Shoulder

Frozen Shoulder — Why Your Shoulder Stopped Moving

फ्रोजन शोल्डर — आपका कंधा क्यों जाम हो गया

ఫ్రోజెన్ షోల్డర్ — మీ భుజం ఎందుకు కదలడం ఆగిపోయింది

You woke up one morning and your shoulder was stiff. Then it got stiffer. Now you can barely move it at all and the pain is unbearable. This is frozen shoulder — a painful and frightening condition that is actually very treatable.

🕐 7 min read
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Dr. Sumit Dubewar

MBBS · DNB · DABRM (USA) · FIJR · FIASM · MNAMS
Orthopaedic Surgeon · Secunderabad · +91 9370498182

Diagram of the shoulder joint labeled Frozen Shoulder, showing the tightened capsule around the joint (AI-generated illustration)

In frozen shoulder, the capsule surrounding the joint thickens and tightens like a shrink-wrap, restricting movement in every direction.

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Why Does This Happen?

Causes and what is happening inside your body

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Cross-section view of the shoulder capsule tightening around the joint through the three stages of frozen shoulder (AI-generated illustration)

The exact cause is unknown, but it's strongly linked to diabetes (30% of diabetics) and thyroid disorders. It moves through 3 stages — Freezing (painful, getting stiffer), Frozen (stiff but less painful), and Thawing (gradually improving).

🧊 Key fact: Frozen shoulder will eventually get better on its own — but it takes 1-3 years. Treatment significantly shortens this time and reduces the suffering. Do not just wait and hope.

Who Is at Risk?

  • Diabetes — 30% of diabetics develop frozen shoulder
  • Thyroid disorders — both hypo and hyperthyroidism
  • Age 40-60 — peak incidence
  • Women — more common in women
  • Prolonged immobility — after a fracture or surgery
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What Are the Symptoms?

How to recognise this condition — and when to see a doctor urgently

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  • All movements restricted — especially putting hand behind back or raising arm sideways
  • Severe night pain — wakes from sleep, cannot lie on affected side
  • Pain at the end of range — pain when movement is forced
  • Gradual onset — develops over weeks to months

⚠️ See a doctor urgently if: Shoulder pain in a young patient after injury — rule out dislocation first · Sudden severe pain with audible pop — possible rotator cuff tear · Shoulder pain with weakness in hand or arm

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How Is It Managed?

Treatment options from simple home care to specialist treatment

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Treatment Options (First-Line)

  • Stage 1 (Freezing) — anti-inflammatory medicines, a steroid injection, and physiotherapy to control pain early
  • Stage 2 (Frozen) — gentle physiotherapy plus hydrodilatation, where sterile fluid is injected into the capsule under image guidance to stretch and break the adhesions
  • Control diabetes and thyroid levels strictly — the two biggest modifiable risk factors
  • Keep the shoulder gently moving after any period of immobilisation, such as after a fracture or surgery
  • Don't ignore early stiffness — treating it early can prevent progression to a full frozen shoulder

💡 Hydrodilatation gives dramatic improvement in many patients and often avoids the need for surgery altogether.

If Conservative Treatment Fails

  • Stage 3 (Thawing) — aggressive physiotherapy to restore full movement
  • Resistant cases — arthroscopic capsular release (keyhole surgery) is an option, with good results reported in many patients
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Exercises for Shoulder

Step-by-step exercises selected by Dr. Sumit

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Exercise is one of the most effective treatments for this condition. These exercises can be done at home without any equipment.

Go to Exercises →
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Dr. Sumit's Advice

What I tell every patient who comes to me with this condition

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"Frozen shoulder is one of the most painful conditions I treat — and also one of the most satisfying to treat, because the results are excellent. With the right treatment protocol, most patients regain full movement and return to their normal life. Do not suffer in silence for years. Come early."

— Dr. Sumit Dubewar · DABRM (USA) · Secunderabad

Consultation Information

Dr. Sumit Dubewar consults at ONE Healthcare Clinic, Tirumalagiri, Secunderabad. Phone: +91 9370498182.

Clinic Appointments

🤖 Illustrations on this page are AI-generated, for patient education only. इस पेज के चित्र AI द्वारा बनाए गए हैं। ఈ పేజీలోని చిత్రాలు AI ద్వారా రూపొందించబడ్డాయి.