The shoulder is the most mobile and complex joint in the body, providing us with an exceptional range of motion. However, this complexity also makes it vulnerable to various issues, one of the most common being frozen shoulder. In Australia, approximately 10,000 people are diagnosed with this condition each year. Although frozen shoulder can occur at any age, it is most prevalent among women aged 35 to 50.

What is Frozen Shoulder?

Frozen shoulder, or adhesive capsulitis, is a condition characterized by pain and stiffness in the shoulder joint, which can severely limit mobility. This occurs due to internal inflammation and tightening of the shoulder joint capsule.

The condition typically progresses through four stages:

1. Pre-freezing: Early symptoms appear.
2. Freezing: Pain and stiffness worsen.
3. Frozen: Stiffness dominates, with some relief from pain.
4. Thawing: Gradual recovery of motion and function.

Causes and Risk Factors

Frozen shoulder is considered an idiopathic condition, meaning it often arises without a clear cause. However, certain risk factors increase the likelihood of developing it:

• Immobility: Reduced shoulder movement due to an arm fracture, stroke, or surgeries like a mastectomy.
• Medical conditions: Diabetes, hyperthyroidism, or hypothyroidism.
• Age: More common in older adults.
• Gender: Women are at higher risk.
• Previous injuries: Shoulder trauma or injuries.
• Systemic diseases: Conditions like tuberculosis or Parkinson’s disease.

The more risk factors present, the higher the chances of developing frozen shoulder.

Managing Frozen Shoulder: Key Tips

• Understanding the prognosis- Frozen shoulder progresses through its four stages over a period that can span months to years. Understanding this timeline can help manage expectations and reduce frustration during recovery.

• Engage in Physiotherapy –Tailored physiotherapy exercises and stretches are essential for minimizing pain, improving shoulder mobility, and preventing further stiffness.

• Complementary Treatments
  Incorporate heat or ice therapy, soft tissue massage, and dry needling to alleviate discomfort. Anti-inflammatory medications prescribed by your doctor can also help reduce inflammation and pain.

 Conclusion

• While frozen shoulder can be a challenging condition, understanding its progression and risk factors, along with a consistent approach to treatment, can significantly improve outcomes. Consult your healthcare provider or physiotherapist to create a personalized treatment plan that works best for you.
• Deep Sidhu (Physiotherapist) Bphty