patientinformation Frozen shoulder A guide to treatment & management Musculoskeletal Clinical Assessment & Treatment Service

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1 The NHS Foundation Trust Frozen shoulder A guide to treatment & management Musculoskeletal Clinical Assessment & Treatment Service patientinformation Your health, your life, your choice, our passion

2 Hearing about your experience of our services is very important as it means we can pass compliments to our staff and make improvements where necessary. Tell us what you think at If you require this document in another language, large print, braille or audio version, please contact Patient Information on or

3 Frozen shoulder Introduction Frozen shoulder, also known as adhesive capsulitis, is a common, painful condition that affects the ability to move the shoulder. It can also affect your ability to lie on the affected shoulder. Frozen shoulder reduces normal movement in the joint and, in some cases, it can prevent movement in the shoulder altogether. Pain and stiffness in the shoulder are the most common symptoms of a frozen shoulder. The exact cause of frozen shoulder is not fully understood, although it appears to be more common in people with certain health conditions, such as diabetes (a long-term condition that is caused by too much glucose in the blood). It can start spontaneously or as a result of trauma or surgery. What is a frozen shoulder? Your shoulder is a ball and socket joint, in which the end of your upper arm bone (humerus) sits in the socket of your shoulder blade (scapula). A frozen shoulder occurs when there is thickening and swelling of the flexible tissue that surrounds your shoulder joint. This tissue is known as a capsule. In cases of frozen shoulder, it is thought that scar tissue forms inside the shoulder capsule, causing it to thicken, swell, and tighten. This leaves less space for your upper arm bone in the joint and makes any movement stiff and painful. 3

4 Frozen shoulder Frozen shoulder Clavicle Acromion Joint capsule Humerus Scarring of joint capsule How common is frozen shoulder? Most cases of frozen shoulder occur in people who are between 40 and 60 years of age. The condition is more common in women than in men. It is estimated that a frozen shoulder could affect up to one in 20 people. 4

5 Frozen shoulder What are the treatment options? There are different forms of treatment for frozen shoulder including: l Painkillers and anti-inflammatories to reduce pain and inflammation. l Physiotherapy to prevent further stiffness and regain movement. l Injections, steroids and local anaesthetic are used to reduce inflammation and pain in addition to possibly improving range of movement. Most successful if used in conjunction to physiotherapy. l Surgery to relieve pain and increase range of movement in combination with a course of physiotherapy. This is done through key hole (arthroscopic) surgery. Recovery from a frozen shoulder can be slow, and the symptoms can last for several years. However, most people with the condition eventually regain good movement in their shoulder. 5

6 Frozen shoulder How to contact us Musculoskeletal Clinical Assessment and Treatment Service Community Health Centre Greasbrough Road S60 1RY Telephone Useful contact numbers NHS Direct Telephone Health Info Telephone Stop Smoking Service Telephone Patient Services Telephone A&E Telephone For GP out of hours, contact your surgery Useful websites We value your comments If you have any comments or concerns about the care we have provided please let us know, or alternatively you can write to: Patient Services The NHS Foundation Trust Hospital Moorgate Road Oakwood S60 2UD Telephone Produced by Sally Blair and Vanessa Fletcher-Barrett. October Revision due October Version: 1.0 The NHS Foundation Trust All rights reserved. 6

7 How to find us Community Health Centre main routes A6123 A6123 Greasbrough St Community Health Centre Greasbrough Rd Greasbrough Rd Northfield Rd Centenary Way Rawmarsh Rd A6021 Effingham St Kenneth St Shaftesbury Square Centenary Way Norfolk St St Ann s Rd A633 St Ann s Roundabout St Ann s Rd A629 College Rd Roundabout Centenary Way Centenary Way Bridge St Greasbrough Rd Water St Henry St A6021 Wharncliffe St Norfolk St College Rd ROTHERHAM CENTRAL TRAIN STATION A6021 Hospital main routes To Leeds Parkgate To Doncaster 35 Thorpe Hesley B6089 A633 M1 North 34 South 34 To Sheffield Kimberworth Park A629 Kimberworth A6109 A631 Woodside Brinsworth 33 TOWN Clifton CENTRE A618 A631 East Dene Hospital Moorgate A6123 Whiston Herringthorpe A631 M1 Wickersley Bramley 32 A631 To A1, M62 & Hull M18 1 To Sheffield Treeton A618 M1 To Nottingham and the South 7

8 Sustainable Forests / Low chlorine LS 19 10/12 V1 WFO Hospital Moorgate Road Oakwood S60 2UD Telephone