Materiały źródłowe

• #1 Frozen Shoulder – Adhesive Capsulitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/frozen-shoulder/

  Frozen shoulder, also called adhesive capsulitis, causes pain and stiffness in the shoulder. Over time, the shoulder becomes very hard to move. […] Physical therapy, with a focus on shoulder flexibility, is the primary treatment recommendation for frozen shoulder. […] Frozen shoulder generally gets better over time without surgery, although it may take up to 3 years. The focus of treatment is to control pain and restore motion and strength through physical therapy. […] Most people with frozen shoulder improve with relatively simple treatments to control pain and restore motion. […] One of the most important things you can do is optimize your other health conditions that might be contributing to the frozen shoulder. […] Non-steroidal anti-inflammatory drugs (NSAIDs). Anti-inflammatory medications like aspirin and ibuprofen reduce pain and swelling.

• #2 Frozen Shoulder – Adhesive Capsulitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/frozen-shoulder

  Frozen shoulder, also called adhesive capsulitis, causes pain and stiffness in the shoulder. Over time, the shoulder becomes very hard to move. […] Physical therapy, with a focus on shoulder flexibility, is the primary treatment recommendation for frozen shoulder. […] Frozen shoulder generally gets better over time without surgery, although it may take up to 3 years. The focus of treatment is to control pain and restore motion and strength through physical therapy. […] Most people with frozen shoulder improve with relatively simple treatments to control pain and restore motion. […] Physical therapy. Specific exercises will help restore motion. These may be done under the supervision of a physical therapist or via a home program. Therapy includes stretching or range of motion exercises for the shoulder.

• #3 Treatment Strategy for Frozen Shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6695331/

  These initial conservative managements may be successful in up to 90% of patients. […] It is important to note the phase being treated because of differences in symptoms at each phase. […] In freezing phase (duration, 10-36 weeks), pain is most prominent. […] Steroid injection provides rapid pain relief, mainly in the short-term period. […] In frozen phase (4-12 months), pain gradually subsides but restricted ROM is predominant. […] In this phase, therapy should focus on increasing ROM, such as mobilization techniques or distension for which limited evidence was found. […] In the thawing phase (12-42 months), there is minimum pain and progressive improvement in ROM. […] Physiotherapy is widely adopted as an initial treatment in many shoulder conditions including FS. […] Physiotherapy should include an exercise program that can restore shoulder motion.

• #4 Frozen Shoulder (Adhesive Capsulitis): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/frozen-shoulder-adhesive-capsulitis

  Frozen shoulder treatment usually involves pain relief methods until the initial phase passes. You may need therapy or surgery to regain motion if it doesn’t return on its own. […] Some simple adhesive capsulitis treatments include: […] Physical therapy. A physical therapist can teach you stretching and range-of-motion exercises. […] If these noninvasive treatments haven’t relieved your pain and shoulder stiffness after about a year, your provider may recommend other procedures. These include: […] Providers often use these two procedures together to get better results. […] You can reduce your risk of frozen shoulder if you start physical therapy shortly after any shoulder injury in which shoulder movement is painful or difficult. […] Simple treatments, like the use of pain relievers and shoulder exercises, in combination with a cortisone injection, are often enough to restore motion and function within a year or less.

• #5 Physical therapy in the management of frozen shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5917053/

  Frozen shoulder, also known as adhesive capsulitis, is a common presentation in the primary care setting and can be significantly painful and disabling. […] Common conservative treatments include nonsteroidal anti-inflammatory drugs, oral glucocorticoids, intra-articular glucocorticoid injections and/or physical therapy. […] This article elaborates on physical therapy exercises targeted at adhesive capsulitis, which can be used in combination with common analgesics. […] Most frozen shoulder cases can be managed in the primary care setting. Clinicians are encouraged to start the treatment with patient education. […] Common conservative treatments for frozen shoulder include nonsteroidal anti-inflammatory drugs (NSAIDs), glucocorticoids given orally or as intra-articular injections, and/or physical therapy.

• #6 Frozen shoulder

  https://www.nhs.uk/conditions/frozen-shoulder/

  Frozen shoulder can be treated with shoulder exercises and painkillers. […] Treatment for frozen shoulder works in 3 main steps: Pain relief avoid movements that cause you pain. Only move your shoulder gently. At first, try taking paracetamol. You can take it at regular intervals, up to the recommended daily dose. If paracetamol does not work, try an oral NSAID painkiller such as ibuprofen. If it does not help stop using it. […] Stronger pain relief you may be prescribed stronger painkillers or a steroid injection in your shoulder. […] Getting movement back try gentle shoulder exercises at home. If the pain continues, you may be referred to a physiotherapist. […] Physiotherapy can help you get movement back in your shoulder. […] Treatments from a physiotherapist include: stretching exercises, strength exercises, good posture advice, pain relief, including giving steroid injections. […] If you’re still in pain after you have finished your sessions, go back to your GP or physiotherapist. They might prescribe more physiotherapy or another treatment.

• #7 Frozen Shoulder – Adhesive Capsulitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/frozen-shoulder/

  Frozen shoulder, also called adhesive capsulitis, causes pain and stiffness in the shoulder. Over time, the shoulder becomes very hard to move. […] Physical therapy, with a focus on shoulder flexibility, is the primary treatment recommendation for frozen shoulder. […] Frozen shoulder generally gets better over time without surgery, although it may take up to 3 years. The focus of treatment is to control pain and restore motion and strength through physical therapy. […] Most people with frozen shoulder improve with relatively simple treatments to control pain and restore motion. […] One of the most important things you can do is optimize your other health conditions that might be contributing to the frozen shoulder. […] Non-steroidal anti-inflammatory drugs (NSAIDs). Anti-inflammatory medications like aspirin and ibuprofen reduce pain and swelling.

• #8 Frozen Shoulder Treatment, Home Remedies, Cure & Causes

  https://www.emedicinehealth.com/frozen_shoulder/article_em.htm

  Pain relief for a frozen shoulder usually requires an aggressive combination of anti-inflammatory medications, cortisone injection(s) into the shoulder, and physical therapy. Examples of medications that help relieve soreness, inflammation, and pain from frozen shoulder include NSAIDs (nonsteroidal anti-inflammatory drugs), for example, ibuprofen, naproxen (Naprosyn), diclofenac (Voltaren), and many others. Cortisone drugs can be used briefly, either orally (prednisone or prednisolone) or injected into the joint (Depo-Medrol, Kenalog, Celestone). Cold packs can be applied to the shoulder after exercise to minimize inflammation and pain after exercise. […] Frozen shoulders can be resistant to treatment. Arthroscopic surgery and manipulated treatments are the surgery options for frozen shoulder. Other treatments such as release of the scar tissue by arthroscopic surgery or manipulation of the scarred shoulder under anesthesia may be considered for patients with resistant frozen shoulders. The manipulation is performed to physically break up the scar tissue of the joint capsule. This procedure carries the risk of breaking the arm bone (humerus fracture). It is very important for patients that undergo manipulation to partake in an active exercise program for the shoulder after the procedure. It is only with continued exercise of the shoulder that mobility and function is optimized. Once initial treatments have been initiated, the proper ongoing treatment is guided by the monitoring of your doctor.

• #9 Frozen shoulder

  https://www2.hse.ie/conditions/frozen-shoulder/

  Frozen shoulder means your shoulder is painful and stiff for months, sometimes years. It can be treated with shoulder exercises and painkillers. If these treatments do not work, injections and surgery may be necessary. Surgery is rarely used for frozen shoulder. […] Treatment works in 3 main steps: Pain relief avoid movements that cause you pain. Only move your shoulder gently. Use paracetamol or ibuprofen to ease the pain. Stronger pain and swelling relief prescribed painkillers. Maybe steroid injections in your shoulder to bring down the swelling. Getting movement back shoulder exercises once it’s less painful. This can be at home or with a physiotherapist. […] Physiotherapy can help you get movement back in your shoulder. Treatments from a physiotherapist include: stretching exercises, massage, warm and cold therapy (thermotherapy). […] If you’re still in pain after you’ve finished your sessions, go back to your GP. They might prescribe more physiotherapy or try another treatment.

