Frozen Shoulder: What It Is and How Physiotherapy Can Help
Frozen shoulder, also called adhesive capsulitis, is a condition that causes pain and stiffness in the shoulder, making everyday movements difficult. It occurs when the shoulder capsule becomes inflamed, thickened, and tight, limiting range of motion.
While there isn't always a clear cause, frozen shoulder can be linked to:
- Shoulder or arm injuries
- Overuse of the shoulder
- Surgery or prolonged immobilization
- Other medical conditions
At Premier Physiotherapy Clinic in Ottawa, we often see patients experiencing frozen shoulder who want to preserve function, manage pain, and regain mobility safely.
The 3 Phases of Frozen Shoulder
Frozen shoulder usually develops in three distinct phases, each with its own characteristics and and management strategies.
Phase 1: Freezing (Painful Phase)
- Duration: ~ 6 weeks to 9 months
- What's happening: The shoulder capsule becomes inflamed, causing increasing pain and stiffness.
- Physiotherapy Focus:
- Gentle movement exercises within a comfortable range
- Pain management techniques
- Education on safe movement and positioning
Phase 2: Frozen (Stiff Phase)
- Duration: ~ 4 months to 12 months
- What's happening: inflammation decreases, but the capsule is thickened and tight, limiting movement.
- Physiotherapy Focus:
- Maintaining as much rnage of motion as possible
- Gentle but consistent mobilization of the shoulder
- Postural strengthening exercises to improve alignment
- Functional exercises to support daily activities
Phase 3: Thawing (Recovery Phase)
- Duration: ~ 6 Months to 2 Years
- What's happening: The capsule gradually loosens, and movement begins to return.
- Physiotherapy focus:
- Progressive stretching and strengthening
- Gradual return to normal daily activities
- Ongoing monitoring to optimize function
Why Physiotherapy Matters
Frozen shoulder can be painful and limiting, but physiotherapy plays a crucial role in preserving function and reducing discomfort throughout all phases. At Premier Physiotherapy in Ottawa, our physiotherapists can:
- Assess your shoulder and design a safe, individualized program
- Guide you through pain management and mobility exercises
- Help you maintain strength, posture, and function
- Support your gradual return to daily activities and work
If you are experiencing shoulder pain, stiffness, or difficulty moving your arm, frozen should could be a factor. While the condition typically progesses through its natural course, early physiotherapy intervention can help you stay active and maintain function.
Book an appointment with Premier Physiotherapy Clinic today to learn more about managing your frozen shoulder and regaining comfortable movement.
