4 Stages of Frozen Shoulder: Understanding and Managing Your Condition

Frozen shoulder, clinically known as adhesive capsulitis, is a painful condition that can significantly affect your quality of life. It typically progresses through four distinct stages, each characterized by specific symptoms and levels of pain. Understanding the 4 stages of frozen shoulder is essential for effective management and recovery. In this comprehensive article, we will delve into each stage, discussing symptoms, causes, and treatment options.

What is Frozen Shoulder?

Frozen shoulder occurs when the connective tissues surrounding the shoulder joint become inflamed and stiff, leading to reduced mobility. Often, this condition develops slowly in three phases: freezing, frozen, and thawing. The process of healing can take time, and the success of treatment can vary significantly from person to person.

Stage 1: Freezing Stage

The first stage of frozen shoulder is often referred to as the freezing stage. This stage can last anywhere from 6 weeks to 9 months and is characterized by:

• Gradual onset of pain in the shoulder, which may be dull or achy.
• Restricted range of motion; patients often find it difficult to reach overhead or behind their back.
• Increased pain at night, which can disrupt sleep.

During the freezing stage, the shoulder joint becomes increasingly stiff due to inflammation. The pain can become so intense that it limits normal daily activities, making it difficult to perform tasks such as dressing or lifting objects. Patients experiencing this stage often report that the pain can radiate down the arm, compounding the discomfort.

Causes of Frozen Shoulder

The exact cause of frozen shoulder remains unclear, but several factors may contribute, including:

• Injury or surgery that immobilizes the shoulder for an extended period.
• Diabetes: Individuals with diabetes have a higher risk of developing frozen shoulder.
• Autoimmune diseases that may lead to joint inflammation.
• Age: Adults aged 40-60 are most commonly affected.

Stage 2: Frozen Stage

The frozen stage is the second stage of frozen shoulder, often lasting between 4 and 6 months. During this phase, the pain may begin to diminish, but stiffness and limited mobility typically persist. Key characteristics include:

• Decreased pain compared to the freezing stage.
• Significant restriction in shoulder movement.
  • Difficulty in lifting objects or reaching across the body.
  • Inability to perform simple shoulder movements without discomfort.