Frozen shoulder is a difficult and mysterious condition which is often assumed when a middle-aged person gets a painful and stiff shoulder.
However there is a lot of confusion about the exact diagnosis, how long it lasts and what the best treatments are.
Over the last few years research has identified much more closely what the diagnosis means and how this problem should be managed.
The definition of frozen shoulder
It is important to be clear exactly what frozen shoulder is.
1. Symptoms (what the person complains of)
2. Signs (what the examiner finds)
The natural history of frozen shoulder
Frozen shoulder is typically thought to have three phases, with the whole course of the condition lasting up to seven years.
1. Painful phase. This phase can last 10-36 months. The pain can be severe and unrelenting, leading to severe problems sleeping. Sufferers often appear unhappy, and may have lost some of their sense of humour due to the pain lasting so long.
2. Stiffening phase. This lasts 4-12 months, leading to a gradual loss of movement of the shoulder. The end result can be a very stiff joint at some point.
3. Recovery period. This lasts from 12-24 months. The shortest time for this condition to resolve is over two years, the longest up to seven years. Recovery is often not complete, with mild pain and stiffness a common long term problem, without however any significant functional disablility.
Frozen Shoulder treatment options
There are a number of options for treatment of frozen shoulder including exercises, steroid injections, manipulation under anaesthetic and open or arthroscopic surgery.
Frozen Shoulder FAQs