Frozen Shoulder: What to expect for treatment at our Cumming, Alpharetta, and Roswell physical therapy locations.

Adhesive Capsulitis

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Adhesive Capsulitis is more commonly called Frozen Shoulder

Photo of iceberg - represents the three phases of frozen shoulder.

Introduction

What is frozen shoulder?

Real-life strategy to reach your goals.

Adhesive capsulitis, commonly referred to as frozen shoulder, is a medical condition marked by stiffness and pain in the shoulder joint, resulting in a notable restriction of motion. The condition typically advances through three distinct phases:

  • 1

    The freezing phase.

  • 2

    The frozen phase.

  • 3

    The thawing phase.

Each phase presents distinct challenges and necessitates tailored strategies for effective treatment and management.

Diagnosis

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Clinical Evaluations & Imaging

Identifying frozen shoulder typically requires both a thorough clinical assessment and the use of imaging techniques. During the examination, a healthcare professional evaluates the patient’s ability to move their arm in different directions, which helps gauge the severity of pain and stiffness. Imaging tools such as X-rays, ultrasounds, or MRIs might be employed to exclude other conditions that present with similar symptoms. A key indicator of frozen shoulder is the reduced ability to move the shoulder, both actively and passively, setting it apart from other shoulder-related conditions.

2-5%

General population

40 to 60

Most comon age group
Split screen photo showing a shoulder physical exam side by side with a MRI picture set.

Adhesive capsulitis, or frozen shoulder, affects approximately 2% to 5% of the general population. It is more common in individuals aged 40 to 60 years, with a higher prevalence among women.

Additionally, people with underlying conditions such as diabetes mellitus or thyroid disorders are at an increased risk.

For instance, studies suggest that individuals with diabetes are up to five times more likely to develop adhesive capsulitis.

Sources:

  1. AAFP.org
  2. Medicine.osu.edu

Treatment

Alleviate Pain and Restore Range of Motion

Treatment for frozen shoulder aims to alleviate pain and restore the shoulder’s range of motion. The approach can be divided into non-surgical and surgical methods.

Picture of Advil bottle and tablets.

Medications – Non-surgical

Pain relievers such as aspirin and ibuprofen can help reduce pain and inflammation. In some cases, stronger pain-relieving and anti-inflammatory drugs may be prescribed.

Basic shoulder movement supervised by a Body Pros physical therapist.

Physical Therapy – Non-surgical

A physical therapist can guide patients through range-of-motion exercises designed to improve shoulder mobility. Consistent participation in these exercises is crucial for recovery.

Colorful illustration of a shoulder injection with skeletal overlay.

Steroid and Fluid Injection – Non-surgical

Injecting corticosteroids into the shoulder joint can help decrease pain and improve mobility, especially if administered early in the course of the condition. In addition, a procedure called hydrodilatation may be effective. This procedure involves injecting sterile water into the joint capsule to stretch the tissue and improve movement. It is sometimes combined with a steroid injection.

Picture of shoulder surgery.

Surgical Treatments

  • Shoulder Manipulation: Under general anesthesia, the healthcare provider moves the shoulder joint in different directions to loosen the tightened tissue.
  • Arthroscopic Surgery: In rare cases, surgery may be performed to remove scar tissue from inside the shoulder joint. This minimally invasive procedure involves making small incisions for instruments guided by a tiny camera.
Picture of Bobby getting ready to do the "flop test" for shoulder problems.
The important role of physical therapy

Avoid Surgery and Reach Your Goals.

Physical therapy plays a pivotal role in treating adhesive capsulitis, also known as frozen shoulder. With an experienced physical therapist, you can expect your course of PT to alleviate pain and restore mobility.

At Body Pros Physical Therapy, your therapist has the experience and expertise to assess each patient’s shoulder function and pain levels. As a result, treatment plans are customized. Each treatment plan will include the application of techniques such as stretching exercises, manual therapy, and education on proper body mechanics to reduce pain, avoid recurrence, and improve shoulder mobility.

In addition, early intervention and consistent effort in physical therapy can significantly enhance recovery outcomes.

In conclusion, frozen shoulder is a challenging condition that requires a comprehensive approach for effective management. Accurate diagnosis, appropriate treatment, and dedicated physical therapy are essential components in restoring shoulder function and improving the quality of life for affected individuals.

Frequently Asked Questions

What exercises are commonly included in shoulder physical therapy?2025-07-15T19:21:49+00:00

Common Exercises for Shoulder Physical Therapy

Exercises often focus on improving range of motion, strengthening the rotator cuff and surrounding muscles, and enhancing flexibility. Examples include:

  • Pendulum swings
  • Wall slides
  • Resistance band

In a typical shoulder physical therapy program, exercises are tailored to the individual’s condition and recovery goals. These exercises often progress from gentle mobility work to targeted strength and stability training. Early stages may begin with pendulum swings and passive range of motion stretches to decrease stiffness and improve joint fluidity. As healing progresses, wall slides and table slides help restore active movement while engaging the scapular muscles.

Rotator cuff strengthening is a central focus. This often involves resistance band external and internal rotations, isometric holds, and prone horizontal abduction. These help improve shoulder stability, especially after injury or surgery. Additionally, scapular stabilization work—such as serratus punches and scapular retraction drills—ensures the shoulder blades support proper arm movement.

To boost flexibility and mobility, therapists may integrate posterior capsule stretches, sleeper stretches, and cross-body adduction exercises. For athletes or patients returning to overhead activity, closed kinetic chain exercises like wall push-ups or plank variations are introduced to build control and endurance.

Every exercise is typically performed under guidance, with attention to posture and muscle engagement. Pain levels, range of motion limitations, and rehab stage all influence the treatment plan. As recovery continues, functional movements mimic everyday tasks or sport-specific motions, bridging the gap between therapy and daily life.

How long does physical therapy for shoulder pain typically take?2025-03-03T22:40:41+00:00

The duration depends on the severity of the condition and individual progress. It can range from a few weeks for minor issues to several months for more complex cases.

What conditions can physical therapy treat for the shoulder?2025-03-03T22:37:34+00:00

Physical therapy can address a variety of shoulder problems, including rotator cuff injuries, frozen shoulder, shoulder impingement, dislocations, and post-surgical recovery.

By |2025-03-04T13:49:31+00:00March 3, 2025|Shoulder Pain|Comments Off on Frozen Shoulder: What to expect for treatment at our Cumming, Alpharetta, and Roswell physical therapy locations.

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