What Is the Structured First-Line Treatment for Frozen Shoulder Syndrome?

Frozen shoulder syndrome presents with progressive shoulder pain and marked restriction of movement. Effective first-line management follows a structured, phase-sensitive approach that combines analgesic therapy, anti-inflammatory options, and targeted physiotherapy.

Clinical Goals

Gradual resolution of shoulder pain and stiffness, with meaningful improvement in range of motion and overall shoulder function — typically achieved within 12–18 months of consistent treatment.

Treatment Approach

First-line management combines oral analgesic therapy with anti-inflammatory treatment, using physiotherapy as a cornerstone throughout every stage. Alternative interventions are available when standard anti-inflammatory options are not suitable for a given patient. The full protocol defines which interventions apply at each stage of the condition, and in what sequence.

References

  • A short course of NSAIDs for 2–3 weeks is very frequently used to minimise intense pain of the freezing stage.
  • Along with NSAIDs and steroids, PT remains one of the cornerstones in the treatment of the frozen shoulder.
  • Most patients respond very well to combination of conservative treatment resulting in gradual resolution of symptoms in 12–18 months.

DOI: 10.1007/s43465-021-00351-3

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