• #10 Frozen Shoulder Treatment, Home Remedies, Cure & Causes

  https://www.emedicinehealth.com/frozen_shoulder/article_em.htm

  Pain relief for a frozen shoulder usually requires an aggressive combination of anti-inflammatory medications, cortisone injection(s) into the shoulder, and physical therapy. Examples of medications that help relieve soreness, inflammation, and pain from frozen shoulder include NSAIDs (nonsteroidal anti-inflammatory drugs), for example, ibuprofen, naproxen (Naprosyn), diclofenac (Voltaren), and many others. Cortisone drugs can be used briefly, either orally (prednisone or prednisolone) or injected into the joint (Depo-Medrol, Kenalog, Celestone). Cold packs can be applied to the shoulder after exercise to minimize inflammation and pain after exercise. […] Frozen shoulders can be resistant to treatment. Arthroscopic surgery and manipulated treatments are the surgery options for frozen shoulder. Other treatments such as release of the scar tissue by arthroscopic surgery or manipulation of the scarred shoulder under anesthesia may be considered for patients with resistant frozen shoulders. The manipulation is performed to physically break up the scar tissue of the joint capsule. This procedure carries the risk of breaking the arm bone (humerus fracture). It is very important for patients that undergo manipulation to partake in an active exercise program for the shoulder after the procedure. It is only with continued exercise of the shoulder that mobility and function is optimized. Once initial treatments have been initiated, the proper ongoing treatment is guided by the monitoring of your doctor.

• #11 Patient education: Frozen shoulder (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/frozen-shoulder-beyond-the-basics

  Medications called „glucocorticoids,” known commonly as „steroids,” can provide some relief from frozen shoulder symptoms for several weeks up to a few months. […] People who do not get better with other treatment options can undergo surgery to „release” the shoulder joint, but experts recommend waiting at least a year before considering surgery.

• #12 Frozen shoulder

  https://www.nhs.uk/conditions/frozen-shoulder/

  Frozen shoulder can be treated with shoulder exercises and painkillers. […] Treatment for frozen shoulder works in 3 main steps: Pain relief avoid movements that cause you pain. Only move your shoulder gently. At first, try taking paracetamol. You can take it at regular intervals, up to the recommended daily dose. If paracetamol does not work, try an oral NSAID painkiller such as ibuprofen. If it does not help stop using it. […] Stronger pain relief you may be prescribed stronger painkillers or a steroid injection in your shoulder. […] Getting movement back try gentle shoulder exercises at home. If the pain continues, you may be referred to a physiotherapist. […] Physiotherapy can help you get movement back in your shoulder. […] Treatments from a physiotherapist include: stretching exercises, strength exercises, good posture advice, pain relief, including giving steroid injections. […] If you’re still in pain after you have finished your sessions, go back to your GP or physiotherapist. They might prescribe more physiotherapy or another treatment.

• #13 Frozen shoulder – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/frozen-shoulder/diagnosis-treatment/drc-20372690

  Most frozen shoulder treatment involves controlling shoulder pain and preserving as much range of motion in the shoulder as possible. […] A physical therapist can teach you range-of-motion exercises to help recover your shoulder movement. Your commitment to doing these exercises is necessary to regain as much movement as possible. […] Injecting corticosteroids into the shoulder joint might help decrease pain and improve shoulder mobility, especially if given soon after frozen shoulder begins. […] Injecting sterile water into the joint capsule can help stretch the tissue and make it easier to move the joint. […] This procedure involves a medication called a general anesthetic, so you’ll be unconscious and feel no pain. Then the care provider moves the shoulder joint in different directions to help loosen the tightened tissue. […] Surgery for frozen shoulder is rare. But if nothing else helps, surgery can remove scar tissue from inside the shoulder joint. This surgery usually involves making small incisions for small instruments guided by a tiny camera inside the joint (arthroscopy).

• #14 Mayo Clinic Q and A: Treatment for frozen shoulder – Mayo Clinic News Network

  https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-treatment-for-frozen-shoulder/

  In many cases, physical therapy is all that’s needed to treat frozen shoulder. […] Physical therapy is the mainstay of treatment for frozen shoulder. A physical therapist can provide exercises to help restore the shoulder’s range of motion and mobility. […] In cases with significant pain and stiffness, an injection of a corticosteroid medication into the joint often is recommended. […] Stiffness that lasts beyond a full course of physical therapy over six to 12 months or shoulder stiffness that gets significantly worse during physical therapy may signal that surgery is needed to release the tight ligaments and remove scar tissue that may contribute to the problem. […] Physical therapy is still necessary for several weeks or more after surgery to prevent frozen shoulder from coming back.

• #15 Treatment Strategy for Frozen Shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6695331/

  These initial conservative managements may be successful in up to 90% of patients. […] It is important to note the phase being treated because of differences in symptoms at each phase. […] In freezing phase (duration, 10-36 weeks), pain is most prominent. […] Steroid injection provides rapid pain relief, mainly in the short-term period. […] In frozen phase (4-12 months), pain gradually subsides but restricted ROM is predominant. […] In this phase, therapy should focus on increasing ROM, such as mobilization techniques or distension for which limited evidence was found. […] In the thawing phase (12-42 months), there is minimum pain and progressive improvement in ROM. […] Physiotherapy is widely adopted as an initial treatment in many shoulder conditions including FS. […] Physiotherapy should include an exercise program that can restore shoulder motion.

• #16 Frozen Shoulder (Adhesive Capsulitis): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/frozen-shoulder-adhesive-capsulitis

  Frozen shoulder treatment usually involves pain relief methods until the initial phase passes. You may need therapy or surgery to regain motion if it doesn’t return on its own. […] Some simple adhesive capsulitis treatments include: […] Physical therapy. A physical therapist can teach you stretching and range-of-motion exercises. […] If these noninvasive treatments haven’t relieved your pain and shoulder stiffness after about a year, your provider may recommend other procedures. These include: […] Providers often use these two procedures together to get better results. […] You can reduce your risk of frozen shoulder if you start physical therapy shortly after any shoulder injury in which shoulder movement is painful or difficult. […] Simple treatments, like the use of pain relievers and shoulder exercises, in combination with a cortisone injection, are often enough to restore motion and function within a year or less.

• #17 Frozen Shoulder: Symptoms, Causes, Diagnosis, Treatment

  https://www.webmd.com/a-to-z-guides/what-is-a-frozen-shoulder

  Most of the time, frozen shoulder eventually gets better on its own, even it you don’t treat it. […] If your symptoms are intense or dont improve over time, your doctor might recommend other kinds of frozen shoulder treatment, including: […] A corticosteroid injection in your shoulder joint to reduce your pain and improve your range of motion. […] Joint distension. This means your doctor will inject sterile water into your shoulder capsule to stretch it. This can help you move your shoulder more easily. […] Physical therapy. While it’s often used for frozen shoulder, it isn’t always effective. It may be more useful during certain phases of frozen shoulder than others. […] Surgery. This is rarely necessary to treat frozen shoulder. But if other treatments havent helped, your doctor may suggest arthroscopic surgery (a less-invasive type of surgery that uses cameras and small tools) to remove scar tissue.

• #18 Frozen Shoulder – Adhesive Capsulitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/frozen-shoulder/

  Steroid injections. Cortisone is a powerful anti-inflammatory medicine that is injected directly into your shoulder joint. […] Hydrodilatation. If your symptoms are not relieved by other nonsurgical methods, your doctor may recommend hydrodilatation. This procedure involves gently injecting a large volume of sterile fluid into the shoulder joint to expand and stretch the shoulder joint capsule. […] Physical therapy. Specific exercises will help restore motion. These may be done under the supervision of a physical therapist or via a home program. Therapy includes stretching or range of motion exercises for the shoulder. […] If your symptoms are not relieved by therapy and other conservative methods, you and your doctor may discuss surgery. […] Surgery for frozen shoulder is typically offered during „Stage 2: Frozen.” The goal of surgery is to stretch and release the stiffened joint capsule. […] Recovery. After surgery, physical therapy is necessary to maintain the motion that was achieved with surgery. Recovery times range from 6 weeks to 3 months. Although it is a slow process, your commitment to therapy is the most important factor in returning to all the activities you enjoy.

• #19 Combination Therapy Speeds Relief of Frozen Shoulder

  https://consultqd.clevelandclinic.org/combination-therapy-speeds-relief-of-frozen-shoulder

  Innovative treatment combines brisement, nerve block and immediate physical therapy. […] Treatment just helps it resolve faster and with less pain. […] For patients with severe cases, surgical manipulation can release adhesions manually. […] At Cleveland Clinic Sports Medicine Center, we have begun using a variation of brisement and have seen it provide relief to patients faster than conventional treatments, says Dr. Lewis. […] The variation involves applying a nerve block to the suprascapular nerve, to reduce pain during the brisement procedure. […] With this treatment variation, we address both pain and range of motion at the same time, says Dr. Lewis. […] Following this treatment, most patients have an increase in both active and passive range of motion by at least 10 degrees in each direction, she says.

• #20 Adhesive Capsulitis: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0301/p297.html

  Evidence suggests that intra-articular corticosteroid injections are more effective than placebo for pain relief in the short-term, but results vary in the long-term. […] Physiotherapy has traditionally been used to treat adhesive capsulitis despite a lack of high-level studies demonstrating benefit over observation or medical therapy alone. […] When combined, physiotherapy and corticosteroid injections may provide greater improvement than physiotherapy alone. […] Hydrodilatation (arthroscopic distension) is a nonoperative treatment that involves an injection of local anesthetic into the shoulder capsule at high pressure to distend and stretch the joint capsule. […] Surgical options for adhesive capsulitis include manipulation under anesthesia and arthroscopic capsule release. Manipulation is a technique performed under general anesthesia where the humerus is manipulated in an attempt to disrupt adhesions. Moderate evidence suggests that manipulation alleviates pain and can improve range of motion when followed by early physiotherapy.

