Physical Therapy Nest

Frozen shoulder is typically diagnosed by:

• Medical history review (symptom progression, previous shoulder injuries, or surgeries).

• Physical exam to measure range of motion in all directions.

• Strength testing to differentiate from rotator cuff tears.

• Imaging tests such as X-rays or MRI, mainly to rule out other shoulder conditions like arthritis or tendon injuries.

Physical therapy is the most effective treatment for frozen shoulder. The goal is to restore range of motion, reduce pain, and prevent long-term stiffness. A therapy plan may include:

• Manual therapy to gently mobilize the joint and improve flexibility

• Stretching exercises to gradually restore mobility

• Strengthening exercises for shoulder and upper back muscles

• Postural training to reduce compensatory strain on other joints

• Heat therapy to relax muscles before stretching

• Home exercise programs to maintain progress between sessions
  In some cases, physicians may recommend injections or, rarely, surgery, but physical therapy is the cornerstone of recovery.

Frozen shoulder symptoms usually develop gradually and worsen over time:

• Dull, aching pain in the shoulder that may radiate into the upper arm

• Increasing stiffness and reduced range of motion

• Pain that worsens at night and disrupts sleep

• Difficulty lifting the arm, reaching overhead, or performing daily tasks like dressing

• Progressive immobility that makes the shoulder feel “locked”

Frozen shoulder cannot always be prevented, but risks can be reduced by:

• Moving the shoulder regularly after injury or surgery to prevent stiffness

• Practicing daily stretching for shoulder mobility

• Managing chronic health conditions like diabetes, which increase risk

• Seeking early treatment at the first signs of shoulder pain or reduced motion

• Maintaining good posture during daily activities to reduce strain