Overview

Frozen shoulder (adhesive capsulitis) is a painful and progressive condition in which the shoulder capsule becomes inflamed and thickened, causing significant loss of movement. It typically progresses through three phases: a freezing (painful) phase, a frozen (stiff) phase, and a thawing (recovery) phase — each lasting months. While it often resolves on its own, the process can take 18 months to 3 years without treatment.

Common Symptoms

• Progressive loss of shoulder movement in all directions
• Significant night pain — difficulty sleeping on the affected side
• Pain that is often diffuse and deep in the shoulder
• Inability to reach behind the back or above shoulder height
• Gradual onset often without a clear injury
• Affects daily tasks such as dressing, reaching and driving

How We Can Help

Osteopathic management aims to reduce pain and maintain or restore range of motion at each stage of the condition. Techniques are adapted to the phase and pain levels. We combine gentle mobilisation, soft tissue therapy and a structured home exercise programme. Cortisone injection or hydrodilation may be recommended as complementary options in some cases, and we liaise with your GP or specialist as needed.