• #21 Treatment Strategy for Frozen Shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6695331/

  Good results have been reported with physiotherapy itself or in comparison with other conservative management. […] Many studies have demonstrated physiotherapy as an adjunctive intervention that provides good results. […] Although injection of corticosteroids is an invasive procedure and associated with risks such as septic arthritis, it is useful to reduce pain and disability of the patients during painful or freezing stages. […] HD has been reported to provide short-term benefits regarding pain, ROM, and function in FS. […] Despite the self-limited natural history of the disease, some patients fail to achieve desired outcomes with nonoperative management. […] General indications for surgery are persistent pain and limited motion despite a minimum 3 to 6 months of nonoperative management including medication, local injections, or physiotherapy.

• #22 Frozen Shoulder – Adhesive Capsulitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/frozen-shoulder

  Frozen shoulder, also called adhesive capsulitis, causes pain and stiffness in the shoulder. Over time, the shoulder becomes very hard to move. […] Physical therapy, with a focus on shoulder flexibility, is the primary treatment recommendation for frozen shoulder. […] Frozen shoulder generally gets better over time without surgery, although it may take up to 3 years. The focus of treatment is to control pain and restore motion and strength through physical therapy. […] Most people with frozen shoulder improve with relatively simple treatments to control pain and restore motion. […] Physical therapy. Specific exercises will help restore motion. These may be done under the supervision of a physical therapist or via a home program. Therapy includes stretching or range of motion exercises for the shoulder.

• #23 Mayo Clinic Q and A: Treatment for frozen shoulder – Mayo Clinic News Network

  https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-treatment-for-frozen-shoulder/

  In many cases, physical therapy is all that’s needed to treat frozen shoulder. […] Physical therapy is the mainstay of treatment for frozen shoulder. A physical therapist can provide exercises to help restore the shoulder’s range of motion and mobility. […] In cases with significant pain and stiffness, an injection of a corticosteroid medication into the joint often is recommended. […] Stiffness that lasts beyond a full course of physical therapy over six to 12 months or shoulder stiffness that gets significantly worse during physical therapy may signal that surgery is needed to release the tight ligaments and remove scar tissue that may contribute to the problem. […] Physical therapy is still necessary for several weeks or more after surgery to prevent frozen shoulder from coming back.

• #24 Treatment Strategy for Frozen Shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6695331/

  These initial conservative managements may be successful in up to 90% of patients. […] It is important to note the phase being treated because of differences in symptoms at each phase. […] In freezing phase (duration, 10-36 weeks), pain is most prominent. […] Steroid injection provides rapid pain relief, mainly in the short-term period. […] In frozen phase (4-12 months), pain gradually subsides but restricted ROM is predominant. […] In this phase, therapy should focus on increasing ROM, such as mobilization techniques or distension for which limited evidence was found. […] In the thawing phase (12-42 months), there is minimum pain and progressive improvement in ROM. […] Physiotherapy is widely adopted as an initial treatment in many shoulder conditions including FS. […] Physiotherapy should include an exercise program that can restore shoulder motion.

• #25 Physical therapy in the management of frozen shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5917053/

  Many physical therapy and home exercises can be used as a first-line treatment for adhesive capsulitis. […] Physical therapy has been shown to bring about pain relief and return of functional motion. […] The physical therapy for primary idiopathic frozen shoulder described herein can be useful for prescribing home exercises to increase shoulder mobility. […] In the freezing (painful) stage, gentle stretching exercises can be done but should be kept within a short duration (15 seconds) and not go beyond the patients pain threshold. […] In the frozen (adhesive) stage, strengthening exercises such as scapular retraction, posterior capsule stretch and isometric shoulder external rotation can be added to the patients exercises for maintenance of muscle strength. […] In the thawing stage, the patient experiences a gradual return of range of motion; both stretching and strengthening exercises can increase in intensity, with a longer holding duration. […] Lucy started on strengthening exercises at home, following your instructions. On her next visit to your clinic, she was happy to report that these exercises had relieved some of her pain and improved her shoulder movement.

• #26 Physical therapy in the management of frozen shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5917053/

  Many physical therapy and home exercises can be used as a first-line treatment for adhesive capsulitis. […] Physical therapy has been shown to bring about pain relief and return of functional motion. […] The physical therapy for primary idiopathic frozen shoulder described herein can be useful for prescribing home exercises to increase shoulder mobility. […] In the freezing (painful) stage, gentle stretching exercises can be done but should be kept within a short duration (15 seconds) and not go beyond the patients pain threshold. […] In the frozen (adhesive) stage, strengthening exercises such as scapular retraction, posterior capsule stretch and isometric shoulder external rotation can be added to the patients exercises for maintenance of muscle strength. […] In the thawing stage, the patient experiences a gradual return of range of motion; both stretching and strengthening exercises can increase in intensity, with a longer holding duration. […] Lucy started on strengthening exercises at home, following your instructions. On her next visit to your clinic, she was happy to report that these exercises had relieved some of her pain and improved her shoulder movement.

• #27 The phases and PT treatment methods for frozen shoulder | Parkview Health

  https://www.parkview.com/blog/the-phases-and-pt-treatment-methods-for-frozen-shoulder

  Current evidence shows that intra-articular steroid injections along with shoulder exercises focusing on mobility/stretching are optimal for best outcomes and improvement. […] Exercises should focus on stretching based on irritability levels: High level of irritability = short duration stretch (1-5 seconds) within pain-free range […] Moderate level of irritability = 5-15-second holds […] Low level of irritability = end-range stretching with longer duration of stretching holds. […] Note that aggressive stretching beyond the pain threshold in the early irritable stages can lead to less-than-optimal outcomes. […] The addition of heat with stretching can assist with tissue extensibility. […] Physical therapy treatment includes: An individualized stretching/mobility exercise prescription based on irritability level […] Manual Therapy, including joint and soft tissue mobilization […] Passive range of motion (shoulder movement performed by the physical therapist) […] Patient education on activity modification and understanding of stages/progression of the condition.

• #28 Physical therapy in the management of frozen shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5917053/

  Many physical therapy and home exercises can be used as a first-line treatment for adhesive capsulitis. […] Physical therapy has been shown to bring about pain relief and return of functional motion. […] The physical therapy for primary idiopathic frozen shoulder described herein can be useful for prescribing home exercises to increase shoulder mobility. […] In the freezing (painful) stage, gentle stretching exercises can be done but should be kept within a short duration (15 seconds) and not go beyond the patients pain threshold. […] In the frozen (adhesive) stage, strengthening exercises such as scapular retraction, posterior capsule stretch and isometric shoulder external rotation can be added to the patients exercises for maintenance of muscle strength. […] In the thawing stage, the patient experiences a gradual return of range of motion; both stretching and strengthening exercises can increase in intensity, with a longer holding duration. […] Lucy started on strengthening exercises at home, following your instructions. On her next visit to your clinic, she was happy to report that these exercises had relieved some of her pain and improved her shoulder movement.

• #29 Frozen Shoulder Exercises and Rehab – [P]rehab

  https://theprehabguys.com/frozen-shoulder-exercises-and-rehab/

  In this stage, the shoulder is starting to “thaw’ or improve in terms of pain and range of motion. Rehab in this stage is focused on functional use of the arm as well as progressive strengthening. […] Frozen shoulder can be a challenging condition to deal with. Losing your shoulder range of motion while dealing with pain is a tough combination to come to terms with. However, knowing that with exercises you can perform on your own, it will get better over time, will keep you in the right mindset!

• #30 Physical therapy in the management of frozen shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5917053/

  Many physical therapy and home exercises can be used as a first-line treatment for adhesive capsulitis. […] Physical therapy has been shown to bring about pain relief and return of functional motion. […] The physical therapy for primary idiopathic frozen shoulder described herein can be useful for prescribing home exercises to increase shoulder mobility. […] In the freezing (painful) stage, gentle stretching exercises can be done but should be kept within a short duration (15 seconds) and not go beyond the patients pain threshold. […] In the frozen (adhesive) stage, strengthening exercises such as scapular retraction, posterior capsule stretch and isometric shoulder external rotation can be added to the patients exercises for maintenance of muscle strength. […] In the thawing stage, the patient experiences a gradual return of range of motion; both stretching and strengthening exercises can increase in intensity, with a longer holding duration. […] Lucy started on strengthening exercises at home, following your instructions. On her next visit to your clinic, she was happy to report that these exercises had relieved some of her pain and improved her shoulder movement.

