Frozen shoulder (clinically termed adhesive capsulitis) is characterized by significant pain followed by progressive stiffness and loss of range of movement in the shoulder joint.

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Clinical Symptoms

Patients often notice that simple daily tasks become challenging—such as reaching behind their back, putting on a coat, or lifting their arm above shoulder level. Pain is frequently severe during the early stages and often disrupts sleep, particularly when lying on the affected side.

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Disease Stages & Treatment Options

Frozen shoulder typically evolves through distinct phases: an initial painful/freezing stage, followed by a stiffening/frozen stage, and eventual resolution/thawing.

 

• Corticosteroid Injections: During the early, highly painful inflammatory phase, a targeted steroid injection into the glenohumeral joint can significantly relieve severe pain and reduce inflammation.

• Hydrodilatation (Hydrodistension): Once significant stiffness has developed, we frequently perform a hydrodilatation procedure (a high-volume injection combining local anesthetic, saline, and corticosteroid). This gentle expansion helps stretch the tight joint capsule and restore mobility.

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Medical Resource:
For further clinical guidelines on frozen shoulder stages, view the official NHS Frozen Shoulder Guide.