Conditions
Frozen shoulder
Painful progressive stiffness affecting active and passive movement.
Key points
Its course varies and can be prolonged. Other causes of stiffness should be excluded through appropriate assessment.
Possible signs
- Sometimes night pain
- Progressive loss of movement
- Difficulty dressing or doing hair
Role of physiotherapy
Physiotherapy adapts movement and exercise to irritability rather than routinely forcing range.
Limits of physiotherapy
It may not shorten every phase and does not replace medical assessment of associated factors.
Red flags
- Deformity or inability to move after injury
- Cold, pale or blue arm, numbness or sudden weakness
- Fever with a red, hot or very swollen shoulder
- Associated chest pain, breathlessness or faintness
If there is immediate danger, contact emergency services.
Frequently asked questions
Should it be forced?
Marked pain after exercise is a reason to reduce intensity and seek advice.
Sources
Institutional sources and accessible publications: