{"id":3363,"date":"2026-06-30T18:50:20","date_gmt":"2026-06-30T10:50:20","guid":{"rendered":"https:\/\/redefinedphysio.com\/?page_id=3363"},"modified":"2026-06-30T21:39:29","modified_gmt":"2026-06-30T13:39:29","slug":"frozen-shoulder","status":"publish","type":"page","link":"https:\/\/redefinedphysio.com\/index.php\/frozen-shoulder\/","title":{"rendered":"Frozen Shoulder"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3363\" class=\"elementor elementor-3363\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dc2a113 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dc2a113\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fbcc6a8\" data-id=\"fbcc6a8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ea4153 elementor-widget elementor-widget-image\" data-id=\"1ea4153\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/redefinedphysio.com\/wp-content\/uploads\/2026\/06\/frozen-shoulder-1024x683.png\" class=\"attachment-large size-large wp-image-3368\" alt=\"frozen shoulder\" srcset=\"https:\/\/redefinedphysio.com\/wp-content\/uploads\/2026\/06\/frozen-shoulder-1024x683.png 1024w, https:\/\/redefinedphysio.com\/wp-content\/uploads\/2026\/06\/frozen-shoulder-300x200.png 300w, https:\/\/redefinedphysio.com\/wp-content\/uploads\/2026\/06\/frozen-shoulder-768x512.png 768w, https:\/\/redefinedphysio.com\/wp-content\/uploads\/2026\/06\/frozen-shoulder.png 1536w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" title=\"frozen shoulder - RE:defined Physiotherapy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c1bfe9a elementor-widget elementor-widget-heading\" data-id=\"c1bfe9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Frozen Shoulder<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-21ec6da elementor-widget elementor-widget-text-editor\" data-id=\"21ec6da\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>We don\u2019t expect a frozen shoulder under the age of 40-45 years old <span style=\"font-size: 16px;\">(except if there has been a fracture).<\/span><\/li><li class=\"p1\">The patient describes a typical history : There was a trauma or some <span style=\"font-size: 16px;\">overuse followed by some pain, which disappears at first and then, after <\/span><span style=\"font-size: 16px;\">3-4 days, the pain returns and increases every day.<\/span><\/li><li class=\"p1\">During the first 3-4 months the pain and the limitation get worse ; the <span style=\"font-size: 16px;\">pain is constant, even at night. The pain gradually eases. At the end of <\/span><span style=\"font-size: 16px;\">this evolution, the normal range has returned, even without treatment.<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ccc3e1 elementor-widget elementor-widget-heading\" data-id=\"4ccc3e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Why Rehab?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6d29053 elementor-widget elementor-widget-text-editor\" data-id=\"6d29053\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">A frozen shoulder has a spontaneous evolution which could take up to 2 years, but, unfortunately with some permanent loss of lateral rotation ROM. Therefore, it doesn\u201dt make any sense to await the spontaneous evolution and treatment should be given regardless of the stage of frozen shoulder.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-834744c elementor-widget elementor-widget-heading\" data-id=\"834744c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Treatment Approaches:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f13c0d elementor-widget elementor-widget-text-editor\" data-id=\"7f13c0d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">In a stage I the shoulder is slightly irritated. The treatment consists of intensive capsular stretch, about 15\u2019 per session, 3x\/week, active end range mobilization shoulder \u2013 shoulder girdle and home exercise.<\/p><p class=\"p1\">If the patient didn\u2019t experience any discomfort after the first treatment, increase the intensity of the capsular stretch ; if, however, he suffered pain too long after the treatment, next time decrease the intensity.<\/p><p class=\"p1\">Capsular stretch has proven effective in the relief of pain and recovery of ROM in up to 90% of patients with capsular stiffness.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-98ec1e3 elementor-widget elementor-widget-heading\" data-id=\"98ec1e3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frequently Made Errors !!<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ef4f9c elementor-widget elementor-widget-text-editor\" data-id=\"7ef4f9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"\" data-turn-id-container=\"request-WEB:4e7be81d-e3d6-49c4-9166-e213203f4030-0\" data-is-intersecting=\"true\"><div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:var(--thread-content-margin-xs,calc(var(--spacing)*4))] @w-sm\/main:[--thread-content-margin:var(--thread-content-margin-sm,calc(var(--spacing)*6))] @w-lg\/main:[--thread-content-margin:var(--thread-content-margin-lg,calc(var(--spacing)*16))] px-(--thread-content-margin)\"><div class=\"[--thread-content-max-width:40rem] @w-lg\/main:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\"><div class=\"flex max-w-full flex-col gap-4 grow\"><div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal outline-none keyboard-focused:focus-ring [.text-message+&amp;]:mt-1\" dir=\"auto\" tabindex=\"0\" data-message-author-role=\"assistant\" data-message-id=\"eab72c07-e156-474c-be44-be00fef470be\" data-message-model-slug=\"gpt-5-5\" data-turn-start-message=\"true\"><div class=\"flex w-full flex-col gap-1 empty:hidden\"><div class=\"markdown prose dark:prose-invert wrap-break-word w-full light markdown-new-styling\"><p class=\"p1\">A patient is seen in a stage I phase, not too much pain, not too much limitation of movement : just medication is prescribed. A few weeks later he isin a stage II, more pain and more limitation, then mobilization is prescribed\u2026 <strong>Wrong :<\/strong> if the patient is in a stage I, mobilization should be prescribed as soon as possible in order not to loose time.<\/p><p class=\"p1\">In a stage 2 shoulder, we may focus more on passive mobilization techniques and , if possible, we can already try to mobilize in end range direction.The patient already may do some home exercise in order to mobilize the shoulder.<\/p><p class=\"p1\">In a stage 3 The shoulder is highly irritated. Exercise and active mobilization are contraindicated. Manual distraction technique (it is not the purpose to mobilize, it is merely a pain reducing technique), about 25\u2019 per session, 5x\/week, no exercise, no active mobilization<span class=\"s1\"> .<\/span>Effect of the distraction technique : This inhibits nociceptive reflexes which result from the long-standing stimulation of the nocisensors. These reflexes would be responsible for increased sympathetic activity giving rise to vasoconstriction of the vessels around the joint.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c392187 elementor-widget elementor-widget-heading\" data-id=\"c392187\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frozen Shoulder Exercises<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e8ce4a9 elementor-widget__width-initial elementor-widget elementor-widget-video\" data-id=\"e8ce4a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtube.com\\\/shorts\\\/OJIwRtrWN3I?si=Ae9Ulkcv2JRRiWYD&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Frozen Shoulder We don\u2019t expect a frozen shoulder under the age of 40-45 years old (except if there has been a fracture). The patient describes a typical history : There was a trauma or some overuse followed by some pain, which disappears at first and then, after 3-4 days, the pain returns and increases every &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/redefinedphysio.com\/index.php\/frozen-shoulder\/\"> <span class=\"screen-reader-text\">Frozen Shoulder<\/span> Read More 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