Adhesive capsulitis, commonly called frozen shoulder, follows a recognisable arc: increasing pain and stiffness (freezing), prolonged restriction (frozen), then gradual return of range (thawing). The entire journey can last many months; rushing aggressive stretching during the freezing phase often worsens night pain.

During the painful stage, treatment focuses on pain modulation—gentle pendulum swings, diaphragmatic breathing, and joint mobilisations within comfortable limits. Injections or medical management may be discussed with your doctor; physiotherapy complements medical care rather than replacing it.

As stiffness dominates, capsule mobilisations, progressive stretches, and scapular control drills become central. We track improvements in external rotation and behind-the-back reach—simple metrics that matter for dressing and grooming. Strength work ramps up once range gains stick without next-day flare.

Thawing is the window where function returns quickly for some patients. We introduce resisted rotations, rowing patterns, and task-specific training (reaching cupboards, overhead work) with graded exposure. Diabetes and thyroid conditions can lengthen timelines; your programme reflects those realities.

Consistency beats intensity. Short daily sessions outperform occasional forceful stretching. If shoulder pain is disrupting sleep or work, contact HR Physiotherapy Clinic for a structured assessment and staged home plan tailored to your phase.