physiotherapy for frozen shoulders

How does physiotherapy help with frozen shoulders?

The shoulder joint is a marvel of human anatomy, allowing a wide range of motion and facilitating everyday activities. However, when the shoulder’s intricate system of muscles, connective tissue, and the shoulder capsule becomes compromised, it can lead to a condition known as a frozen shoulder.

In this blog, we will explore how physiotherapy, as Procure Physio provides, helps individuals suffering from frozen shoulders regain their shoulder movement, range of motion and quality of life.

Conditions of Frozen Shoulders

Frozen shoulder, clinically referred to as adhesive capsulitis, is a condition that restricts the shoulder’s range of motion and can result in significant discomfort. It typically progresses through three stages: the freezing stage, the frozen stage, and the thawing phase.


  1. Freezing Stage: This initial stage is characterized by the gradual onset of shoulder pain and stiffness. Shoulder movement becomes limited, challenging simple activities like reaching for objects or dressing.
  1. Frozen Stage: The shoulder joint’s mobility becomes severely restricted in this stage. The shoulder capsule becomes thickened and inflamed, further impeding the range of motion. Pain and discomfort may persist, affecting one’s ability to perform daily activities.
  1. Thawing Phase: The final phase, often referred to as the “thawing phase,” marks the gradual return of shoulder mobility and reduced pain. Connective tissue and muscle extensibility improve, allowing for a recovery in function.
frozen shoulder physio treatment

The Diagnosis Dilemma

Diagnosing a frozen shoulder involves a differential diagnosis, as its symptoms may overlap with other shoulder conditions or injuries. To provide the most effective physiotherapy, it is crucial to determine if the patient indeed has a frozen shoulder.

Physiotherapists adhere to evidence-based guidelines for the diagnosis of frozen shoulders. These guidelines typically include a thorough patient history, physical examination, and potentially diagnostic imaging to rule out other possible causes of shoulder pain. Precise diagnosis is essential to tailor the physiotherapy treatment to the patient’s specific needs.

Physiotherapy's Role in Frozen Shoulder Treatment

Physiotherapy plays a pivotal role in the management and treatment of frozen shoulders. It offers a non-invasive approach to improve shoulder movement and reduce pain while minimizing adverse side effects. Below are key aspects of how physiotherapy helps individuals with frozen shoulders:

  1. Range of Motion Improvement: Physiotherapists use targeted exercises and techniques to increase the shoulder joint’s range of motion gradually. Gentle stretching exercises help to alleviate the stiffness and allow for more comfortable shoulder movement.
  1. Pain Management: Physiotherapy involves the application of anti-inflammatory measures, such as cold therapy and exercises, to reduce inflammation in the shoulder capsule. This helps alleviate pain and discomfort experienced by frozen shoulder patients.
  1. Functional Measures: Frozen shoulder patients often struggle with simple daily activities due to the limited shoulder movement. Physiotherapy aims to improve function in patients by tailoring exercises that address their specific needs, facilitating a return to normal activities.
  1. Muscle Extensibility: Physiotherapy can improve muscle extensibility in the shoulder area. Strengthening exercises and specific muscle-stretching routines help relieve tightness and enhance the shoulder’s flexibility.
  1. Improved Function: During physiotherapy sessions, many patients experience significant improvement in function, allowing them to regain their independence and perform daily activities easily.
  1. Connective Tissue Mobilization: Physiotherapists use various techniques to mobilize the connective tissue in the shoulder, promoting increased blood flow and reducing inflammation.
  1. Patient Education: Educating patients about self-management techniques and exercises they can perform at home is crucial to physiotherapy. These practices empower patients to participate in their recovery actively.

Physiotherapy Techniques for Frozen Shoulders

Physiotherapy for frozen shoulders includes a variety of techniques and exercises tailored to the individual patient’s condition. Some common methods include:

  1. Gentle Shoulder Exercises: These exercises focus on improving shoulder movement and flexibility. Physiotherapists design custom exercise programs that gradually increase in intensity, helping patients regain shoulder mobility.
  1. Axial Stress Techniques: These techniques involve gently applying stress to the shoulder joint, promoting increased mobility and reducing the shoulder capsule’s thickness.
  1. Manual Therapy: Skilled physiotherapists utilize hands-on manual therapy to improve muscle extensibility, reduce pain, and enhance the shoulder’s range of motion.
  1. External and Internal Rotation Exercises: Rotational exercises are essential for restoring the shoulder’s functional capacity. These exercises are customized to address the specific needs of the patient.
  1. Anti-Inflammatory Measures: Cold therapy and other anti-inflammatory interventions are incorporated into the treatment plan to reduce inflammation and discomfort in the shoulder joint.


Frozen shoulder is a condition that can significantly disrupt one’s quality of life by limiting shoulder movement and causing persistent pain. Procure Physio offers evidence-based, customized physiotherapy interventions that target the root of the problem, helping individuals regain their mobility and independence. 

Through a combination of range of motion exercises, pain management techniques, and patient education, physiotherapy effectively addresses the limitations posed by frozen shoulders, facilitating the gradual return of function in the shoulder joint. 

If you or someone you know is suffering from a frozen shoulder, consider the benefits of physiotherapy in unlocking the icy grip of this condition and regaining a pain-free, active life.