Have you noticed your shoulder becoming increasingly painful and stiff? Is it becoming difficult to reach overhead, fasten your bra, put on a jacket or even sleep comfortably?

You may be experiencing frozen shoulder, also known as adhesive capsulitis. While it can be frustrating and incredibly painful, the good news is that the right physiotherapy at the right time can make a real difference.

Here are five important facts everyone should know about frozen shoulder.

1. Frozen shoulder is more than just a sore shoulder

Frozen shoulder occurs when the capsule surrounding the shoulder joint becomes inflamed, thickened and tight. As the capsule stiffens, movement becomes increasingly restricted, making everyday activities difficult.

Unlike many shoulder injuries that result from muscles or tendons, frozen shoulder affects the joint capsule itself, leading to both pain and significant loss of movement.

2. It usually develops in three stages

Frozen shoulder doesn’t happen overnight. It typically progresses through three distinct phases:

The Freezing Stage

• Increasing pain, often worse at night.
• Gradual loss of shoulder movement.
• Even simple tasks can become painful.

The Frozen Stage

• Pain may begin to settle.
• Stiffness becomes the main problem.
• Activities such as reaching overhead, dressing and driving can become challenging.

The Thawing Stage

• Movement slowly begins to return.
• Daily activities become easier.
• Recovery can continue for many months.

The entire condition may last anywhere from 12 months to several years, depending on the individual and the stage at which treatment begins.

3. Not everyone is at the same risk

Frozen shoulder most commonly affects people between 40 and 60 years of age and is more common in women than men.

It is also more likely to occur in people with:

• diabetes
• thyroid conditions
• prolonged shoulder immobilisation after injury or surgery
• previous episodes of frozen shoulder.

While anyone can develop frozen shoulder, recognising the early signs and seeking treatment promptly can help reduce its impact.

4. Physiotherapy should be tailored to the stage you’re in

One of the biggest misconceptions is that you should simply “push through the pain.”

In reality, treatment should be matched to the stage of your frozen shoulder.

During the painful early stage, physiotherapy focuses on:

• reducing pain
• helping you maintain as much movement as possible
• advising on activities that won’t aggravate your symptoms.

As your shoulder progresses into the frozen and thawing stages, treatment gradually shifts towards:

• restoring mobility
• improving flexibility
• rebuilding strength
• helping you return to normal work, sport and daily activities.

Every shoulder is different, which is why an individual assessment is so important.

5. Early assessment can make a big difference

Many shoulder conditions can feel similar in the early stages. Rotator cuff injuries, bursitis and arthritis can all cause shoulder pain.

A physiotherapist can assess your shoulder, determine whether it is likely to be frozen shoulder or another condition, and develop an evidence-based treatment plan that’s appropriate for your stage of recovery.

Early guidance can help you better manage your symptoms, avoid unnecessary aggravation and stay as active as possible throughout your recovery.

How Impact Physiotherapy Can Help

At Impact Physiotherapy, we understand how frustrating frozen shoulder can be. Our experienced physiotherapists provide personalised assessment and treatment designed around your individual needs and stage of recovery.

Your treatment may include:

• a comprehensive shoulder assessment
• education about your condition and expected recovery
• pain management strategies
• hands-on therapy where appropriate
• individually prescribed exercises
• progressive rehabilitation to restore strength and movement
• guidance to help you return to work, sport and the activities you enjoy.

Our goal is to help you move more comfortably, regain confidence in your shoulder and get back to doing the things that matter most.

Don’t let shoulder pain limit your life.

If your shoulder has become painful, stiff or difficult to move, book an appointment with the team at Impact Physiotherapy. Early assessment and the right treatment can help you understand what’s happening and support the best possible recovery.

Contact Impact Physiotherapy today and let us help you get your shoulder moving again.