• #31 Guide | Physical Therapy Guide to Frozen Shoulder (Adhesive Capsulitis) | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-frozen-shoulder-adhesive-capsulitis

  Often called a stiff or „frozen shoulder,” adhesive capsulitis occurs in about 2% to 5% of the American population. Physical therapists help people with adhesive capsulitis address pain and stiffness, and restore shoulder movement in the safest and most effective way possible. […] Your physical therapist’s overall goal is to restore your movement, so you can perform your daily activities. Once the evaluation process has identified the stage of your condition, your physical therapist will create an individualized exercise program tailored to your specific needs. Exercise has been found to be most effective for those who are in stage 2 or higher. Your treatment may include: […] Your physical therapist will help you maintain as much range of motion as possible and will help reduce your pain. Your therapist may use a combination of range-of-motion exercises and manual therapy (hands-on) techniques to maintain shoulder movement.

• #32 Guide | Physical Therapy Guide to Frozen Shoulder (Adhesive Capsulitis) | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-frozen-shoulder-adhesive-capsulitis

  Your physical therapist may introduce more intense stretching techniques to encourage greater movement and flexibility. […] In the final stage, your physical therapist will focus on the return of „normal” shoulder body mechanics and your return to normal, everyday, pain-free activities. Your treatment may include: […] The cause of adhesive capsulitis is debatable, with no definitive cause. Therefore, to date, there is no known method of prevention. The onset of the condition is usually gradual, with the disease process needing to „run its course.” However, the sooner you contact your physical therapist, the sooner you will receive appropriate information on how to most effectively address your symptoms. […] All physical therapists are prepared through education and experience to treat people who have frozen shoulder, or adhesive capsulitis. You may want to consider: A physical therapist who is experienced in treating people with orthopedic, or musculoskeletal, problems.

• #33 Frozen Shoulder Texas : Causes and Treatment | OrthoTexas

  https://www.orthotexas.com/frozen-shoulder-common-causes-ortho-texas/

  Frozen shoulder is often diagnosed after the shoulder has been painful for a long time and is just not getting better. […] Treatment usually consists of a steroid injection in the joint capsule and a few formal sessions of physical therapy where you will learn the best exercises to stretch and eventually strengthen the shoulder. […] Steroids are medicines that help reduce pain and inflammation. […] Once you have taken the edge off with an injection, it’s time to get to work with therapy to learn how to continuously stretch the shoulder to eventually regain your motion. […] Most patients with frozen shoulder are encouraged to continue exercises at home 5- 7 days a week until their range of motion returns.

• #34 Frozen Shoulder | Brisbane Knee and Shoulder Clinic | Dr MacgroartyBrisbane Knee and Shoulder Clinic

  https://kneeandshoulderclinic.com.au/shoulders/surgical-conditions/frozen-shoulder/

  After surgery, physiotherapy is necessary to maintain the movement that was achieved with surgery. Recovery times vary from 6 weeks to three months. […] The importance of stretching and exercises cannot be overemphasized as these are the key to successful frozen shoulder treatment. Patients cannot expect to have successful frozen shoulder treatment if they perform exercises only when working with a physiotherapist. The exercises and stretches must be performed several times daily. […] Most patients who have a frozen shoulder will have slight limitations in shoulder motion, even years after the condition resolves. However, this limit in motion is minimal, and often only noticed when performing a careful physical examination. The vast majority of patients who develop a frozen shoulder will recover their functional motion with physiotherapy and stretching alone.

• #35 stretching-exercises-frozen-shoulder – Harvard Health

  https://www.health.harvard.edu/stretching-exercises-frozen-shoulder

  Frozen shoulder (also known as adhesive capsulitis) is a condition in which the shoulder is stiff, painful, and has limited motion in all directions. Frozen shoulder exercises are usually the cornerstone of treating frozen shoulder. […] Always warm up your shoulder before performing your frozen shoulder exercises. […] In performing the following frozen shoulder exercises, stretch to the point of tension but not pain. […] As your range of motion improves, add rotator cuff strengthening exercises. Be sure to warm up your shoulder and do your stretching exercises before you perform strengthening exercises.

• #36 Frozen Shoulder Exercises for Pain Relief

  https://www.sports-health.com/treatment/shoulder-injury-treatment/frozen-shoulder-exercises-pain-relief

  Experts advise warming the body up before starting physical therapy exercises. Apply a moist heating pad to the shoulder, for example, or take a warm shower. […] The diameter of the circle can increase as symptoms improve. This exercise can be made even more challenging by holding a small weight, about 3 to 5 pounds, in the hand of the affected arm while performing the same movements. […] The healthy arm may need to help lower the affected one back to the starting position. […] This strengthening exercise involves a rubber exercise band tied at the ends to make a loop. […] Hold each stretch for 30 to 60 seconds. Perform the stretch 2 to 3 times each day.

• #37 Treatment Strategy for Frozen Shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6695331/

  Frozen shoulder (FS) is a common shoulder disorder characterized by a gradual increase of pain of spontaneous onset and limitation in range of motion of the glenohumeral joint. […] Treatment modalities for FS include medication, local steroid injection, physiotherapy, hydrodistension, manipulation under anesthesia, arthroscopic capsular release, and open capsular release. […] Conservative management leads to improvement in most cases. […] Failure to obtain symptomatic improvement and continued functional disability after 3 to 6 months of conservative treatment are general indications for surgical management. […] In this review article, we provide an overview of current treatment methods for FS. […] Common conservative treatments include oral medication, physical therapy, exercise, steroid injection, and hydrodilatation.

• #38 Frozen Shoulder – Adhesive Capsulitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/frozen-shoulder

  If your symptoms are not relieved by therapy and other conservative methods, you and your doctor may discuss surgery. […] Surgery for frozen shoulder is typically offered during „Stage 2: Frozen.” The goal of surgery is to stretch and release the stiffened joint capsule. […] After surgery, physical therapy is necessary to maintain the motion that was achieved with surgery. Recovery times range from 6 weeks to 3 months. Although it is a slow process, your commitment to therapy is the most important factor in returning to all the activities you enjoy.

• #39 Frozen Shoulder | Orthopedics & Sports Medicine

  https://health.uconn.edu/orthopedics-sports-medicine/conditions-and-treatments/where-does-it-hurt/shoulder/frozen-shoulder/

  Surgical intervention is considered when there is no improvement in pain or shoulder motion after physical therapy and anti-inflammatory medications. Surgical intervention is aimed at stretching or releasing the contracted joint capsule of the shoulder. The most common methods include: […] Manipulation under anesthesia so the surgeon can force your shoulder to move which causes the capsule to stretch or tear […] Shoulder arthroscopy is a procedure where your surgeon makes several small incisions around the shoulder to cut through the tight portions of the joint capsule. […] Manipulation and arthroscopy are often used together to obtain maximum results. Most patients experience very good results with these procedures. After surgery, physical therapy is important to maintain the motion that was achieved through surgery. Recovery time varies. Some patients require six weeks to three months off work, depending on their occupation and speed of recovery.

• #40 Frozen Shoulder – Adhesive Capsulitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/frozen-shoulder/

  Steroid injections. Cortisone is a powerful anti-inflammatory medicine that is injected directly into your shoulder joint. […] Hydrodilatation. If your symptoms are not relieved by other nonsurgical methods, your doctor may recommend hydrodilatation. This procedure involves gently injecting a large volume of sterile fluid into the shoulder joint to expand and stretch the shoulder joint capsule. […] Physical therapy. Specific exercises will help restore motion. These may be done under the supervision of a physical therapist or via a home program. Therapy includes stretching or range of motion exercises for the shoulder. […] If your symptoms are not relieved by therapy and other conservative methods, you and your doctor may discuss surgery. […] Surgery for frozen shoulder is typically offered during „Stage 2: Frozen.” The goal of surgery is to stretch and release the stiffened joint capsule. […] Recovery. After surgery, physical therapy is necessary to maintain the motion that was achieved with surgery. Recovery times range from 6 weeks to 3 months. Although it is a slow process, your commitment to therapy is the most important factor in returning to all the activities you enjoy.

• #41 Frozen Shoulder: Symptoms, Causes, Diagnosis, Treatment

  https://www.webmd.com/a-to-z-guides/what-is-a-frozen-shoulder

  Shoulder manipulation can help loosen up your shoulder tissue, but is very rarely used because arthroscopic surgery has better results. With this method, a doctor forcefully moves your shoulder while you’re under general anesthesia. […] Unfortunately, there’s no fast cure for frozen shoulder. But you might be able to ease some frozen shoulder symptoms with methods like: […] Hot/cold compression packs. Applying heat or cold to your shoulder can ease pain and swelling. […] Transcutaneous electrical nerve stimulation (TENS). TENS therapy uses a low-voltage electrical current to block or change how you perceive pain.

