Understanding Frozen Shoulder: A Visual Guide to Recovery

Frozen shoulder, or adhesive capsulitis, is a condition that causes significant pain and stiffness in the shoulder joint. This comprehensive guide outlines the typical stages of recovery and provides a gentle stretching program to help restore motion and reduce pain through evidence-based rehabilitation techniques.

What is Frozen Shoulder?

Frozen shoulder, or "adhesive capsulitis," is a condition that causes significant pain and stiffness in the shoulder joint. It occurs when the flexible tissue capsule surrounding the joint becomes thick, stiff, and inflamed, restricting movement. This guide outlines the typical stages and a gentle stretching program to help restore motion and reduce pain.

2-5%
Of the population is affected
40-60
Most common age range
1-3 Yrs
Typical duration without treatment

The Three Stages of Frozen Shoulder

Recovery from frozen shoulder is a gradual process that typically moves through three distinct phases. Understanding these stages can help you set realistic expectations for your recovery.

Stage 1: Freezing

(6 weeks - 9 months)

Pain (especially at night) increases. The shoulder's range of motion starts to become noticeably limited.

Stage 2: Frozen

(4 - 12 months)

Pain may begin to lessen, but stiffness becomes the primary complaint. Daily activities become very difficult.

Stage 3: Thawing

(6 months - 2 years)

Range of motion slowly and steadily improves. Pain continues to fade, and strength gradually returns.

The Recovery Plan: Key Principles

Gentle, consistent stretching is the most effective way to combat the stiffness of frozen shoulder. The goal is to stretch the joint capsule, not to cause pain. Follow these principles for a safe and effective program.

Warm up first.

Always perform stretches after a warm shower or by applying a heating pad for 10-15 minutes to loosen the joint.

Stretch to tension, NOT pain.

You should feel a gentle pull, but never a sharp pain. Pushing too hard can set back your recovery.

Be consistent.

Aim to perform these gentle stretches 1-2 times per day. Consistency is more important than intensity.

Hold and repeat.

Try to hold each stretch for 15-30 seconds, relax, and then repeat 5-10 times.

Core Stretching Program

These six exercises form the foundation of a comprehensive frozen shoulder rehabilitation program. Perform them gently and consistently as part of your long-term recovery journey.

1. Pendulum Stretch

Lean over with your good arm resting on a table. Let your affected arm hang straight down. Gently swing the arm in small circles, about one foot in diameter. Perform 10 circles in each direction.

2. Finger Walk

Face a wall, standing about arm's length away. Reach out with your affected arm and touch the wall with your fingertips. Slowly "walk" your fingers up the wall as high as you comfortably can. Hold for 15 seconds, then slowly lower.

3. Cross-body Reach

Use your good arm to lift your affected arm at the elbow. Gently bring it up and across your body, applying light pressure to stretch the shoulder. Hold the stretch for 15-30 seconds. Do not pull on the shoulder itself.

4. Towel Stretch

Hold one end of a towel behind your back and grab the opposite end with your affected arm. Use your good arm to gently pull the towel (and your affected arm) upwards to stretch. Hold for 15-30 seconds.

5. Sleeper Stretch

Lie on your affected side with your arm bent at a 90-degree angle. Use your good arm to gently push your affected wrist down towards the floor. Stop when you feel a stretch. Hold for 30 seconds.

6. Outward Rotation

Hold a light stick or elastic band between your hands with your elbows at your sides, bent 90 degrees. Keeping your affected elbow fixed, use your good arm to gently pull the affected arm outward a few inches. Hold for 5-10 seconds.

Visualizing the Recovery Journey

This chart shows the typical relationship between pain and range of motion (ROM) throughout the three stages. During the "Thawing" stage, a consistent stretching program helps pain decrease as mobility increases, leading to recovery.

Note: Individual recovery timelines may vary. This chart represents typical progression with consistent rehabilitation.

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