The Three Stages
| Stage | Duration | Features |
|---|---|---|
| Freezing (painful) | 2-9 months | Gradually worsening pain, progressive stiffness begins |
| Frozen (stiff) | 4-12 months | Pain may reduce but stiffness is significant, limiting movement |
| Thawing (recovery) | 5-24 months | Gradual improvement in range of movement |
Why Diabetics Are at Higher Risk
Diabetes increases frozen shoulder risk 2-4 fold, likely related to changes in connective tissue from chronically elevated blood sugar. Good diabetes control may reduce this risk and improve outcomes.Treatment Options
| Treatment | Best Stage |
|---|---|
| Physiotherapy/stretching exercises | All stages — helps maintain mobility |
| Steroid injection | Most effective in the freezing (painful) stage |
| Hydrodilatation (fluid injection to stretch capsule) | Can be effective, especially frozen stage |
| Manipulation under anaesthesia | For persistent stiffness not responding to conservative treatment |
| Arthroscopic capsular release | Surgical option for severe, prolonged cases |
Gentle Movement, Not Complete RestWhile frozen shoulder is painful, complete immobilisation can worsen stiffness — gentle, regular range-of-motion exercises (even if uncomfortable) as guided by a physiotherapist help maintain and eventually improve mobility.
Will frozen shoulder go away on its own?
Yes, frozen shoulder is generally self-limiting, though the full cycle can take 1-3 years. Treatment can speed recovery and reduce pain during this process, but patience is often needed.
Can frozen shoulder come back or affect the other shoulder?
It rarely recurs in the same shoulder, but up to 20-30% of people develop it in the other shoulder at some point, particularly if diabetic.
Medical Disclaimer: This page is for general education only and does not replace professional medical advice. Always consult a qualified healthcare provider.