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Frozen Shoulder
Addressing the Root Cause, Not Just the Symptoms
Frozen Shoulder: Addressing the Root Cause, Not Just the Symptoms
Frozen shoulder, also known as adhesive capsulitis, is a common cause of shoulder pain, particularly affecting people between the ages of 40 and 60. Many mistakenly believe it's just a simple muscle ache and try to relieve the pain with medicated patches or heat packs. However, this often only provides temporary relief without solving the underlying problem. At Prime Rehabilitation Services, we believe that treatment should not stop at symptom relief. We delve deep to identify and address the root cause of your pain, creating a personalized recovery plan to help you live a pain-free life and improve your overall well-being.
What is a Frozen Shoulder?
Frozen shoulder is an inflammatory condition that affects the shoulder joint capsule, leading to stiffness and a restricted range of motion. It typically progresses through three stages, each with different symptoms and durations:

Freezing Stage
This is the initial phase of frozen shoulder. The shoulder pain gradually worsens, especially at night or with movement. This stage can last for several weeks to months.

Frozen Stage
This is the most characteristic stage. While the pain may lessen, the shoulder's range of motion becomes significantly limited. Simple daily tasks like combing your hair, getting dressed, or reaching for an object on a high shelf become difficult. This stage can last for several months.

Thawing Stage
Over time, the shoulder's range of motion gradually improves. The pain slowly subsides, but the recovery process can be quite slow, with the entire condition lasting a year or even longer.
Causes and Symptoms
Common Causes
- Poor Posture: Long hours spent on computers, smartphones, or driving can cause chronic tension in the neck and shoulder muscles.
- Shoulder Injury or Overuse: Sports injuries, work-related strain, or repetitive movements can lead to inflammation of the shoulder muscles, tendons, or joint.
- Prolonged Immobilization of the Shoulder: Conditions requiring a long-term arm sling, such as stroke, heart disease, or a broken bone, can cause the shoulder joint capsule to contract.
- Chronic Illnesses: Conditions like diabetes, thyroid disease, or cardiovascular disease may increase the risk of developing a frozen shoulder.
Common Causes
- Shoulder pain, which is often worse at night or during weather changes.
- Restricted range of motion in the shoulder, making specific movements impossible.
- A feeling of stiffness in the shoulder, especially upon waking up in the morning.
- Inability to lie on the affected side while sleeping.
- Muscle atrophy, particularly in the deltoid muscle.
Treatment and Rehabilitation
The goal of frozen shoulder treatment is to reduce pain, restore joint mobility, and strengthen the surrounding muscles. In the early stages, if the pain is severe, apply ice immediately to reduce inflammation. After this, physical therapy is crucial for recovery. A professional physical therapist will use various techniques, such as:
- Electrotherapy and Ultrasound: To reduce inflammation and pain.
- Manual Therapy: To release tight muscles and joints and increase mobility.
- Acupuncture or Cupping: To relieve pain and promote blood circulation.
1. Stretching Exercises
Pendulum Swings
Lean forward and let the affected arm hang down naturally. Gently swing it back and forth, side to side, or in small circles.
Towel Stretch
Grab a towel with one hand over your shoulder and the other hand behind your back. Use the top hand to gently pull the towel upward, helping to lift the arm behind you. Keep your back straight and avoid shrugging your shoulders. You should feel a gentle stretch in your arm and shoulder.
2. Strengthening Exercises
Internal Rotation Strengthening
Bend your arm at a 90-degree angle, holding a towel between your elbow and body. Use a resistance band to pull your hand inwards.
External Rotation Strengthening
Bend your arm at a 90-degree angle, holding a towel between your elbow and body. Use a resistance band to pull your hand outwards.
Important Reminder: If you feel increased pain while performing any exercise, stop immediately and seek assistance from a professional physical therapist.
Our Services
Prime Rehabilitation Services provides professional physiotherapy and rehabilitation services. Our expert team will develop the most suitable treatment and training plan for your specific condition, helping you resolve your pain from the source and restore your best state.
If you have pain issues, contact us immediately and let our professional team provide you with a personalized treatment plan.