Frozen Shoulder: Recovery Time and Recurrence Risks - Rehabilitation

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Frozen shoulder


My mother has been experiencing frequent soreness and pain in her right shoulder lately, to the point where she cannot sleep on her right side.
She also has difficulty reaching for items above her head and cannot comb her hair.
A doctor told her it is frozen shoulder (adhesive capsulitis) and recommended physical therapy.
How long does it typically take to recover from this condition with rehabilitation? Will it recur in the future? Thank you!

Jun Ting, 30~39 year old female. Ask Date: 2007/12/02

Dr. Chen Xianchang reply Rehabilitation


Hello, sir: Thank you for your inquiry.
Here are my responses and recommendations:
1.
In reality, frozen shoulder refers to an injury to the shoulder joint or tendon inflammation, which results in an inability to raise the arm or lift it to the side for a period of time.
This leads to the adhesion of joint fluid, affecting the range of motion in the joint.
Therefore, not all shoulder pain is classified as frozen shoulder.

2.
It is advisable to promptly visit a rehabilitation specialist for deep heat therapy and electrical stimulation, as well as to perform pendulum exercises and shoulder rotation exercises, which can expedite recovery.

Reply Date: 2007/12/02

More Info


Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. It typically develops gradually and can significantly impact daily activities, such as reaching for items, brushing hair, or even sleeping comfortably. The condition is often associated with age, particularly in individuals aged 40 to 60, and can occur more frequently in women than men.
The recovery time for frozen shoulder can vary widely among individuals. Generally, the condition progresses through three stages: the freezing stage, the frozen stage, and the thawing stage. The freezing stage can last from 6 weeks to 9 months, during which pain increases and range of motion decreases. The frozen stage may last from 4 to 6 months, where the shoulder becomes stiff but may not be as painful. Finally, the thawing stage can take anywhere from 6 months to 2 years, during which the shoulder gradually regains its range of motion.

In terms of rehabilitation, physical therapy is a cornerstone of treatment for frozen shoulder. A physical therapist can guide your mother through specific exercises designed to improve flexibility and strength in the shoulder. The duration of rehabilitation can vary, but many patients begin to notice improvements within a few weeks of consistent therapy. However, full recovery may take several months to a couple of years, depending on the severity of the condition and the individual's adherence to the rehabilitation program.

Regarding recurrence, frozen shoulder can sometimes reoccur, especially in individuals who have had it in one shoulder. Factors that may increase the risk of recurrence include age, underlying health conditions (such as diabetes), and previous shoulder injuries. It is essential for your mother to maintain a regular exercise routine and follow her therapist's recommendations to minimize the risk of recurrence.

In addition to physical therapy, other treatment options may include corticosteroid injections to reduce inflammation and pain, and in some cases, surgical intervention may be considered if conservative treatments fail. However, surgery is typically a last resort and is not commonly needed.

In summary, while recovery from frozen shoulder can be a lengthy process, many individuals experience significant improvements with appropriate rehabilitation and treatment. It is crucial for your mother to stay committed to her therapy and follow up with her healthcare provider to monitor her progress and adjust her treatment plan as necessary. If she has any concerns about her symptoms or recovery, she should not hesitate to reach out to her doctor for further evaluation and guidance.

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