• #42 Frozen Shoulder Treatment, Home Remedies, Cure & Causes

  https://www.emedicinehealth.com/frozen_shoulder/article_em.htm

  Arthroscopic surgery and malipulating treatments for frozen shoulder. Frozen shoulders can be resistant to treatment. Other treatments such as release of the scar tissue by arthroscopic surgery or manipulation of the scarred shoulder under anesthesia may be considered for patients with resistant frozen shoulders. The manipulation is performed to physically break up the scar tissue of the joint capsule. This procedure carries the risk of breaking the arm bone (humerus fracture). It is very important for patients that undergo manipulation to partake in an active exercise program for the shoulder after the procedure. It is only with continued exercise of the shoulder that mobility and function is optimized. Once initial treatments have been initiated, the proper ongoing treatment is guided by the monitoring of your doctor.

• #43 Treatment Strategy for Frozen Shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6695331/

  As with the increase in patients with FS, surgical intervention for FS is common these days. […] MUA has been used extensively with satisfactory outcomes. […] ACR is a reliable treatment method, with a low complication rate, for restoring function and reducing pain in patients with FS. […] Overall, ACR in FS is a safe procedure with a low complication (nerve injury, chondrolysis, or instability) rate; however, caution to axillary nerve injury is needed. […] Postoperative rehabilitation is another very important point in the surgical treatment. […] Appropriate treatment decisions for FS require a comprehensive understanding of pathophysiology, patient’s systemic medical condition, functional demands, severity of symptoms, and response for nonoperative treatment.

• #44 What’s the Best Treatment for Frozen Shoulder | Arizona Center, Phoenix

  https://achssurgeons.com/whats-the-best-treatment-for-frozen-shoulder/

  If conservative therapies don’t relieve your pain and stiffness, we also offer minimally invasive arthroscopic capsular release. During this surgery, one of our experienced orthopedic surgeons carefully releases your shoulder capsule. […] We use an arthroscope, a thin pencil-shaped surgical instrument with a light and a camera on its tip. We insert the device into your shoulder. It transmits video from inside your joint to a monitor in the treatment room. We can see and treat your shoulder without making a large incision in any of the other muscles and connective tissue in your shoulder. […] In addition to cutting your shoulder capsule’s tight parts, your surgeon might manipulate your shoulder under anesthesia. We can often stretch and loosen frozen shoulders, breaking up scar tissue and adhesions.

• #45 Frozen Shoulder (Adhesive Capsulitis): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/frozen-shoulder-adhesive-capsulitis

  Frozen shoulder treatment usually involves pain relief methods until the initial phase passes. You may need therapy or surgery to regain motion if it doesn’t return on its own. […] Some simple adhesive capsulitis treatments include: […] Physical therapy. A physical therapist can teach you stretching and range-of-motion exercises. […] If these noninvasive treatments haven’t relieved your pain and shoulder stiffness after about a year, your provider may recommend other procedures. These include: […] Providers often use these two procedures together to get better results. […] You can reduce your risk of frozen shoulder if you start physical therapy shortly after any shoulder injury in which shoulder movement is painful or difficult. […] Simple treatments, like the use of pain relievers and shoulder exercises, in combination with a cortisone injection, are often enough to restore motion and function within a year or less.

• #46 Adhesive Capsulitis (Frozen Shoulder): Practice Essentials, Problem, Epidemiology

  https://emedicine.medscape.com/article/1261598-overview

  Several studies have noted improved symptoms following arthroscopic capsular release, as follows: Warner and colleagues reported an improvement in the Constant and Murley score of 48 points with a mean follow-up of 39 months. Pearsall and colleagues found that 83% of patients reported their shoulder to be normal or near normal at an average of 22 months following capsular release. A review of the literature indicates that in patients with refractory adhesive capsulitis, a near-excellent to excellent result in 75-90% of cases can be expected in patients treated with arthroscopic capsular release and an aggressive postoperative physical therapy regimen. […] Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis.

• #47 Adhesive Capsulitis (Frozen Shoulder): Practice Essentials, Problem, Epidemiology

  https://emedicine.medscape.com/article/1261598-overview

  Several studies have noted improved symptoms following arthroscopic capsular release, as follows: Warner and colleagues reported an improvement in the Constant and Murley score of 48 points with a mean follow-up of 39 months. Pearsall and colleagues found that 83% of patients reported their shoulder to be normal or near normal at an average of 22 months following capsular release. A review of the literature indicates that in patients with refractory adhesive capsulitis, a near-excellent to excellent result in 75-90% of cases can be expected in patients treated with arthroscopic capsular release and an aggressive postoperative physical therapy regimen. […] Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis.

• #48 Frozen Shoulder – Adhesive Capsulitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/frozen-shoulder/

  Steroid injections. Cortisone is a powerful anti-inflammatory medicine that is injected directly into your shoulder joint. […] Hydrodilatation. If your symptoms are not relieved by other nonsurgical methods, your doctor may recommend hydrodilatation. This procedure involves gently injecting a large volume of sterile fluid into the shoulder joint to expand and stretch the shoulder joint capsule. […] Physical therapy. Specific exercises will help restore motion. These may be done under the supervision of a physical therapist or via a home program. Therapy includes stretching or range of motion exercises for the shoulder. […] If your symptoms are not relieved by therapy and other conservative methods, you and your doctor may discuss surgery. […] Surgery for frozen shoulder is typically offered during „Stage 2: Frozen.” The goal of surgery is to stretch and release the stiffened joint capsule. […] Recovery. After surgery, physical therapy is necessary to maintain the motion that was achieved with surgery. Recovery times range from 6 weeks to 3 months. Although it is a slow process, your commitment to therapy is the most important factor in returning to all the activities you enjoy.

• #49 Adhesive Capsulitis Embolization: An Alternative Treatment for Frozen Shoulder

  https://advantage-ir.com/patient-resource/adhesive-capsulitis-embolization-for-frozen-shoulder

  ACE is a minimally invasive alternative treatment for frozen shoulder that has already shown excellent results. […] However, many patients do not know that they can now try a minimally invasive alternative treatment for frozen shoulder called adhesive capsulitis embolization (ACE). This procedure has already shown excellent results in successfully relieving capsulitis shoulder pain. […] The standard frozen shoulder treatment protocol typically involves a combination of applying heat and ice to the affected area, physical therapy, non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids, numbing medications, and arthroscopic surgery. […] In recent years, ACE has been used with great success in treating frozen shoulder syndrome. Both clinical studies and real-world data indicate the procedure can deliver long-lasting, highly effective pain relief and improve joint stiffness and range of mobility.

• #50 Can SoftWave Therapy Treat Frozen Shoulder? – SoftWave

  https://softwaveclinics.com/blog/can-softwave-therapy-treat-frozen-shoulder/

  Also known as adhesive capsulitis, frozen shoulder causes stiffness, pain, and limited mobility in the shoulder joint. SoftWave therapy treats frozen shoulder by reducing pain and inflammation while simultaneously improving the shoulder joint’s range of motion, making it an effective treatment for frozen shoulder and other shoulder conditions. […] SoftWave therapy offers a safe and effective treatment option for frozen shoulder. SoftWave therapy is a non-invasive treatment that uses acoustic waves to stimulate healing and reduce pain in injured or inflamed tissue. […] SoftWave therapy can effectively treat frozen shoulder by reducing pain and inflammation in the affected area, and by improving the range of motion of the shoulder joint. During a SoftWave therapy session, a trained therapist will apply a handheld device to the shoulder pain points. After which, the device emits broad-focused shock waves that spread energy to a larger and deeper area of tissue, triggering the body’s natural healing process.

• #51 Adhesive capsulitis (Frozen shoulder) | American Hospital of Paris

  https://www.american-hospital.org/en/pathologie/adhesive-capsulitis-frozen-shoulder

  The first-line treatment generally involves a topical product, such as a cream, applied locally, and nonsteroidal anti-inflammatory drugs (NSAIDs). Physical therapy is also recommended to maintain the range of joint movement. […] If this is not effective, other treatments may be considered, including embolization or even surgery. […] Adhesive capsulitis embolization is an interventional radiology treatment for frozen shoulder where medical treatment has failed. The procedure involves inserting a catheter into an artery in the wrist and advancing it through the blood vessels to the arteries supplying the shoulder joint. When hypervascularity (an increase in the number and diameter of the blood vessels supplying the joint) is observed through angiography, the interventional radiologist injects a product to block those arteries, which is why the procedure is called embolization. This significantly lessens blood flow to the shoulder, which reduces inflammation and causes the symptoms to disappear. Embolization is an endovascular procedure, meaning that it is performed through the blood vessels, without any incision in the shoulder area. […] Embolization requires only local anesthesia and an ambulatory stay (half a day). Patients can return home two hours after the procedure, with no other side effects than a scar a few millimeters long at the puncture site on the arm.

