Treatment of Frozen Shoulder
The treatment of frozen shoulder aims to relieve pain, restore mobility, and speed up the recovery process. Frozen shoulder often improves on its own over time, but many people benefit from a structured treatment plan to manage symptoms and reduce functional limitations.
Non-Surgical Treatments
1. Pain Relief
Paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can reduce pain and inflammation
Doctors may prescribe short-term corticosteroids (oral or injected) for more severe pain
Ice packs and heat therapy can also offer relief in different stages
2. Physiotherapy
The cornerstone of treatment for frozen shoulder
Focuses on gentle stretching and mobility exercises tailored to the stage of the condition
Helps maintain range of motion, prevent muscle wasting, and gradually restore movement
Home exercise programmes are essential for long-term recovery
Injections
Corticosteroid injections into the shoulder joint can reduce inflammation and provide temporary relief, especially in the freezing stage
Hydrodilatation (joint distension) involves injecting sterile fluid to stretch the capsule and may help improve movement
Manual Therapy
Techniques like joint mobilisation or myofascial release may be used by trained physiotherapists
Helps reduce stiffness and promote tissue healing
Surgical Options (When Conservative Treatment Fails)
Rarely, surgery becomes necessary but may be considered if:
Symptoms persist beyond 12–18 months
Severe stiffness continues despite physiotherapy
Pain remains significant and disabling
Procedures include:
Manipulation under anaesthesia (MUA) involves gently moving the shoulder while the patient is sedated
Arthroscopic capsular release – a minimally invasive procedure to cut tight areas of the capsule
Follow these procedures with intensive physiotherapy for the best results.
Lifestyle and Self-Management
Keep the shoulder moving within tolerable limits
Avoid complete immobilisation, as this can worsen stiffness
Modify daily tasks to reduce strain (e.g., using front-fastening clothes, adjusting sleep position)
Treatment of Frozen Shoulder
The treatment of frozen shoulder often requires patience and consistency. With proper care, most people regain significant shoulder function over time.
