The term frozen shoulder has been used to denote chronic condition characterized by pain and limitation of motion that slowly becomes worse over a period of 3-12 months and then, for reasons that are not clear, follows a course of gradual improvement, to a normal or near normal state.
Initial treatment is conservative, consisting of the use of moist heat, gravity-free exercises within painless arcs of motion, and analgesics and anti-inflammatory drugs. Because of the prolonged course, narcotics should be avoided.
Later, anti-gravity exercises such as fingertip wall-climbing should be instituted. Manipulation of the shoulder is contraindicated if any active inflammation remains, but may be of help to an occasional patient.
Consult a physiatrist (rehabilitation doctor) or a physical therapist because treatment vary from patient to patient.
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