Frozen shoulder also known as adhesive capsulitis, is a very common painful shoulder disorder is also one of the most serious painful disorders in the musculoskeletal system. Patient who experience this condition often suffer the restriction of the both active and passive range of their shoulder mobility.
Frozen shoulder often progresses in three stages: the freezing (painful), frozen (adhesive) and thawing phases. In the freezing stage, which lasts about 2–9 months, there is a gradual onset of diffuse, severe shoulder pain that typically worsens at night. The pain will begin to subside during the frozen stage with a characteristic progressive loss of glenohumeral flexion, abduction, internal rotation and external rotation. This stage can last for 4–12 months. During the thawing stage, the patient experiences a gradual return of range of motion that takes about 5–26 months to complete. Although adhesive capsulitis is often self-limiting, usually resolving in 1–3 years, it can persist, presenting symptoms that are commonly mild; pain is the most common complaint.
Physical therapy for Frozen shoulder is based on the stage of the disease(freezing, frozen, and thawing) and on patient characteristics. ours protocol is to maintaining movement by preventing capsular contraction and regaining ROM and restore function. Interventions are Joint mobilization techniques and therapeutic exercises, were It has been reported to treat Frozen shoulder effectively.