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How Frozen Shoulder Is Treated: Progressive Physical Therapy
Summary
Frozen shoulder, also known as adhesive capsulitis, is a condition that limits your shoulder movement and causes pain. Treating frozen shoulder involves a step-by-step physical therapy approach that focuses on gradually improving your shoulder's range of motion while managing pain. The treatment process can take up to 18 months, but pain relief often comes sooner. Regular physical therapy sessions and at-home exercises are crucial for recovery.
What Is This & Why It Matters
Frozen shoulder happens when the connective tissue around the shoulder joint thickens and tightens, leading to pain and restricted movement. This condition progresses through three phases: freezing, frozen, and thawing. Physical therapy is a key treatment to regain movement and manage discomfort. By following a structured plan, you can improve your shoulder function and reduce pain over time.
What You Should Do
- Apply heat to your shoulder for 20 minutes before exercises to help ease pain.
- Perform gentle range-of-motion exercises daily, staying within your comfort zone.
- Attend physical therapy sessions 2-3 times a week for guided exercises.
- Practice pendulum exercises during phase two to increase flexibility.
- Engage in self-stretching routines as instructed by your therapist.
- Take ibuprofen (400-600 mg) with food every 6-8 hours if needed for pain relief.
- Return to your provider in four weeks to evaluate progress.
What You Should NOT Do
- Don't push through sharp or severe pain during exercises; stay within limits.
- Avoid skipping physical therapy appointments as they are vital for recovery.
- Refrain from using ice unless inflammation is present after exercises.
- Don't ignore your therapist's instructions on exercise frequency and intensity.
- Avoid lifting heavy objects with the affected arm without guidance.
- Don't expect immediate results; recovery is gradual and takes time.
Symptoms: Normal vs Warning Signs
Normal (Don't Worry)
- Mild soreness after stretching or exercising the shoulder area.
- Temporary stiffness in the morning or after periods of inactivity.
- Aching that lessens with heat application and gentle movement.
- Gradual improvement in motion with consistent exercise efforts.
Call Your Doctor If...
- Severe, persistent pain that doesn't improve with medication or rest.
- Sudden increase in swelling or redness around the shoulder joint.
- Fever accompanying increased shoulder discomfort or inflammation.
- Significant decrease in range of motion despite regular therapy sessions.
- Unusual side effects from medications like ibuprofen (e.g., stomach upset).
FAQ
What exactly causes frozen shoulder?
Frozen shoulder occurs when the tissue around the joint thickens and tightens, often due to injury or lack of use.
How long does it take for frozen shoulder to heal?
Full recovery can take 12-18 months, though you may notice pain relief sooner.
Why do I need heat before exercises?
Applying heat helps relax muscles, reducing pain and making it easier to move during exercises.
Can I do these exercises on my own?
Yes, but it's important to follow your therapist's guidance to avoid injury.
When should I use ice on my shoulder?
Use ice only if you experience inflammation after exercising.
Are steroid injections necessary for everyone?
Not always. They're considered when progress stalls, based on current APTA guidelines.