Frozen Shoulder: Symptoms, Stages, and Treatment Options

Frozen shoulder is not a sudden condition. It develops quietly and often surprises people who initially brush off the discomfort. Medical reports suggest that roughly two out of every hundred adults experience this condition, and it is seen more often in those living with diabetes or thyroid problems. What starts as a dull ache around the shoulder slowly becomes stiffness that interferes with routine movements, sleep and simple daily tasks. 

The shoulder joint relies on a soft capsule that stretches and moves with the arm. When this capsule becomes irritated it thickens. As this happens the space inside the joint becomes tighter and the shoulder gradually loses its freedom to move. Many people first notice trouble when they try to reach overhead or extend the arm behind the body. Over time even lifting a cup or turning while sleeping becomes difficult. 

Frozen shoulder does not progress in a straight line. It moves through three different stages. The first stage is mostly painful. The shoulder hurts with activity and often aches at rest as well. The stiffness begins here but the pain is what draws attention. This phase may last weeks or much longer depending on the person. 

The next stage feels very different. Pain slowly settles but the shoulder becomes rigid. People often describe a heavy feeling, as if the joint refuses to cooperate. Movements that were once easy now require real effort. This is usually the longest part of the condition and also the most frustrating one. 

The final stage brings relief. The shoulder starts to loosen and movement returns little by little. Recovery in this stage is slow but consistent. With the right approach many regain almost full function even if the process takes months. 

Treatment focuses on keeping the shoulder moving while controlling pain. Physiotherapy remains the foundation because targeted stretching helps soften the tight capsule. Heat therapy, ultrasound and gentle manual techniques can make the exercises more tolerable. Pain and inflammation may also be managed with medication or, in some cases, a steroid injection. 

When the shoulder refuses to improve after months of therapy doctors may consider procedures that release the tight capsule. These options are usually reserved for stubborn cases. Even then physiotherapy continues to be essential to maintain whatever mobility the procedure restores. 

Frozen shoulder rarely improves on its own when ignored. Delayed care means longer stiffness and greater weakness in the surrounding muscles. Recognising the early warning signs and seeking guidance can make recovery much easier. 

If you have been noticing shoulder tightness or pain that is gradually limiting your movement it is worth getting it examined. The orthopaedic team at London Ortho Hospital in Salem offers detailed evaluation and treatment plans that fit your stage of the condition and your daily needs. Early care can help you regain comfortable movement and return to activities without hesitation.