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Unlocking Frozen Shoulder: Causes & Manual Therapy

Unlocking Frozen Shoulder: Causes & Manual Therapy
May 02, 2026 Shoulder Pain By Dr. Preeti (PT)

"Frozen shoulder (adhesive capsulitis) causes severe joint capsule inflammation and progressive shoulder stiffness, locking your movement."

Why Does Frozen Shoulder Happen?

Adhesive capsulitis occurs when the connective tissue surrounding the shoulder joint becomes thick, tight, and inflamed. It is common after shoulder immobilization, injuries, or in patients with diabetes.

The Three Phases of Frozen Shoulder

Frozen shoulder progresses through: 1. The Freezing Phase (painful limit), 2. The Frozen Phase (stiffness dominates, pain stabilizes), and 3. The Thawing Phase (movement range gradually improves). Treatment protocols must be adjusted to match the current phase.

Manual Joint Mobilisation Techniques

United Kingdom Registered Dr. Preeti utilizes Maitland joint sweeps and Mulligan mobilization-with-movement adjustments. These hands-on methods safely stretch the tight capsule, reduce pain, and restore joint movement.

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