• #52 Adhesive Capsulitis Embolization: An Alternative Treatment for Frozen Shoulder

  https://advantage-ir.com/patient-resource/adhesive-capsulitis-embolization-for-frozen-shoulder

  Adhesive capsulitis embolization is an alternative treatment for frozen shoulder syndrome. […] ACE has several benefits over conventional treatments for frozen shoulder. These include non-surgical methods, outpatient treatment, short recovery time, fewer risks, minimal side effects, faster relief, greater recovery, long-lasting results, and improved quality of life. […] Conventional treatments for frozen shoulder syndrome include physical therapy, NSAIDs, corticosteroids, and, in the most extreme cases, arthroscopic surgery. While these may help some people, they are typically less effective than adhesive capsulitis embolization. […] ACE is minimally invasive, has fewer risks and unwanted side effects, and is associated with faster recovery times. Patients who undergo ACE also experience greater comfort both during and after the treatment and enjoy quick relief, long-lasting results, and improved quality of life.

• #53 Can SoftWave Therapy Treat Frozen Shoulder? – SoftWave

  https://softwaveclinics.com/blog/can-softwave-therapy-treat-frozen-shoulder/

  Also known as adhesive capsulitis, frozen shoulder causes stiffness, pain, and limited mobility in the shoulder joint. SoftWave therapy treats frozen shoulder by reducing pain and inflammation while simultaneously improving the shoulder joint’s range of motion, making it an effective treatment for frozen shoulder and other shoulder conditions. […] SoftWave therapy offers a safe and effective treatment option for frozen shoulder. SoftWave therapy is a non-invasive treatment that uses acoustic waves to stimulate healing and reduce pain in injured or inflamed tissue. […] SoftWave therapy can effectively treat frozen shoulder by reducing pain and inflammation in the affected area, and by improving the range of motion of the shoulder joint. During a SoftWave therapy session, a trained therapist will apply a handheld device to the shoulder pain points. After which, the device emits broad-focused shock waves that spread energy to a larger and deeper area of tissue, triggering the body’s natural healing process.

• #54 Can SoftWave Therapy Treat Frozen Shoulder? – SoftWave

  https://softwaveclinics.com/blog/can-softwave-therapy-treat-frozen-shoulder/

  Studies have shown that SoftWave therapy can improve shoulder range of motion, reduce pain, and improve overall function in people with frozen shoulder. Furthermore, SoftWave therapy is a safe and effective treatment that can provide long-lasting relief without surgery or medications. […] SoftWave therapy, on the other hand, is non-invasive, painless, and requires no downtime. It is a safe and effective treatment option for those who want to avoid surgery or injections. Additionally, SoftWave therapy can be used along with other treatments like physical therapy to further improve shoulder mobility and reduce pain. […] SoftWave therapy is a great treatment option for frozen shoulder. It has the potential to enhance the range of motion in the shoulder, minimize pain, and decrease inflammation, making it an excellent choice for individuals who prefer non-invasive treatments. If you are considering SoftWave therapy, contact a SoftWave therapy provider in your vicinity to arrange a consultation.

• #55 Frozen Shoulder: Symptoms, Causes, Diagnosis, Treatment

  https://www.webmd.com/a-to-z-guides/what-is-a-frozen-shoulder

  Shoulder manipulation can help loosen up your shoulder tissue, but is very rarely used because arthroscopic surgery has better results. With this method, a doctor forcefully moves your shoulder while you’re under general anesthesia. […] Unfortunately, there’s no fast cure for frozen shoulder. But you might be able to ease some frozen shoulder symptoms with methods like: […] Hot/cold compression packs. Applying heat or cold to your shoulder can ease pain and swelling. […] Transcutaneous electrical nerve stimulation (TENS). TENS therapy uses a low-voltage electrical current to block or change how you perceive pain.

• #56 Frozen Shoulder Treatment Denver | Shoulder Pain Denver | Shoulder Pain

  https://www.denversportsortho.com/frozen-shoulder-orthopedic-surgeon-denver-co.html

  The various treatments used for frozen shoulder include: […] Pain-relieving medications […] Ice packs or heat application […] Physical therapy exercises […] Acupuncture […] Steroid injections […] Injections to stretch the joint capsule […] Manipulation of the shoulder after administering anesthesia […] If you do not get relief from the above methods, your doctor may recommend a minimally invasive surgery to remove scar tissue and adhesions within the shoulder. This is however rarely necessary.

• #57 Shockwave Therapy for Frozen Shoulder – Propel Physiotherapy

  https://propelphysiotherapy.com/shockwave-therapy/shockwave-therapy-for-frozen-shoulder/

  Other studies have compared the use of shockwave therapy to steroid therapy. The study conducted by Chen et al. in 2014 suggested that shockwave therapy can be used as an alternative to steroid therapy as it resulted in greater short-term improvements in range of motion and the ability to perform activities of daily living. […] These studies are important to note as steroids can significantly increase glucose levels, which make glucose control difficult for patients with diabetes. In consideration of this, as well as how individuals with diabetes are more prone to developing frozen shoulder, shockwave therapy can be a desirable alternative. […] Overall, shockwave therapy can be a great option to use for the management of frozen shoulder.

• #58 Treatment Strategy for Frozen Shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6695331/

  These initial conservative managements may be successful in up to 90% of patients. […] It is important to note the phase being treated because of differences in symptoms at each phase. […] In freezing phase (duration, 10-36 weeks), pain is most prominent. […] Steroid injection provides rapid pain relief, mainly in the short-term period. […] In frozen phase (4-12 months), pain gradually subsides but restricted ROM is predominant. […] In this phase, therapy should focus on increasing ROM, such as mobilization techniques or distension for which limited evidence was found. […] In the thawing phase (12-42 months), there is minimum pain and progressive improvement in ROM. […] Physiotherapy is widely adopted as an initial treatment in many shoulder conditions including FS. […] Physiotherapy should include an exercise program that can restore shoulder motion.

• #59 Frozen Shoulder Treatment Waukesha | Shoulder Arthroscopy Milwaukee

  https://www.shoulderwisconsin.com/frozen-shoulder-treatment-shoulder-elbow-surgeon-milwaukee-waukesha-brookfield.html

  Adhesive capsulitis can be broken down in to three stages freezing, frozen, and thawing. During the freezing stage, pain often comes on gradually and shoulder range of motion begins to decrease. This stage typically lasts 6 weeks to 9 months. The next stage is frozen. During this stage, the pain often improves but the stiffness continues to worsen increasing range of motion limitations. The third and final stage is thawing. During the thawing process, the shoulder begins to loosen and range of motion works back to normal. This can take 6 months to 2 years without treatment. […] Its best to see an orthopedic physician when you think you may have frozen shoulder. Orthopedic physicians are most knowledgeable in treating musculoskeletal related injuries or conditions such as frozen shoulder. Together you and your physician can determine the best treatment for you and your lifestyle which may include any or all of the treatments listed below.

• #60 Treatment Strategy for Frozen Shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6695331/

  As with the increase in patients with FS, surgical intervention for FS is common these days. […] MUA has been used extensively with satisfactory outcomes. […] ACR is a reliable treatment method, with a low complication rate, for restoring function and reducing pain in patients with FS. […] Overall, ACR in FS is a safe procedure with a low complication (nerve injury, chondrolysis, or instability) rate; however, caution to axillary nerve injury is needed. […] Postoperative rehabilitation is another very important point in the surgical treatment. […] Appropriate treatment decisions for FS require a comprehensive understanding of pathophysiology, patient’s systemic medical condition, functional demands, severity of symptoms, and response for nonoperative treatment.

• #61

  https://www.myactionpt.com/physical-therapist-s-guide-to-frozen-shoulder-adhesive-capsulitis

  Your physical therapist will match your treatment activities and intensity to your symptoms, and educate you on appropriate use of the affected arm. […] The focus of treatment during phase 3 is on the return of motion. Treatment may include: […] In the final stage, your physical therapist will focus on the return of „normal” shoulder body mechanics and your return to normal, everyday, pain-free activities. Your treatment may include: […] The sooner you contact your physical therapist, the sooner you will receive appropriate information on how to most effectively address your symptoms. […] Your physical therapist conducts a thorough physical examination and diagnoses stage 2 frozen shoulder (adhesive capsulitis). […] He begins Cheryl’s rehabilitation with heat treatments to relax her muscles, and designs an individualized home-exercise program to address her symptoms and help stall any loss of motion. […] When Cheryl progresses into stage 3 („frozen”) adhesive capsulitis, her visits to the physical therapist are increased. […] Cheryl’s physical therapist credits her excellent recovery to her full participation in her treatment and home-exercise programs.

