Frozen shoulder makes your shoulder stiff, painful, and hard to move, but it’s very treatable. Physio is the most effective path to recovery, sometimes supported by injections. Best to not wait until it’s fully “frozen” because early assessment means better outcomes. Call us on 4728 2116.
Frozen Shoulder
If you find your shoulder has become stiff, painful, and hard to move, you might be dealing with frozen shoulder, also known as adhesive capsulitis. Many people describe it as feeling like their shoulder is “stuck” or “locked,” especially during simple tasks like reaching overhead or getting dressed. Though it can be frustrating, frozen shoulder is treatable, and Physio plays a vital role in recovery.
Frozen shoulder occurs when the joint capsule (the soft tissue around your shoulder) becomes inflamed, thickened, and tight, limiting movement in all directions. However, it’s often misdiagnosed or confused with other shoulder issues, which is why seeing your physio is essential for differentiating frozen shoulder from similar problems like rotator cuff injuries or arthritis and making an accurate diagnosis.
(Source: Body Organics, 2016)
Who’s at Risk?
Frozen shoulder typically affects people between the ages of 40 and 60, with a higher incidence in women. It’s also more common in people who have certain medical conditions like diabetes, thyroid disorders, and heart disease. It can often develop after an injury or extended periods of shoulder immobility, such as after surgery or an illness that limits movement.
The Stages of Frozen Shoulder
Though the timelines aren’t always fully clear cut, frozen shoulder generally progresses through three stages:
Freezing Stage (3–9 months): Pain increases, often worse at night, and movement becomes more limited. Many people start using the shoulder less during this stage.
Frozen Stage (4–12 months): Pain may ease, but stiffness becomes the dominant issue. Reaching or lifting becomes difficult, impacting daily activities.
Thawing Stage (6 months–2 years): Gradual improvement in movement and a return to normal function. But recent research shows that not everyone regains full movement without treatment.
(Source: Southern Orthopaedics, n.d.)
How Physiotherapy Helps
Physiotherapy supports your shoulder’s recovery in a safe, gradual way – no pushing through pain. Physios will use gentle exercises to encourage movement and hands-on techniques like joint mobilisation to reduce pain and improve function at the right time.
As movement improves, strengthening exercises are introduced to help stabilise the shoulder and prevent future issues. Research shows that no single treatment works best, but a combination of tailored exercises, manual therapy, and clear guidance gives the best outcomes. Consistency is key — small, regular improvements add up over time.
When Should I See a Physio?
You don’t have to wait until your shoulder is “frozen.” If movement is gradually becoming more limited, or affecting daily activities like brushing your hair, dressing, putting on a seatbelt, it’s a good idea to see a physiotherapist. Shoulder pain throughout the night is also a good indicator that you might have a frozen shoulder. Early assessment can help identify the stage of frozen shoulder, make sure it isn’t another condition, and ensure the right treatment plan.
Do I Need Injections?
There are a few different injections that are used to help with frozen shoulder such as corticosteroids, platelet-rich plasma, and hydrodilatation. Injections can help reduce inflammation and pain, especially in the early stages. However, the latest research shows that you get the best outcomes through physiotherapy supported by adjunct therapies like injections when appropriate. Each case is specific and your Physio and GP will work together to decide if injections are right for your situation.
Frozen shoulder can be a challenging condition, but with the right treatment and guidance, most people can improve their pain, movement, and quality of life.
Should you have any enquiries and suspect you may be suffering with Frozen Shoulder, book an appointment online or call 4728 2116.
Nathan George – Physiotherapist at Physio On Ross
