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Condition

Frozen shoulder: causes, symptoms and treatment

A clinically reviewed guide to frozen shoulder — its stages, and how movement and time restore the shoulder.

  • Shoulder

Quick answer

Frozen shoulder (adhesive capsulitis) causes progressive shoulder stiffness and pain as the joint capsule tightens. It typically passes through stages over months to a couple of years, and most people recover with exercise, manual therapy and patience.

Key facts

  • Frozen shoulder progresses through freezing, frozen and thawing stages.
  • It is more common in people aged 40–60 and those with diabetes.
  • Most cases resolve, though recovery can take many months.

What is frozen shoulder?

Frozen shoulder is a condition where the shoulder's capsule becomes inflamed and tightens, causing progressive stiffness and pain.

It typically develops gradually and moves through three stages: a painful 'freezing' stage, a stiff 'frozen' stage, and a 'thawing' stage where movement returns.

What are the symptoms of frozen shoulder?

The hallmark is progressive loss of shoulder movement with pain, often worse at night and with a marked loss of the ability to rotate the arm.

  • Gradually worsening shoulder stiffness
  • Pain, frequently worse at night
  • Difficulty with everyday reaching and dressing
  • Loss of both active and passive movement

How is frozen shoulder treated?

Frozen shoulder is treated with pain management, gentle mobility work and exercise matched to the stage, supporting the shoulder as it recovers.

In the painful early stage, treatment focuses on comfort and gentle movement; later, more active stretching and strengthening restore range. Recovery takes time, and referral is considered for stubborn cases.

At Postura Wellness, care for frozen shoulder is built around OrthoRestore™ — our signature method that combines chiropractic and physiotherapy into one coordinated plan. Depending on your assessment, it can bring together chiropractic adjustments, dry needling, muscle manipulation, Active Release Technique, and targeted exercises, supported where helpful by technology such as shockwave therapy and bioelectric therapy. The aim is to relieve symptoms while addressing the underlying causes, with a plan tailored to you.

Get a clear plan for your frozen shoulder

Book an assessment at either branch and get a tailored plan.

This page is for general information and is not a substitute for professional medical advice, diagnosis or treatment. Always consult a qualified clinician about your individual condition.

Sources

This guide draws on the following. Links open on the publisher's own site.

  1. Shoulder Injuries and DisordersMedlinePlus, US National Library of Medicine
  2. Shoulder painMedlinePlus Medical Encyclopedia
  3. Joint DisordersMedlinePlus, US National Library of Medicine
  4. Bones, Joints and MusclesMedlinePlus, US National Library of Medicine
  5. Muscle and Bone DiseasesNIH National Institute of Arthritis and Musculoskeletal and Skin Diseases
  6. Orthopedic servicesMedlinePlus Medical Encyclopedia

Frequently asked questions

It varies widely, often from around a year up to two or more, moving through freezing, frozen and thawing stages. Treatment can ease symptoms along the way.

It is most common between ages 40 and 60, more often in women, and is more frequent in people with diabetes or after a period of shoulder immobility.

No. Aggressive stretching in the painful stage can aggravate it. Exercise should be matched to the stage of the condition.

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This guide is general information and is not a substitute for professional medical advice.