Post-Treatment Recovery for Frozen Shoulder - Rehabilitation

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Subsequent Conditions of Frozen Shoulder


Hello, doctor.
Last year, I sought treatment for shoulder pain, which was diagnosed as 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, there are some angles that I still cannot fully achieve (for example, placing my hands on my hips or similar surrendering motions).
Occasionally, if I exert myself improperly or suddenly, my shoulder still hurts (but 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 unobstructed, 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 before proceeding with exercise.

Reply Date: 2022/02/11

More Info


Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. It often develops gradually and can significantly limit the range of motion. Your experience of shoulder pain and limited mobility, even after treatment, is not uncommon for individuals recovering from this condition.
The recovery process for frozen shoulder can vary widely among individuals, but it typically follows three stages: the freezing stage, the frozen stage, and the thawing stage. During the freezing stage, pain increases, and the range of motion decreases. In the frozen stage, the pain may diminish, but stiffness remains. Finally, in the thawing stage, the shoulder gradually regains its range of motion.

In your case, since you have already undergone rehabilitation and received injections, it appears you are moving into the thawing stage, where some improvement is noted, but full recovery may still take time. It is not unusual for patients to experience lingering stiffness or discomfort, especially with certain movements or when exerting force unexpectedly.
To enhance your recovery, consider the following recommendations:
1. Continued Physical Therapy: Engaging in a structured physical therapy program can be beneficial. A physical therapist can guide you through specific exercises designed to improve flexibility and strength in your shoulder. These exercises may include gentle stretching, range-of-motion activities, and strengthening exercises tailored to your current capabilities.

2. Home Exercises: In addition to formal therapy, performing home exercises regularly can help maintain and improve your shoulder's mobility. Simple movements such as pendulum swings, wall crawls, and towel stretches can be effective. Always ensure that you perform these exercises within a pain-free range to avoid exacerbating your symptoms.

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 afterward to reduce any inflammation or discomfort that may arise from activity.

4. Gradual Increase in Activity: As you feel more comfortable, gradually increase the intensity and complexity of your activities. This might include more challenging shoulder movements or incorporating your shoulder into daily tasks. However, be cautious not to push too hard, as this can lead to setbacks.

5. Patience and Consistency: Recovery from frozen shoulder can take several months to even years. It is essential to remain patient and consistent with your rehabilitation efforts. Regular follow-ups with your healthcare provider can help monitor your progress and make necessary adjustments to your treatment plan.

6. Consideration of Other Treatments: If you continue to experience significant limitations or pain, discuss with your healthcare provider the possibility of other treatments. Options may include corticosteroid injections, ultrasound therapy, or, in some cases, surgical intervention to release the tight capsule around the shoulder joint.

In summary, while it is common to experience lingering stiffness and occasional pain after treatment for frozen shoulder, there are various strategies you can employ to facilitate recovery. With continued effort and appropriate interventions, many individuals find that their shoulder function improves over time. If you have concerns about your progress or specific symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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