Understanding Frozen Shoulder and How Physiotherapy Can Help
Frozen shoulder, also known as adhesive capsulitis, is a condition characterised by stiffness, pain, and limited range of motion in the shoulder joint. It typically develops gradually and can significantly impact daily activities, making it challenging to perform simple tasks such as reaching for objects or dressing. While the exact cause of frozen shoulder is not always clear, it is more common in individuals aged 40 to 60 and those with certain medical conditions such as diabetes or thyroid disorders.
What Causes Frozen Shoulder?
Frozen shoulder occurs when the connective tissue surrounding the shoulder joint (the joint capsule) thickens and tightens, leading to restricted movement. This process is often divided into three stages:
- Freezing Stage: This is the initial phase where the shoulder becomes painful, and its range of motion starts to decrease. The pain is often worse at night.
- Frozen Stage: During this phase, the pain may diminish, but stiffness remains, severely limiting shoulder mobility.
- Thawing Stage: In this final phase, the shoulder gradually regains its range of motion as the stiffness subsides.
Symptoms of Frozen Shoulder
- Persistent shoulder pain
- Reduced ability to move the shoulder
- Difficulty performing everyday tasks
- Muscle weakness around the shoulder
Physiotherapy for Frozen Shoulder
Physiotherapy is a foundation in the management of frozen shoulder and plays a crucial role in alleviating symptoms and restoring mobility. Here’s how it helps:
- Pain Management
Physiotherapists use various techniques to reduce pain, such as:
- Heat or Cold Therapy: Applying heat or ice packs to the affected area helps manage inflammation and pain.
- Manual Therapy: Gentle mobilisation techniques are used to improve joint movement and reduce discomfort.
- Restoring Range of Motion
Stretching exercises are a primary focus to enhance flexibility and reduce stiffness. Examples include:
- Pendulum Exercises: These involve gently swinging the arm to promote movement.
- Passive Stretching: The therapist may assist in moving the shoulder to gradually increase its range.
- Strengthening Exercises
As mobility improves, strengthening exercises are introduced to build muscle support around the shoulder. Resistance bands or light weights may be used during sessions.
- Joint injection
Joint injection can provide faster relief compared to oral anti-inflammatory medication as the injection is delivered directly into the affected joint. While joint injection is not a “cure” for a frozen shoulder, it can significantly ease symptoms during the painful and stiff phase allowing for a more efficient physio/rehab progression and therefore quicker results.
- Home Exercise Program
Patients are often provided with a tailored exercise program to perform at home, ensuring continued progress between therapy sessions.
Tips for Managing Frozen Shoulder
- Avoid activities that worsen the pain.
- Stay consistent with prescribed exercises.
- Practice patience, as recovery can take several months.
When to Seek Medical Help
If you experience persistent shoulder pain and stiffness that limits your daily activities, it’s essential to consult a healthcare professional. Early intervention can prevent the condition from worsening and reduce recovery time.
Why Choose Bode Clinic?
We’re proud to be recognised as the top physiotherapy clinic in Manchester and Salford, offering expert care and proven results. We’re here to help you feel your best.
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