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Physiotherapy

Frozen Shoulder: symptoms, causes & treatment in Nigeria

Also known as stiff shoulder, adhesive capsulitis.

This page is general health information, not a diagnosis. Always consult a licensed clinician about your own health.

Overview

Frozen shoulder is progressive pain and stiffness of the shoulder as its capsule tightens, until simple acts — fastening clothes, reaching a shelf — become difficult. It is more common in people with diabetes and after periods of shoulder immobility. It does resolve, but recovery takes months and is much faster with structured physiotherapy.

Symptoms

  • Shoulder pain, often worse at night
  • Progressive stiffness in all directions
  • Difficulty reaching overhead, behind the back or across the body
  • Pain on lying on the affected side
  • Stages: painful freezing, stiff frozen, then gradual thawing

Causes & risk factors

  • Inflammation and tightening of the shoulder capsule
  • Diabetes and thyroid disease increase risk
  • Immobility after injury, surgery or a stroke
  • Age 40-60; more common in women

Treatment & self-care

Physiotherapy is the backbone: graded stretching and mobilisation within tolerable pain, plus a home exercise routine done daily. Doctors can add anti-inflammatory treatment or a steroid injection to break the pain cycle, and resistant cases have procedural options. Keep the shoulder gently moving — complete rest worsens the stiffness.

See a doctor urgently if

  • Shoulder pain and stiffness persisting beyond a few weeks
  • Inability to raise the arm after a fall (rule out tear or fracture)
  • Shoulder pain with fever
  • You are diabetic with a stiffening shoulder

Frequently asked questions

What are the first signs of Frozen Shoulder?
Early signs often include shoulder pain, often worse at night, progressive stiffness in all directions, difficulty reaching overhead, behind the back or across the body. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Frozen Shoulder be treated?
Physiotherapy is the backbone: graded stretching and mobilisation within tolerable pain, plus a home exercise routine done daily. Doctors can add anti-inflammatory treatment or a steroid injection to break the pain cycle, and resistant cases have procedural options. Keep the shoulder gently moving — complete rest worsens the stiffness.
When should I see a doctor about Frozen Shoulder?
See a doctor promptly if you notice: shoulder pain and stiffness persisting beyond a few weeks; inability to raise the arm after a fall (rule out tear or fracture); shoulder pain with fever; you are diabetic with a stiffening shoulder.

Talk to the right specialist

Frozen Shoulder is usually handled by physiotherapy. See an online physiotherapy doctor in minutes on GoDoctor.

Related conditions

Lab tests that may help