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Frozen Shoulder (Adhesive Capsulitis) – Causes, Symptoms & Treatment

What is Frozen Shoulder?
Frozen shoulder, also known as adhesive capsulitis, is a condition that causes:
- Pain in the shoulder
- Stiffness
- Difficulty in moving the shoulder
In this condition, the shoulder joint capsule becomes tight and thick, which restricts movement.
👉 It usually develops gradually and can take time to recover.
⚠️ Common Causes of Frozen Shoulder
The exact cause is not always clear, but certain factors increase the risk:
- Diabetes
- Prolonged shoulder immobility (after injury or surgery)
- Previous shoulder injury
- Age (commonly seen between 40–60 years)
- Thyroid disorders
👉 It can sometimes occur without any obvious reason.
🔍 Symptoms of Frozen Shoulder
Frozen shoulder typically progresses in stages:
1. Freezing Stage
- Gradual onset of pain
- Increasing stiffness
- Pain worsens with movement
2. Frozen Stage
- Pain may reduce slightly
- Stiffness becomes more noticeable
- Limited shoulder movement
3. Thawing Stage
- Gradual improvement in movement
- Decrease in stiffness
Common symptoms include:
- Pain while lifting the arm
- Difficulty reaching overhead or behind the back
- Trouble with daily activities (dressing, combing hair)
- Stiffness even at rest
🚨 When Should You See a Doctor?
You should seek medical advice if:
- Shoulder pain persists for weeks
- Movement becomes restricted
- Daily activities are affected
- Pain disturbs sleep
Early treatment can help reduce stiffness and recovery time.
🧪 How is Frozen Shoulder Diagnosed?
Diagnosis is usually based on:
- Medical history
- Physical examination (range of motion)
Imaging tests like X-ray or MRI may be used to:
- Rule out other shoulder problems
💊 Treatment Options for Frozen Shoulder
Treatment focuses on relieving pain and restoring movement.
1. Medications
To reduce pain and inflammation
2. Physiotherapy & Exercises
- Stretching exercises
- Mobility improvement
- Gradual strengthening
👉 Regular exercise is very important for recovery.
3. Injection-Based Treatments
In some cases:
- Steroid injections into the shoulder joint
These may help reduce pain and improve movement.
4. Activity Modification
- Avoid sudden strain
- Maintain gentle movement
👉 Most patients improve with non-surgical treatment, but recovery may take time.
🏥 Role of a Pain Specialist
A pain specialist can help in:
- Reducing pain during early stages
- Guiding proper treatment and exercises
- Providing targeted injections when needed
- Monitoring recovery
If symptoms persist, consulting a pain management specialist in Udaipur can help guide appropriate care.
👩⚕️ About Dr. Neha Goyal
Dr. Neha Goyal is a pain specialist in Udaipur who treats conditions like frozen shoulder, joint pain, and chronic pain using evidence-based, non-surgical approaches.
🏥 About Care Pain and Arthritis Centre
Care Pain and Arthritis Centre in Udaipur focuses on diagnosing and managing pain conditions with an emphasis on improving mobility and quality of life.
❓ Frequently Asked Questions (FAQs)
1. How long does frozen shoulder last?
It can take several months to over a year, depending on the stage and treatment.
2. Can frozen shoulder heal on its own?
It may improve gradually, but treatment helps speed up recovery and reduce discomfort.
3. Is exercise necessary?
Yes, guided exercises are essential for regaining movement.
4. Is surgery required?
Most cases do not require surgery.
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