Frozen shoulder (adhesive capsulitis) is a condition that causes shoulder pain, stiffness, and limited movement. It develops gradually in three stages: freezing, frozen, and thawing. Understanding these stages helps you identify symptoms and seek the right treatment.
At Alton Pain Clinic, we offer ultrasound-guided cortisone injections and hydrodilatation to relieve pain, reduce stiffness, and restore shoulder movement.
1. Freezing Stage
- Shoulder pain gradually increases, often worse at night
- Stiffness begins, making it difficult to move the arm fully
- Can last 6–9 months
- Treatment focuses on pain relief and reducing inflammation
Clinic options: ultrasound-guided cortisone injections can provide effective pain relief in this stage.
2. Frozen Stage
- Pain may decrease, but stiffness dominates
- Shoulder movement is significantly limited, affecting daily activities
- Usually lasts 4–12 months
- Treatment focuses on reducing stiffness and restoring range of motion
Clinic options: ultrasound-guided hydrodilatation can stretch the joint capsule and improve shoulder movement.
3. Thawing Stage
- Gradual improvement in movement and function
- Pain continues to decrease
- Can last 6 months to 2 years
- Goal is full return of shoulder mobility
Clinic options: Continued monitoring and targeted injections can ensure optimal recovery and comfort.
Key Takeaway
Frozen shoulder progresses through three stages:
- Freezing – Pain dominates, stiffness begins
- Frozen – Stiffness dominates, limited movement
- Thawing – Movement gradually returns, pain improves
At Alton Pain Clinic, we specialise in ultrasound-guided cortisone injections and hydrodilatation for all stages, helping patients regain shoulder function and reduce discomfort.
Frequently Asked Questions
What are the stages of frozen shoulder?
Frozen shoulder progresses through three stages: freezing (pain and early stiffness), frozen (stiffness dominates, limited movement), and thawing (gradual return of movement and reduced pain).
What happens during the freezing stage?
Pain gradually increases, especially at night, and the shoulder begins to stiffen. Early treatment, like ultrasound-guided cortisone injections, can help reduce pain.
What happens during the frozen stage?
Pain may decrease, but stiffness and limited movement dominate, affecting daily activities. Treatments like ultrasound-guided hydrodilatation can help restore movement.
What happens during the thawing stage?
Shoulder movement gradually improves, pain decreases, and function slowly returns. Some patients may still need injections to maintain comfort.