Atlas Osteopathy

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.