Frozen shoulder, also known as adhesive capsulitis, is characterized by stiffness and pain in the shoulder joint. It begins gradually and worsens over time before resolving within one to three years. The condition is caused by the formation of scar tissue within the shoulder joint capsule, which thickens and tightens, limiting movement and causing pain. Risk factors include age between 40-60 years, female sex, diabetes, and recent shoulder injury or surgery. Treatment focuses on physiotherapy and gentle exercises to restore range of motion.

1. Synonyms: Adhesive capsulitis.
: Periarthritis of shoulder.

2. WHAT IS JOINT?
 What is joint
 Examples
 Functions

3. BONES OF SHOULDER JOINT

4. SHOULDER JOINT CAPSULE

6. LIGAMENTS OF SHOULDER JOINT

7. MUSCLES OF SHOULDER JOINT

9. WHAT IS FROZEN SHOULDER?
 characterized by
 stiffness
 pain in
your shoulder joint.
 begin gradually,
 worsen over time
 then resolve, usually
within one to three
years.

10.  Prevalence of almost 50% older patients with
diabetes
 2-10% in non-diabetic patients.
 Aged between 40 and 60 years
 It is more likely in women than in men.

11. WHAT HAPPEN IN SHOULDER JOINT IN
FROZEN SHOULDER?
 Scar
tissue
formati
on

12.  scar tissue
 causes the shoulder
joint’s capsule to
thicken and tighten,
 leaving less room for
movement.
 Movement may
become stiff and
painful.

14. CAUSES
 Idiopathic
 Secondary to other conditions
 Injury or fracture of shoulder
 Diabetes
 Thyroid disease

15. SYMPTOMS
 Pain
 Movement Restriction

16. PAIN
• Dull pain

17. Movement Restriction

20. STAGES OF FROZEN SHOULDER
 Three stages:
1. Freezing, or painful stage: (6 weeks to 9 months)
Pain increases gradually, shoulder motion harder and harder.
Night Pain
2. Frozen: (4 months to 6 months)
Pain does not worsen, shoulder remains stiff. and movement may be
restricted.
3. Thawing: (between 6 months and 2 years)
Movement gets easier and may eventually return to normal. Pain may
fade but occasionally recur.
 Condition resolve within a 2- to 3-year period.

21. COMMON RISK FACTORS FOR FROZEN
SHOULDER ARE:
 Age: 40 and 60 years.
 Gender: 70 % of people with frozen shoulder are
women.(Female>Male)
 Recent trauma:
 Surgery
 arm fracture
 Diabetes: people with diabetes develop frozen shoulder,
and symptoms may be more severe.

22. DIAGNOSIS
1) Self at home
 Dull pain in any one shoulder
 Difficulty in daily activities

23. 2) Clinical
 Restriction of passive movement
 block to external rotation

24. INVESTIGATION
 MRI

25. MANAGEMENT
 Preventive home care
 Physiotherapy

26. PREVENTIVE STEPS
STEP 1
 Monitor your Disease
consistently.

27. STEP 2

28. STEP 3

30. STEP 4

31. STEP 5
 Do gentle range of motion exercises