• #62 Shockwave Therapy for Frozen Shoulder – Propel Physiotherapy

  https://propelphysiotherapy.com/shockwave-therapy/shockwave-therapy-for-frozen-shoulder/

  Other studies have compared the use of shockwave therapy to steroid therapy. The study conducted by Chen et al. in 2014 suggested that shockwave therapy can be used as an alternative to steroid therapy as it resulted in greater short-term improvements in range of motion and the ability to perform activities of daily living. […] These studies are important to note as steroids can significantly increase glucose levels, which make glucose control difficult for patients with diabetes. In consideration of this, as well as how individuals with diabetes are more prone to developing frozen shoulder, shockwave therapy can be a desirable alternative. […] Overall, shockwave therapy can be a great option to use for the management of frozen shoulder.

• #63 Frozen Shoulder – Adhesive Capsulitis – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/frozen-shoulder

  If your symptoms are not relieved by therapy and other conservative methods, you and your doctor may discuss surgery. […] Surgery for frozen shoulder is typically offered during „Stage 2: Frozen.” The goal of surgery is to stretch and release the stiffened joint capsule. […] After surgery, physical therapy is necessary to maintain the motion that was achieved with surgery. Recovery times range from 6 weeks to 3 months. Although it is a slow process, your commitment to therapy is the most important factor in returning to all the activities you enjoy.

• #64 How to release a frozen shoulder – Harvard Health

  https://www.health.harvard.edu/pain/how-to-release-a-frozen-shoulder

  Frozen shoulder treatment is focused on relieving pain and restoring the shoulder’s normal range of motion. Your clinical will develop your treatment plan. Treatment for frozen shoulder may include the following: anti-inflammatory medication such as aspirin, ibuprofen (Motrin, Advil), or naproxen (Aleve, Naprosyn, Anaprox) […] physical therapy is the cornerstone of treatment, especially concentrating first on exercises that stretch the joint capsule, and later, on strengthening exercises. A physical therapist can show you how far to push yourself and can teach you the appropriate exercises. Once you’ve learned your limitations, you can practice most of your exercises on your own at home. […] If you diligently follow your regimen of frozen shoulder exercises, it’s likely that you’ll be able to resume your usual level of activity (more than 90% of people improve with these nonsurgical measures). […] But full recovery from a frozen shoulder takes time from several months to two or three years. If you don’t improve steadily or if you reach a plateau, go back to your clinician or consult a shoulder expert. Rarely, recalcitrant cases require surgery.

• #65 Physical therapy in the management of frozen shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5917053/

  Frozen shoulder, also known as adhesive capsulitis, is a common presentation in the primary care setting and can be significantly painful and disabling. […] Common conservative treatments include nonsteroidal anti-inflammatory drugs, oral glucocorticoids, intra-articular glucocorticoid injections and/or physical therapy. […] This article elaborates on physical therapy exercises targeted at adhesive capsulitis, which can be used in combination with common analgesics. […] Most frozen shoulder cases can be managed in the primary care setting. Clinicians are encouraged to start the treatment with patient education. […] Common conservative treatments for frozen shoulder include nonsteroidal anti-inflammatory drugs (NSAIDs), glucocorticoids given orally or as intra-articular injections, and/or physical therapy.

• #66 Frozen Shoulder | Brisbane Knee and Shoulder Clinic | Dr MacgroartyBrisbane Knee and Shoulder Clinic

  https://kneeandshoulderclinic.com.au/shoulders/surgical-conditions/frozen-shoulder/

  After surgery, physiotherapy is necessary to maintain the movement that was achieved with surgery. Recovery times vary from 6 weeks to three months. […] The importance of stretching and exercises cannot be overemphasized as these are the key to successful frozen shoulder treatment. Patients cannot expect to have successful frozen shoulder treatment if they perform exercises only when working with a physiotherapist. The exercises and stretches must be performed several times daily. […] Most patients who have a frozen shoulder will have slight limitations in shoulder motion, even years after the condition resolves. However, this limit in motion is minimal, and often only noticed when performing a careful physical examination. The vast majority of patients who develop a frozen shoulder will recover their functional motion with physiotherapy and stretching alone.

• #67

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=tw9148spec

  Gentle, progressive range-of-motion exercises, stretching, and using your shoulder more may help prevent frozen shoulder after surgery or an injury. Experts don’t know what causes some cases of frozen shoulder, and it may not be possible to prevent these. Be patient and follow your doctor’s advice. Frozen shoulder nearly always gets better over time.

• #68 Fight Frozen Shoulder With Physical Therapy

  https://professionalcarept.com/fight-frozen-shoulder-with-physical-therapy/

  Physical therapy for frozen shoulders focuses primarily on pain relief, using modalities, manual therapy, exercises, and at-home treatments. Your therapists ultimate goal is to restore mobility and range of motion to the affected shoulder and to help you be able to do the things you normally do on a daily basis without pain. […] From there a comprehensive treatment plan will be created just for you. It will most likely consist of targeted stretches, exercises, and best practices for you to regain strength and decrease stiffness and pain. […] Physical therapy is a safe and natural treatment option that can successfully help patients of all ages recover from their shoulder injuries and regain their abilities to move safely and independently. […] Contact us today to learn more about the benefits of physical therapy for frozen shoulder pain, and begin your journey toward living a pain-free life!

• #69 How to Treat Frozen Shoulder in Breast Cancer Patients and Survivors | Oncology Rehab and Wellness

  https://oncrehabandwellness.com/cancer-rehab/how-to-treat-frozen-shoulder-in-breast-cancer-patients/

  Better than treatment, of course, is prevention. Frozen shoulder might not appear for a year or more, and starting physical therapy immediately after–or even before–treatment, is the best way to prevent frozen shoulder. […] A well-designed physical therapy regimen will use a variety of techniques in harmony to accomplish these outcomes: Relax and strengthen muscles, Mobilize tissue and prevent scar formation, Encourage flexibility, Lubricate the shoulder joint, Keep the lymph moving, Heal damaged tissues. […] We recommend a physical therapy session about every three months for several years following the conclusion of cancer treatment. Making stretch/strength/mobility exercises a part of your daily health routine is a wise plan for the indefinite future.

• #70 Patient education: Frozen shoulder (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/frozen-shoulder-beyond-the-basics

  Frozen shoulder usually affects only one shoulder (left or right) and gets better on its own, but it can last two to three years or even longer. […] There are a few treatment options for frozen shoulder, which can be combined, but there’s no obvious course of action that is right for everyone. Treatment options include physical therapy, medications to manage pain and inflammation, injections, and – in extreme cases – surgery. […] If you are being treated for frozen shoulder, remember that recovery can be a slow process and that you need to give treatment time to work. […] Once the initial pain of frozen shoulder lessens, your health care provider might want you to do certain exercises to improve your shoulder mobility. […] During the first two to three months of recovery, rest your shoulder and do gentle range-of-motion exercises.

• #71 Frozen Shoulder Treatment in NC | Raleigh Orthopaedic

  https://www.raleighortho.com/specialties/shoulder/frozen-shoulder/

  Frozen shoulder (adhesive capsulitis) is a painful inflammatory condition in the shoulder joint that causes stiffness and loss of range of motion. […] While a frozen shoulder can resolve on its own with rest and conservative treatment after months or years, medical intervention or surgery may be recommended in some cases. […] Conservative management is the primary treatment for frozen shoulder, and 90 percent of cases will resolve without surgery within 12-18 months. If conservative management fails or the frozen shoulder is severe, your provider may recommend surgery. […] Conservative treatments for frozen shoulder include physical therapy, stretching, ice, ultrasound, and NSAIDs. The goal of conservative treatment is to reduce inflammation in the shoulder capsule and restore motion. Your provider may also recommend steroid treatment to reduce inflammation, whether via a cortisone injection into the shoulder joint or oral prednisone.

• #72 How to release a frozen shoulder – Harvard Health

  https://www.health.harvard.edu/pain/how-to-release-a-frozen-shoulder

  Frozen shoulder treatment is focused on relieving pain and restoring the shoulder’s normal range of motion. Your clinical will develop your treatment plan. Treatment for frozen shoulder may include the following: anti-inflammatory medication such as aspirin, ibuprofen (Motrin, Advil), or naproxen (Aleve, Naprosyn, Anaprox) […] physical therapy is the cornerstone of treatment, especially concentrating first on exercises that stretch the joint capsule, and later, on strengthening exercises. A physical therapist can show you how far to push yourself and can teach you the appropriate exercises. Once you’ve learned your limitations, you can practice most of your exercises on your own at home. […] If you diligently follow your regimen of frozen shoulder exercises, it’s likely that you’ll be able to resume your usual level of activity (more than 90% of people improve with these nonsurgical measures). […] But full recovery from a frozen shoulder takes time from several months to two or three years. If you don’t improve steadily or if you reach a plateau, go back to your clinician or consult a shoulder expert. Rarely, recalcitrant cases require surgery.

