Condition
Frozen Shoulder
Frozen shoulder (adhesive capsulitis) is a debilitating condition where the shoulder joint capsule becomes inflamed and stiff. It progresses through predictable phases, and the right treatment at the right phase makes a significant difference to recovery time.
Symptoms
How it usually shows up.
- Deep aching pain in the shoulder, often worse at night
- Progressive loss of shoulder movement (especially external rotation)
- Difficulty reaching behind your back or overhead
- Pain that disrupts sleep
Causes
Why this happens.
- Often idiopathic, no clear cause
- Associated with diabetes, thyroid disease, and post-menopause
- Can follow shoulder injury or prolonged immobilisation
- More common in women aged 40–60
How we help
The Atlas approach.
Treatment is staged to match the phase you're in: pain management during the 'freezing' phase, mobility restoration during the 'frozen' phase, and full strength rehab during 'thawing'. We use a combination of soft-tissue work, gentle joint mobilisation, and a carefully progressed home exercise programme. Most cases improve significantly within 4–9 months of consistent treatment.
What you can do today.
- Daily gentle stretching within your pain-free range
- Heat before exercise, ice after if inflamed
- Sleep with a pillow supporting the affected arm
- Don't push into sharp pain, it lengthens recovery
When to seek urgent help
If you experience any of these, see your GP or A&E rather than waiting for an osteopathy appointment:
- Sudden, severe loss of movement after trauma (rule out rotator cuff tear)
- Pain unresponsive to any treatment over 12 months
- Symptoms following recent surgery
FAQs
Common questions.
- How long does frozen shoulder take to resolve?
- Untreated, frozen shoulder typically resolves over 18–30 months. With consistent treatment, most patients see meaningful improvement within 4–9 months and significant resolution by 12.
- Do I need a steroid injection?
- Sometimes helpful in the painful 'freezing' phase. We'll refer for injection if conservative management isn't controlling your pain.