What Is the First Treatment for Frozen Shoulder?

Frozen shoulder, or adhesive capsulitis, causes pain and progressive stiffness because the tissues around the shoulder joint become tight. The shoulder may be difficult to lift, reach behind the back, or rotate. The stage of the condition matters: a painful phase may need calmer movement, while later stiffness may allow more stretching.

Physiotherapy uses an examination to select movements that challenge the joint without repeatedly provoking a flare. A cortisone injection may be discussed when pain prevents sleep or makes therapy difficult; suitability depends on your health and examination.

Keep the shoulder gently active within a tolerable range rather than forcing a hard stretch. Use the pain-relief plan recommended for you, and avoid heavy lifting or repeated overhead work during a painful flare. Physiotherapy may include home exercises, joint-mobility work, and advice about posture and daily tasks.

Hydrotherapy can make movement feel easier for some people because warm water supports the arm. If progress remains limited after non-surgical care, an orthopaedic clinician may discuss other options, including shoulder arthroscopy.

Book an assessment for new or worsening shoulder stiffness, night pain, or loss of function. Seek urgent care after a significant injury, or for sudden weakness, a visibly deformed shoulder, fever with a hot swollen joint, chest symptoms, or new arm numbness.

Ask which phase your shoulder appears to be in, what range is safe to practise, whether an injection is suitable, and what changes would indicate that your plan needs review.