Frozen shoulder—also known as adhesive capsulitis—can make simple tasks like reaching overhead or lifting groceries painfully difficult. But, here’s the good news: frozen shoulder physiotherapy remains one of the most effective and research-backed ways to regain mobility and reduce pain.

At Turramurra Sport and Spinal Physiotherapy, we prioritize active, stage-specific care that empowers patients to recover without unnecessary interventions. Whether in the painful early phase or slowly regaining movement, physiotherapy offers targeted tools to help at every step.

Understanding the Three Stages of Frozen Shoulder

To deliver effective care, physiotherapy must match the stage of the condition. Frozen shoulder progresses in three distinct phases:

1. Freezing Stage (Painful Phase)

Marked by inflammation and sharp pain with movement. This stage can last 6 weeks to 9 months.

2. Frozen Stage (Stiff Phase)

Pain decreases, but stiffness increases. Range of motion is severely limited. This can last 4–6 months.

3. Thawing Stage (Recovery Phase)

Gradual return of motion and strength over several months.

Knowing how to manage frozen shoulder at each stage is essential for recovery. Let’s break down the most effective treatments by phase.

Early Phase: Pain Management and Gentle Mobility

During the freezing stage, pain is the primary concern. Research supports a combined approach using:

• Corticosteroid Injections: Especially effective when administered early (within the first year). These reduce inflammation and improve short-term function.
• Shockwave Therapy: Proven to offer significant pain relief without invasive procedures.
• Gentle Home Exercises: Such as pendulum swings and table slides. These maintain mobility without overloading the joint.

Pro Tip: Electrotherapy may offer some short-term relief, but should never replace active exercise or manual therapy.

Frozen and Thawing Phases: Restore Motion with Active Care

As pain eases and stiffness dominates, physiotherapy focuses on frozen shoulder exercises physiotherapy and manual mobilization techniques.

Effective Therapeutic Exercises Include:

• Cross-body arm stretches
• Wall walks and pulley exercises
• Passive external rotation with a stick or towel
• Isometric strengthening (e.g., resisted shoulder rotations)

Manual Therapy That Works:

• High-grade posterior mobilizations
• Mobilization with movement (MWM) techniques

Clinical trials show these outperform passive modalities like ultrasound, which lack strong evidence for improving range of motion.

Best Treatment for Frozen Shoulder: Combining Therapies

The best treatment for frozen shoulder isn’t just one method—it’s a thoughtful blend. Here’s what the latest meta-analyses recommend:

• Corticosteroids + Home Exercise: Especially effective in the early stages
• Manual Therapy + Stretching Routines: Ideal during stiffness and recovery phases
• Acupuncture + Physiotherapy: Moderate benefits for both pain and mobility
• Avoid Passive Modalities Alone: Devices like continuous passive motion (CPM) offer limited long-term benefit

Busting Myths About Frozen Shoulder

Let’s set the record straight:

• Myth: Surgery is the only real solution.
  Reality: UK FROST trial shows no long-term advantage of surgery over physiotherapy when paired with injections.
• Myth: TENS and ultrasound will fix it.
  Reality: Passive treatments are insufficient. Recovery hinges on active participation and consistent movement.
• Myth: All shoulder pain is frozen shoulder.
  Reality: Proper diagnosis is key. Not all stiffness is adhesive capsulitis—consult a professional for clarity.

Supporting Patients Through Recovery

As experts in physiotherapy for shoulder pain, we at Turramurra Sports and Spinal Physiotherapy emphasize patient education and empowerment. Frozen shoulder recovery is a marathon, not a sprint. Home exercises play a crucial role, especially when maintained after in-clinic sessions.

Today’s advancements—including AI-based movement assessments and wearable devices—offer even more precise ways to monitor joint function and personalize therapy plans.

Final Thoughts

Frozen shoulder physiotherapy remains the gold standard for managing this frustrating condition. From pain relief in the early stages to mobility restoration in later phases, evidence strongly supports a staged, active approach. When combined with the right interventions—like corticosteroids, manual therapy, and home-based routines—patients can avoid surgery and achieve long-term relief.

Ready to Move Again?

At Turramurra Sports and Spinal Physiotherapy, we specialize in shoulder rehabilitation that works. Whether you’re in the early stages of frozen shoulder or navigating recovery, we’re here to help. Book your consultation today and start your personalized path to better movement, less pain, and greater freedom.