Frozen shoulder, or adhesive capsulitis as it is also known, is a condition that leads to stiffness, pain, and restricted movement in the shoulder joint. It progresses in three stages, each requiring different management strategies. There is also the frozen shoulder Parkinson’s disease link which means you are at a higher risk due to muscle rigidity and limited mobility. In Thailand, physiotherapy and orthopedic care are widely available, helping patients manage symptoms and regain shoulder function.
Stage 1: The Freezing Phase
This initial stage is characterized by increasing pain and a gradual loss of shoulder movement. The pain often worsens at night and it can make daily activities difficult. This phase typically lasts between six weeks to nine months.
How to Manage the Freezing Stage
- Pain Management: Over-the-counter pain relievers or prescribed anti-inflammatory medications can help reduce discomfort.
- Gentle Movements: Light stretching and mobility exercises can help maintain some range of motion.
- Physical Therapy: A physiotherapist can introduce passive movements to prevent further stiffness.
- Heat Therapy: Applying warm compresses before movement exercises can help loosen the shoulder.
Stage 2: The Frozen Phase
During this phase, the pain may begin to subside, but stiffness can and does become more severe, making movement extremely difficult. This stage can last anywhere from four to twelve months. People with Parkinson’s may experience more prolonged stiffness due to muscle rigidity.
How to Manage the Frozen Stage
- Low-Impact Exercises: Gentle stretching, such as pendulum swings and wall walks, can help prevent further restriction.
- Hydrotherapy: Warm water therapy, which is available at many rehabilitation centers in Thailand, can ease stiffness and improve movement.
- Acupuncture and Thai Massage: Traditional Thai treatments may provide relief by promoting circulation and reducing muscle tension.
- Postural Adjustments: Avoiding positions that worsen stiffness and maintaining an upright posture can help reduce strain.
Stage 3: The Thawing Phase
In the final stage, movement gradually improves as the shoulder begins to regain flexibility. While recovery can take anywhere from six months to two years, consistent therapy and rehabilitation can speed up progress.
How to Manage the Thawing Stage
- Progressive Strength Training: Resistance bands and light weights help rebuild strength in the shoulder.
- Consistent Physical Therapy: Following a structured rehabilitation plan with a trained specialist can ensure full recovery.
- Regular Shoulder Mobilization: Daily stretching and movement exercises help restore function.
- Medical Consultation: Individuals with Parkinson’s should continue working with their neurologist to ensure mobility exercises align with their condition.
Thailand offers advanced orthopedic care, with rehabilitation centers in Bangkok, Phuket, and Chiang Mai specializing in musculoskeletal conditions. Patients can find experienced physiotherapists and rehabilitation programs designed to improve mobility and prevent frozen shoulder recurrence.
Managing frozen shoulder does require patience, but if you take advice from medical professionals, mobility and comfort can return. Whether through medical intervention, physiotherapy, or lifestyle adjustments, staying proactive ensures a smoother recovery and better long-term shoulder health.
