Adhesive capsulitis of the shoulder
Andrew S Neviase, Robert J Neviaser
Key takeaways
- 01Frozen shoulder involves fibrosis and contracture of the joint capsule
Adhesive capsulitis is typically managed first with gentle stretching, with surgery reserved for cases that do not improve after six months of therapy.
Adhesive capsulitis is characterized by painful, gradual loss of active and passive shoulder motion resulting from fibrosis and contracture of the joint capsule. Other shoulder pathology can produce a similar clinical picture, however, and must be considered. Management is based on the underlying cause of pain and stiffness, and determination of the etiology is essential. Subtle clues in the history and physical examination can help differentiate adhesive capsulitis from other conditions that cause a stiff, painful shoulder. The natural history of adhesive capsulitis is a matter of controversy. Management of true capsular restriction of motion (ie, true adhesive capsulitis) begins with gentle, progressive stretching exercises. Most patients improve with nonsurgical treatment. Indications for surgery should be individualized. Failure to obtain symptomatic improvement and continued functional disability following ≥6 months of physical therapy is a general guideline for surgical intervention. Diligent postoperative therapy to maintain motion is required to minimize recurrence of adhesive capsulitis.
The episode was first published on The Fascia Guide YouTube channel on February 5, 2025. In this inspiring episode, we meet Deanna Hansen — founder of Block Therapy™ and a pioneer…
The episode was first published on the Swedish podcast Fasciaguiden on May 27, 2025. What if every chronic disease actually stems from the same root cause — the loss of electrons?…