Physical therapy in the management of frozen shoulder

Singapore Med J. 2017 Dec;58(12):685-689. doi: 10.11622/smedj.2017107.

Abstract

Frozen shoulder, also known as adhesive capsulitis, is a common presentation in the primary care setting and can be significantly painful and disabling. The condition progresses in three stages: freezing (painful), frozen (adhesive) and thawing, and is often self-limiting. Common conservative treatments include nonsteroidal anti-inflammatory drugs, oral glucocorticoids, intra-articular glucocorticoid injections and/or physical therapy. However, many physicians may find themselves limited to prescribing medications for treatment. This article elaborates on physical therapy exercises targeted at adhesive capsulitis, which can be used in combination with common analgesics.

Keywords: adhesive capsulitis; frozen shoulder; physical therapy; self-management.

MeSH terms

  • Analgesics / therapeutic use*
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Bursitis / drug therapy
  • Bursitis / therapy*
  • Exercise Therapy / methods*
  • Glucocorticoids / therapeutic use
  • Humans
  • Injections, Intra-Articular
  • Motion
  • Pain / drug therapy
  • Physical Therapy Modalities*
  • Range of Motion, Articular*
  • Shoulder Joint

Substances

  • Analgesics
  • Anti-Inflammatory Agents, Non-Steroidal
  • Glucocorticoids