Frozen shoulder is a poor term and often used inappropriately in a variety of shoulder conditions. It describes a global stiffness of shoulder movement resulting from contracture of the shoulder joint capsule. X-rays of the shoulder are usually normal.
The cause is usually unknown, though a similar condition of post traumatic stiff shoulder is recognised. Frozen shoulder is generally worse and runs a more unpredictable course in diabetic patients.
Following onset pain can be severe, with tingling and numbness, shooting and burning pains, and significant night pain. In non diabetics the pain generally lasts 6-9 months, before resolving. Stiffness increases during this time with particular problems with internal and external rotation. The stiffness can take many months to resolve.
Many milder cases can be managed with physiotherapy and tablets, though physiotherapy can make the pain worse in the earlier stages of the disease process.
For more severe cases, including the diabetic patients, Manipulation and Injection under anaesthetic, or arthroscopic (keyhole) release is successfully used to regain the movement and resolve the pain.
For post operative Physiotherapy information regarding Frozen Shoulder please follow the following link. Frozen Shoulder Physiotherapy