Overview
Frozen shoulder (adhesive capsulitis) is a condition where the shoulder joint becomes stiff and painful, progressively limiting arm movement. The shoulder capsule (tissue surrounding the joint) tightens and thickens, restricting motion. Frozen shoulder typically progresses through three stages: freezing (increasing pain), frozen (maximum stiffness), and thawing (gradual improvement). Early diagnosis and aggressive physiotherapy prevent progression and minimize disability.
Common symptoms
- Gradual onset of shoulder pain
- Progressive loss of shoulder movement
- Difficulty reaching overhead or behind back
- Pain that worsens at night
- Stiffness that may last 1-3 years if untreated
The procedure
Early diagnosis and aggressive physiotherapy form the cornerstone of frozen shoulder treatment. Mr Mitra uses a staged approach: initial pain control (ice, anti-inflammatories, steroid injections), followed by structured physiotherapy to restore motion. For cases resistant to conservative treatment (3-6 months), arthroscopic capsular release may be recommended, followed by intensive physiotherapy.
Recovery
Most frozen shoulders respond to conservative treatment within 6-12 months, though resolution may take longer. Early physiotherapy is critical — delaying treatment increases stiffness and prolongs recovery. Steroid injections often provide relief and enable better physiotherapy participation. For surgical cases, recovery requires 3-4 months with intensive rehabilitation.
Quick facts
Assessment time
30-45 minutes
Treatment type
Physiotherapy, injections, or surgery
Recovery time
3-12 months (varies greatly)
Conservative success rate
70%
Covered by all major UK insurers. No GP referral needed for self-pay.
WHAT TO EXPECT
Your recovery pathway
From your first appointment to full recovery, here’s exactly what to expect — so you know every step before you even book.
01
You get seen
Initial consultation and examination with Mr Mitra to confirm your diagnosis.
ANAESTHETIC & PATIENT COMFORT
Dr Khandelwal – Consultant Anaesthetist
Working in close clinical partnership with Mr Aveek Mitra, Dr Khandelwal specialises in advanced regional nerve blocks and bespoke sedation pathways, ensuring maximum surgical comfort and rapid same-day recovery.
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