Frozen Shoulder Thawed

I have encountered numerous patients struggling with a condition known as "frozen shoulder." Also referred to as adhesive capsulitis, frozen shoulder can cause significant discomfort and limited range of motion in the shoulder joint.

What causes frozen shoulder?

Contrary to its name, frozen shoulder is not caused by exposure to cold weather. The term "frozen" refers to the stiffness and restricted movement experienced by individuals with this condition. The exact cause of frozen shoulder is still not fully understood, but it is believed to involve inflammation and thickening of the shoulder joint capsule. Certain risk factors, such as diabetes, thyroid disorders, and previous shoulder injuries, can increase the likelihood of developing frozen shoulder.

What should I do to treat my frozen shoulder?

While it may seem logical to rest the affected shoulder when experiencing pain and stiffness, excessive rest can actually slow down recovery and worsen the condition. Gentle exercises and movements prescribed by a physiotherapist can help maintain shoulder flexibility and prevent further stiffness. Early intervention with appropriate exercises is crucial for improving shoulder function and reducing discomfort.

Frozen shoulder is usually a self-limiting condition which will eventually get better but itself. However, without proper intervention and treatment, occasionally frozen shoulder can persist for an extended period, sometimes lasting for years. Seeking medical attention and starting treatment early can significantly accelerate the recovery process and prevent further complications.

What about surgery?

While surgery may be considered in severe and resistant cases of frozen shoulder, it is not the first-line treatment. Non-surgical approaches, such as physiotherapy, joint mobilisations, and stretching exercises, are often successful in managing frozen shoulder and restoring shoulder mobility. Additionally, your GP may recommend anti-inflammatory medications or joint injections to alleviate pain and inflammation.

Heat or ice?

Applying heat to a frozen shoulder may provide temporary relief, but it is not a curative treatment. In fact, using heat during the initial inflammatory phase can exacerbate the condition. Cold packs or ice applications may be more suitable during this stage to reduce inflammation. As the shoulder progresses into the "thawing" phase, gentle heat applications can help relax the muscles and promote blood flow, supporting the healing process.

Who gets it?

While it is more common in people aged 40 to 60, younger individuals and those with certain medical conditions may also experience frozen shoulder. Early diagnosis and proper management are essential regardless of age to minimise the impact on daily life and ensure a smoother recovery.

Conclusion

Frozen shoulder, or adhesive capsulitis, is a challenging condition that can cause significant discomfort and restricted shoulder mobility. If you are experiencing shoulder pain and stiffness, don't dismiss it as a passing discomfort. Consult with a qualified healthcare professional to accurately diagnose and manage your condition. With the right approach, your frozen shoulder can be effectively thawed, allowing you to regain mobility and improve your overall quality of life.