If your shoulder pain persists for more than three weeks or if symptoms show no improvement, it’s crucial to seek medical advice. Physiotherapy, combined with medication and stretching exercises, forms the cornerstone of frozen shoulder treatment. The goal of this therapy is to decrease pain and stiffness, allowing the shoulder to return to its normal range of motion and functionality.

Manipulation and Mobilization Techniques

Effective for releasing tension caused by frozen shoulder pain, manipulation, and mobilization techniques help restore the natural shape of the shoulder. Trigger point therapy is a critical component of this recovery process, aiding in stretching and releasing the shoulder capsule. These methods can improve flexibility and enhance range of motion while reducing pain.

Exercise Therapy Program                                                                                                                 

A personalized exercise routine is essential for managing frozen shoulder. Strengthening and stretching exercises should target the shoulder-girdle muscles. Ideally, patients should perform these exercises for 20-40 minutes, 2-3 times daily. It’s also important to incorporate warm-up stretches before starting any physical therapy.

Combination Therapy for Frozen Shoulder

In many cases, non-steroidal anti-inflammatory drugs (NSAIDs) are prescribed alongside physiotherapy. However, it’s often found that a combination of NSAIDs, physical therapy, and regular exercise offers the best results. The goal of this multi-faceted approach is to reduce pain, improve range of motion, and eventually eliminate the need for NSAIDs as the patient regains strength and mobility.

Is Physiotherapy a Long-term Solution for Frozen Shoulder?

Physiotherapy is an essential part of treating frozen shoulder, but it may not provide a permanent solution in severe cases. While physiotherapy helps reduce symptoms and restore movement, surgery may be necessary for patients with extreme cases of adhesive capsulitis. Surgery is generally only recommended when all other treatment options have been exhausted, and the patient continues to experience severe pain and limited mobility.

Most patients experience complete symptom relief within six to nine months of consistent physical therapy. However, frozen shoulder can recur, sometimes with increased severity. To prevent this, it’s important to continue physiotherapy exercises even after symptoms subside. At Dr. Anil’s Physiotherapy Clinic, we prioritize holistic care and long-term recovery, helping you manage your frozen shoulder effectively.

Book Your Appointment Today!

At Dr. Anil’s Physiotherapy Clinic, our expert team is dedicated to providing personalized treatment plans that address the root causes of your shoulder pain. Take the first step toward recovery and book your life-changing appointment today!