5 things you can do after an injury to live pain free.

Do’s and Don’ts for Frozen Shoulder

Experiencing the debilitating effects of a frozen shoulder, or adhesive capsulitis, is a profound challenge. This condition can transform everyday tasks into arduous undertakings, leaving you with persistent discomfort. 

A frozen shoulder generally unfolds in three distinct stages: freezing, frozen, and thawing, each marked by escalating pain and diminishing mobility. Understanding and navigating these stages effectively is key to managing the condition.

By mastering the essential strategies—what to do and avoid—you can significantly influence your recovery and reclaim your shoulder’s mobility.

This post will explore the critical dos and don’ts of managing a frozen shoulder. Gaining insight into these strategies will enhance your recovery and empower you to control your condition proactively.

Understanding Frozen Shoulder

Effective management of frozen shoulder begins with a thorough understanding of the condition. A frozen shoulder arises when the capsule encircling the shoulder joint gets inflamed and thickened, leading to pronounced stiffness and pain.

Although the exact etiology remains somewhat ambiguous, factors such as diabetes, prolonged immobility, and previous shoulder injuries can elevate risk. The condition can persist from several months to a few years, underscoring the importance of effective management.

The Three Stages of Frozen Shoulder

  • Freezing Stage: The onset of this phase is characterized by pain and a gradual reduction in the shoulder’s range of motion. This stage can last from a few weeks to several months.
  • Frozen Stage: Pain may decrease, but the shoulder remains stiff, and routine activities are challenging. This stage generally spans 4 to 12 months.
  • Thawing Stage: This final stage is marked by a gradual improvement in shoulder mobility that extends over several months to years.

Do’s for Managing Frozen Shoulder

  1. Consult a Healthcare Professional: If you feel you have a frozen shoulder, it is crucial to seek medical advice. A healthcare provider can accurately identify and diagnose the condition and recommend appropriate treatment strategies.
  2. Engage in Gentle Range of Motion Exercises: Consistent, gentle exercises are vital for maintaining flexibility and preventing further stiffness. Your healthcare provider can prescribe specific exercises tailored to your condition.
  3. Consider Physical Therapy: Physical therapy is often integral to managing a frozen shoulder. A skilled physical therapist can offer personalized exercises, manual therapy techniques, and guidance on improving your shoulder’s range of motion.
  4. Utilize Ice and Heat Therapy: Applying ice or heat can alleviate pain and reduce inflammation. Experiment with both modalities to identify which provides the most relief for you.
  5. Use Over-the-counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and reduce inflammation.
  6. Rest and Avoid Overexertion: While maintaining activity is essential, avoiding activities that exacerbate your shoulder pain is equally crucial. Adequate rest is necessary to facilitate healing.
  7. Maintain Proper Posture: Good posture supports shoulder health. Poor posture can contribute majorly to shoulder stiffness and exacerbate symptoms. Ensure your shoulders are properly aligned when sitting and standing.
  8. Adhere to a Healthy Lifestyle: Avoid smoking and limit alcohol consumption, as these habits can impede recovery. Additionally, managing underlying conditions such as diabetes is essential to prevent complications and support healing.

Don’ts for Managing Frozen Shoulder

Let’s discuss what not to do with a frozen shoulder to boost recovery.

  1. Avoid Forcing Movement: Refrain from pushing your shoulder into painful positions or activities. This can lead to further injury and prolong your recovery. If an exercise or movement induces pain, stop immediately and consult your physical therapist.
  2. Don’t Neglect Physical Therapy: Regular physical therapy sessions are crucial for recovery. If financial or logistical constraints necessitate a pause, work with your therapist to develop a home exercise plan. Prematurely discontinuing therapy can result in setbacks.
  3. Don’t Rely Exclusively on Medication: While over-the-counter pain relievers can mitigate discomfort, they should not be the sole treatment method. Address underlying issues through physical therapy and other treatments to expedite recovery.
  4. Don’t Sleep on the Affected Shoulder: Sleeping on the affected shoulder can exacerbate pain and discomfort. Opt to sleep on your back or the opposite side, using pillows for additional support.
  5. Don’t Ignore Coexisting Health Conditions: Frozen shoulders can be linked with other health issues, such as diabetes and thyroid disorders. Regular check-ups and effective management of these conditions are crucial to prevent overcomplication and enhance recovery.

How to Avoid Frozen Shoulders

Preventing a frozen shoulder involves maintaining shoulder mobility and addressing risk factors. Here are some strategies:

  • Stay Physically Active: Regular physical activity, including shoulder movements, helps keep the joint flexible.
  • Avoid Prolonged Immobility: Adhere to your healthcare provider’s recommendations for gradually resuming shoulder movement after surgery or injury.
  • Manage Chronic Conditions: Effectively control chronic conditions like diabetes, which can raise the risk of developing a frozen shoulder.
  • Educate Yourself: Understanding frozen shoulder symptoms and risk factors enables proactive prevention.
  • Practice Proper Posture: Maintaining good posture helps prevent shoulder strain and stiffness.

Treatment Options for Preventing Frozen Shoulder

Treatment for frozen shoulder often entails a multifaceted approach tailored to the severity of the condition and individual needs. Methods may include:

  • Physical Therapy: A physical therapist can create a personalized exercise program to enhance shoulder mobility and alleviate pain. This program may include range-of-motion, strengthening, and manual therapy techniques.
  • Medications: Over-the-counter like ibuprofen or acetaminophen can help manage pain and inflammation. In some cases, more potent medications or corticosteroids may be prescribed.
  • Corticosteroid Injections: These injections, administered by a healthcare professional, can reduce inflammation and improve shoulder mobility.
  • Surgery: Surgical intervention may be considered in severe cases when other treatments are ineffective. The arthroscopic release is a minimally invasive procedure that can loosen the thickened capsule around the shoulder joint.
  • Complementary Therapies: Some individuals may benefit from complementary therapies such as therapeutic massage to alleviate muscle tension or acupuncture to enhance circulation and reduce pain.
  • Consulting With a Healthcare Professional: Working with a professional to develop an optimal treatment plan for your frozen shoulder is critical. They can examine your overall health and suggest the most effective approach to managing symptoms and promoting healing.

Conclusion

Navigating the complexities of a frozen shoulder demands a balanced approach that integrates active management with prudent caution. Adhering to the outlined dos and don’ts can enhance your recovery and further improve your quality of life.

Although the journey through a frozen shoulder may be challenging, informed decisions and preventive measures can make a substantial difference. Stay proactive, follow your treatment plan, and take steps to prevent future occurrences, ensuring your shoulders remain healthy and free from discomfort.

Picture of Dr. Phillip Carr

Dr. Phillip Carr

Dr. Phillip Carr PT, DPT, MS, PES, owner of BioFix Physical Therapy, boasts 20+ years of athletic training/coaching experience. His diverse expertise encompasses musculoskeletal issues, joint replacements, and more. With a 2018 Doctorate in Physical Therapy, he's a dedicated professional, family man, and youth soccer team assistant coach. Phillip Carr is your trusted source for holistic physical therapy insights.