• #73 Frozen Shoulder | Memorial Hermann

  https://memorialhermann.org/services/conditions/frozen-shoulder

  Adhesive capsulitis, commonly referred to as a “frozen shoulder,” is a progressive condition that usually presents as a slowly increasing level of shoulder pain over time. […] At Memorial Hermann Joint Centers, our main priority is to help you get back to enjoying your life and be as comfortable as possible, which is why we diagnose and treat a wide range of shoulder problems, including frozen shoulder. […] Frozen shoulder is typically treated almost entirely with non-operative modalities of treatment. The most common treatments include steroid injections to the injury site and regular physical therapy. […] The main limitation to frozen shoulder treatment is that there is no “quick fix” to treat the condition. Patients should be prepared for a long recovery period, often 6 months or longer. For continued improvement, patients can use anti-inflammatory medications and physical therapy. To have the best chance at recovery, patients should seek treatment for frozen shoulder as soon as they notice symptoms. Prolonging the condition’s onset through continued decreased range of motion will also prolong the time needed for recovery.

• #74 Frozen Shoulder (Adhesive Capsulitis): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/frozen-shoulder-adhesive-capsulitis

  Frozen shoulder treatment usually involves pain relief methods until the initial phase passes. You may need therapy or surgery to regain motion if it doesn’t return on its own. […] Some simple adhesive capsulitis treatments include: […] Physical therapy. A physical therapist can teach you stretching and range-of-motion exercises. […] If these noninvasive treatments haven’t relieved your pain and shoulder stiffness after about a year, your provider may recommend other procedures. These include: […] Providers often use these two procedures together to get better results. […] You can reduce your risk of frozen shoulder if you start physical therapy shortly after any shoulder injury in which shoulder movement is painful or difficult. […] Simple treatments, like the use of pain relievers and shoulder exercises, in combination with a cortisone injection, are often enough to restore motion and function within a year or less.

• #75

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=tw9148spec

  Gentle, progressive range-of-motion exercises, stretching, and using your shoulder more may help prevent frozen shoulder after surgery or an injury. Experts don’t know what causes some cases of frozen shoulder, and it may not be possible to prevent these. Be patient and follow your doctor’s advice. Frozen shoulder nearly always gets better over time.

• #76 Frozen shoulder Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/frozen-shoulder

  Frozen shoulder is a condition in which the shoulder is painful and loses motion because of inflammation. […] Pain is treated with NSAIDs and steroid injections. Steroid injections and physical therapy can improve your motion. […] It can take a few weeks to see progress. It may take as long as 9 months to a year for complete recovery. Physical therapy may be intense and needs to be done every day. […] Surgery is recommended if nonsurgical treatment is not effective. This procedure (shoulder arthroscopy) is done under anesthesia. During surgery the scar tissue is released (cut) by bringing the shoulder through a full range of motion. […] Treatment with physical therapy and NSAIDs often restores motion and function of the shoulder within a year. […] After surgery restores motion, you must continue physical therapy for several weeks or months. This is to prevent the frozen shoulder from returning. […] Early treatment may help prevent stiffness. Call your provider if you develop shoulder pain that limits your range of motion for an extended period.

• #77 Frozen Shoulder Treatment Options (Conservative/Surgical) with Post Op Surg Instructions – Connecticut Orthopaedics

  https://www.ct-ortho.com/patient-resources/patient-education/articles/frozen-shoulder-treatment-options-conservative-surgical-with-post-op-surg-instructions/

  The first treatment for frozen shoulder includes medications to reduce the inflammation and physical therapy. Physical therapy is key in stretching the joint lining and helping to restore motion and function. […] If these treatments are not successful or if the condition is ignored too long, surgery may be required to restore motion. Surgery for a frozen shoulder involves manipulating the joint to release the scar tissue, removing the scar tissue and removing the adhesions from inside your shoulder. […] Physical therapy usually begins today. It is vital to your recovery of good shoulder function. A graduated activity and exercise program to increase muscle strength and motion is part of the post operative care. Your physical therapy will begin 3-4 days after surgery. […] To avoid complications, postoperative follow up appointments with your physician are also required to monitor your progress.

• #78 Treatment Strategy for Frozen Shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6695331/

  Frozen shoulder (FS) is a common shoulder disorder characterized by a gradual increase of pain of spontaneous onset and limitation in range of motion of the glenohumeral joint. […] Treatment modalities for FS include medication, local steroid injection, physiotherapy, hydrodistension, manipulation under anesthesia, arthroscopic capsular release, and open capsular release. […] Conservative management leads to improvement in most cases. […] Failure to obtain symptomatic improvement and continued functional disability after 3 to 6 months of conservative treatment are general indications for surgical management. […] In this review article, we provide an overview of current treatment methods for FS. […] Common conservative treatments include oral medication, physical therapy, exercise, steroid injection, and hydrodilatation.

• #79 Physical therapy in the management of frozen shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5917053/

  Frozen shoulder, also known as adhesive capsulitis, is a common presentation in the primary care setting and can be significantly painful and disabling. […] Common conservative treatments include nonsteroidal anti-inflammatory drugs, oral glucocorticoids, intra-articular glucocorticoid injections and/or physical therapy. […] This article elaborates on physical therapy exercises targeted at adhesive capsulitis, which can be used in combination with common analgesics. […] Most frozen shoulder cases can be managed in the primary care setting. Clinicians are encouraged to start the treatment with patient education. […] Common conservative treatments for frozen shoulder include nonsteroidal anti-inflammatory drugs (NSAIDs), glucocorticoids given orally or as intra-articular injections, and/or physical therapy.

• #80 Physical therapy in the management of frozen shoulder

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5917053/

  Frozen shoulder, also known as adhesive capsulitis, is a common presentation in the primary care setting and can be significantly painful and disabling. […] Common conservative treatments include nonsteroidal anti-inflammatory drugs, oral glucocorticoids, intra-articular glucocorticoid injections and/or physical therapy. […] This article elaborates on physical therapy exercises targeted at adhesive capsulitis, which can be used in combination with common analgesics. […] Most frozen shoulder cases can be managed in the primary care setting. Clinicians are encouraged to start the treatment with patient education. […] Common conservative treatments for frozen shoulder include nonsteroidal anti-inflammatory drugs (NSAIDs), glucocorticoids given orally or as intra-articular injections, and/or physical therapy.

• #81 Treatment for Frozen Shoulder: When Surgery Might be Necessary | The Bone & Joint Center

  https://www.bone-joint.com/treatment-for-frozen-shoulder-when-surgery-might-be-necessary/

  Numerous middle-aged to senior Americans suffer from a common shoulder ailment called adhesive capsulitis or frozen shoulder. […] If you are experiencing symptoms of adhesive capsulitis, get a complete orthopedic evaluation with a skilled orthopedic surgeon. […] The orthopedic doctor will perform tests to determine if you have a frozen shoulder or another orthopedic condition. You also will have imaging, such as X-rays. Together, you and your physician will develop a treatment plan tailored to your desired therapeutic goals, health, lifestyle, age, and more. […] Physical therapy is often the first and best treatment choice for adhesive capsulitis. The goals of PT are regaining free movement within the shoulder joint, reducing pain and inflammation, and regaining the ability to perform motions such as reaching and lifting.

• #82 Frozen Shoulder Exercises from a Physical Therapist | HSS

  https://www.hss.edu/conditions_frozen-shoulder-physical-therapy-treatments-exercises.asp

  Frozen shoulder can cause pain, stiffness and an inability to move the shoulder freely. Symptoms usually begin slowly and get worse over time. Getting physical therapy and doing special frozen shoulder exercises at home is the best way to find relief. The earlier you start, the better your recovery will be. […] Pain relievers, anti-inflammatories like ibuprofen, and/or corticosteroid injections can help ease pain and reduce inflammation. Physical therapy can help improve range of motion by loosening tight muscles and increasing joint motion. Surgery should be considered only as a last resort. […] At your first appointment, the therapist will assess your range of motion by comparing the movement of your two arms. Theyll also evaluate your arm and shoulder strength and do some gentle stretching to loosen up the shoulder, depending on how severe the stiffness is.

• #83

  https://www.myactionpt.com/physical-therapist-s-guide-to-frozen-shoulder-adhesive-capsulitis

  Often called a stiff or frozen shoulder, adhesive capsulitis occurs in about 2% to 5% of the American population. Physical therapists help people with adhesive capsulitis address pain and stiffness, and restore shoulder movement in the safest and most effective way possible. Your physical therapist’s overall goal is to restore your movement, so you can perform your daily activities. Once the evaluation process has identified the stage of your condition, your physical therapist will create an individualized exercise program tailored to your specific needs. Exercise has been found to be most effective for those who are in stage 2 or higher. Your treatment may include: […] Your physical therapist will help you maintain as much range of motion as possible and will help reduce your pain. Your therapist may use a combination of range-of-motion exercises and manual therapy (hands-on) techniques to maintain shoulder movement.

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