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    Rehabilitation
    July 24, 20266 min read

    Frozen Shoulder: Regaining Motion When Your Shoulder Locks Up

    By Dr. Chernega

    Frozen shoulder, known medically as adhesive capsulitis, is one of the most frustrating conditions we treat. It develops gradually, limits your ability to reach, dress, and sleep comfortably, and can last for months or even years if left untreated. Fortunately, physical therapy plays a central role in restoring motion and function.

    What Happens in a Frozen Shoulder

    The shoulder joint is surrounded by a capsule of connective tissue. In frozen shoulder, this capsule becomes inflamed, thickened, and tight, restricting movement in all directions. The exact cause is not always clear, but the result is a shoulder that stiffens progressively.

    Who Is at Risk

    Frozen shoulder most commonly affects people between the ages of forty and sixty and is more common in women. Risk increases with:

    • Diabetes and thyroid conditions
    • Prolonged immobilization after injury or surgery
    • Previous shoulder problems
    • Certain periods of reduced activity

    The Three Stages

    Frozen shoulder typically progresses through three phases:

    • The freezing stage, marked by increasing pain and gradual loss of motion
    • The frozen stage, where pain may ease but stiffness remains severe
    • The thawing stage, during which motion slowly returns

    Understanding which stage you are in helps guide the right treatment at the right time.

    How Physical Therapy Helps

    Treatment for frozen shoulder must be carefully matched to the stage. Pushing too aggressively during the painful freezing stage can worsen inflammation, while gentle, appropriate movement helps maintain what motion you have.

    At Injury Docs, our approach may include:

    • Gentle range-of-motion and stretching exercises
    • Manual therapy to mobilize the joint capsule
    • Pain-relieving modalities in the early stages
    • Progressive strengthening as motion returns
    • Education on pacing and daily activity

    Patience Is Part of the Process

    One of the hardest aspects of frozen shoulder is that recovery takes time. Consistent, guided effort over weeks and months produces the best results. Skilled therapy can significantly shorten the natural course of the condition and reduce lasting stiffness.

    The Importance of Early Treatment

    The sooner you begin treatment, the better your outcome tends to be. Early intervention helps preserve motion, manage pain, and prevent the severe stiffness that can develop when the condition goes unaddressed.

    Home Program Matters

    Because frozen shoulder responds to consistent daily effort, your home exercise program is essential. We equip you with the right movements and the knowledge to perform them safely so progress continues between visits.

    If your shoulder is stiffening and simple tasks are becoming difficult, do not wait for it to worsen. Contact Injury Docs today to book an appointment and start regaining your shoulder motion.