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Frozen Shoulder

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by Carson-DeWitt R

(Adhesive Capsulitis)


Risk Factors

Frozen shoulder is more likely to occur in women between the ages of 40-65 years old.
Factors that increase your risk for frozen shoulder include:
  • Diabetes
  • Thyroid problems
  • Disc problems in your neck
  • Injuries to the shoulder
  • Illness or injury that forces you to keep the shoulder immobile for a period of time
  • Heart and/or lung disease, during which time you do not move the shoulder normally


Treatment focuses on:
  • Relieving pain
  • Restoring function and range of motion to the shoulder

Nonsurgical Options

  • Pain relievers (such as, ibuprofen and aspirin)—to help reduce inflammation and relieve pain
  • Muscle relaxants—to help relax arm and shoulder muscles
  • Physical therapy—to stretch muscles and restore motion and function to the shoulder. This is the foundation of treatment. It requires much home exercise
  • Heat and ice therapies—to help relieve pain and reduce swelling
  • Corticosteroid injections—as prescribed and given by your doctor (rarely done for this condition)


Closed Manipulation
Closed manipulation surgery is a forceful movement of the arm at the shoulder joint. It is done to loosen the stiffness. The surgery is performed under anesthesia. The procedure is followed by intensive physical therapy. Be sure to follow your doctor's instructions after surgery.
Arthroscopic Surgery
In arthroscopic surgery, a small incision is made in the shoulder. Special small instruments are inserted through the incision. The tightened tissues are released. The shoulder is manipulated. Physical therapy must be done after this procedure. Be sure to follow your doctor's instructions after surgery.

Capsular Distension

Capsular distension is often done as a combination of an arthrogram and corticosteroid injection. The doctor expands the shoulder joint by injecting salt water under pressure. The fluid may contain cortisone and may also contain a dye that allows the shape and character of the shoulder joint to be seen.
If you are diagnosed with a frozen shoulder, follow your doctor's instructions .


Frozen shoulder may recur. To help prevent frozen shoulder:
  • Do regular strength training and range-of-motion exercises. This will help maintain a strong and flexible shoulder joint.
  • Seek prompt treatment for a shoulder injury.
  • Do activities that use your shoulder joint regularly.
  • After injury to an upper extremity (such as, hand, wrist, elbow), always move the shoulder through a full range of motion several times a day. This is true even when lying in bed for an illness such as a lung infection.


American Academy of Orthopaedic Surgeons

American Orthopaedic Society for Sports Medicine



Canadian Orthopaedic Association

Canadian Orthopaedic Foundation



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5/7/2014 DynaMed Systematic Literature Surveillance Kelley MJ, Shaffer MA, et al. Shoulder pain and mobility deficits: adhesive capsulitis. J Orthop Sports Phys Ther. 2013 May;43(5):A1-31.


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