Stiff Shoulder

AC Joint Dislocation Treatment

By Dr. Kanta Prasad (MBBS, MS – Orthopaedics)

 What Is a Stiff Shoulder?

A stiff shoulder, also known as Frozen Shoulder or Adhesive Capsulitis, is a condition in which the shoulder joint becomes painful, stiff, and difficult to move. This happens when the capsule surrounding the shoulder joint thickens and tightens, restricting normal movement.

 

The condition usually develops slowly and may take several months to resolve.

 Causes & Risk Factors

Stiff shoulder may develop due to:

  • Prolonged immobilization after injury or surgery

  • Diabetes (one of the most common risk factors)

  • Thyroid disorders

  • Shoulder trauma or previous surgery

  • Stroke or neurological conditions

  • Age-related changes (commonly between 40–60 years)

  •  

Symptoms of Stiff Shoulder

Common symptoms include:

      • Gradual onset of shoulder pain
      • Increasing stiffness and reduced movement

      • Difficulty lifting the arm overhead or behind the back

      • Night pain or pain at rest

      • Difficulty with daily activities such as dressing or combing hair

Stages of Stiff Shoulder

Stiff shoulder usually progresses through three stages:

  1. Freezing Stage

    • Increasing pain with gradual loss of motion

    • Duration: 6 weeks to 9 months

  2. Frozen Stage

    • Pain may decrease, but stiffness remains severe

    • Duration: 4 to 6 months

  3. Thawing Stage

    • Gradual improvement in shoulder movement

    • Duration: 6 months to 2 years

Diagnosis

Diagnosis is based on:

 

  • Detailed physical and clinical examination

  • Assessment of active and passive shoulder movements

  • X-rays to rule out arthritis or fractures

  • MRI (if required) to confirm diagnosis and assess soft tissues

Treatment Options

Treatment focuses on pain relief and restoration of movement.

1. Non-Surgical Treatment

Most patients recover without surgery:

  • Pain-relieving and anti-inflammatory medicines

  • Physiotherapy and stretching exercises

  • Heat or ice therapy

  • Corticosteroid injections in selected cases

  • Home exercise program

✔ Early and regular physiotherapy is key to recovery.


2. Surgical Treatment

Surgery is rarely required but may be advised if symptoms persist despite conservative treatment:

  • Manipulation under anesthesia

  • Arthroscopic capsular release

These procedures help improve shoulder movement and reduce stiffness.


Recovery & Prognosis

  • Recovery may take several months

  • Consistent physiotherapy is essential

  • Most patients regain near-normal shoulder function

  • Early treatment leads to better outcomes


When to Consult a Shoulder Specialist

Consult an orthopaedic specialist if you experience:

Persistent shoulder pain and stiffness

  • Difficulty performing daily activities

  • Night pain affecting sleep

  • No improvement with rest or medication

Our Specialities

Shoulder Injury

Shoulder Injury

Hospital Address

Apex Ranthambore Sevika Hospital

Address:

Apex Ranthambore Sevika Hospital, Vinayak Nagar, Housing Board, Sawai Madhopur, Rajasthan

Consulting Hours:

Monday - Saturday - 10:00am - 05:00pm

Phone:

+91 9782047038

Email:

drkp06@gmail.com

Scroll to Top