Post-Treatment Recovery for Frozen Shoulder

Post-shoulder stiffness (frozen shoulder) status?

Hello, doctor.
I experienced shoulder pain last year and was diagnosed with frozen shoulder.
I underwent rehabilitation and received injections, and by around November, the pain had subsided, and an ultrasound showed almost normal results.
However, even now, I still cannot fully perform certain movements at some angles (such as placing my hands on my hips or similar surrendering motions).
Occasionally, if I exert myself improperly or suddenly, my shoulder may still hurt.
(However, the frequency and intensity of the pain are much lower than before.) I would like to know if these conditions will improve over time, or if there is anything I can do to enhance my recovery?

Jing, 30~39 year old female. Ask Date: 2022/02/11

Dr. Li Yanheng reply Rehabilitation

A follow-up appointment for angle assessment may be considered.
If the angle is not compromised, it could indicate that the muscle strain has not fully healed or that muscle function has not returned, leading to issues with movement control.
It is recommended to evaluate the condition before proceeding with exercise.

Reply Date: 2022/02/11

More Info

Understanding post-treatment recovery for frozen shoulder, also known as adhesive capsulitis, is crucial for patients who have undergone rehabilitation and treatment. It’s great to hear that you have made significant progress since your initial diagnosis and treatment. The fact that you are experiencing less pain and have improved your shoulder function is a positive sign. However, it is not uncommon for patients to continue experiencing some limitations in range of motion and occasional discomfort even after treatment.

Frozen shoulder typically progresses through three stages: the freezing stage, the frozen stage, and the thawing stage. During the freezing stage, pain gradually increases, and range of motion becomes limited. In the frozen stage, pain may decrease, but stiffness remains, making it difficult to move the shoulder. Finally, in the thawing stage, shoulder mobility gradually improves, and pain decreases. Recovery can take several months to a few years, depending on the individual.

In your case, since you have already completed a course of rehabilitation and received injections, it is likely that you are in the thawing stage. The lingering limitations in certain movements, such as reaching your arms behind your back or overhead, can be attributed to residual stiffness and muscle tightness. It is essential to understand that while pain may diminish, full range of motion may take additional time to restore completely.

To further improve your shoulder function, consider the following recommendations:
1. Consistent Stretching and Strengthening Exercises: Continue with a regular exercise routine that includes both stretching and strengthening exercises. Focus on gentle stretches to improve flexibility and range of motion. Exercises such as pendulum swings, wall crawls, and cross-body arm stretches can be beneficial. Strengthening the rotator cuff and shoulder muscles can also support better function and stability.

2. Physical Therapy: If you haven’t already, consider returning to physical therapy. A physical therapist can provide tailored exercises and manual therapy techniques to help improve your shoulder mobility and address any specific limitations you may have.

3. Heat and Cold Therapy: Applying heat before exercises can help relax the muscles and improve blood flow, making it easier to stretch. Cold therapy can be used after activity to reduce any inflammation or discomfort.

4. Gradual Increase in Activity: As you regain strength and flexibility, gradually increase the intensity and complexity of your activities. Avoid sudden or forceful movements that may lead to pain or injury.

5. Patience and Consistency: Recovery from frozen shoulder can be a slow process. It’s essential to be patient and consistent with your rehabilitation efforts. Regularly practicing your exercises and being mindful of your shoulder movements in daily activities can lead to gradual improvement.

6. Consultation with a Specialist: If you continue to experience significant limitations or pain, consider consulting an orthopedic specialist or a sports medicine physician. They can assess your condition further and discuss additional treatment options, such as corticosteroid injections or, in rare cases, surgical intervention.

In conclusion, while it is normal to experience some residual limitations and discomfort after treatment for frozen shoulder, consistent rehabilitation efforts can lead to further improvement over time. Stay proactive in your recovery, and don’t hesitate to seek professional guidance if needed. With time and dedication, you should continue to see progress in your shoulder function.

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