26/04/2026
Physical therapy for frozen shoulder (adhesive capsulitis) focuses on restoring mobility and reducing pain through passive and active exercises, usually lasting 10-12 weeks with 3 sessions per week. Key exercises include pendulum swings, towel stretches, external rotation with a stick, and shoulder blade squeezes to increase range of motion.
Essential Physical Therapy Exercises (Should be done 2-3 times daily):
Pendulum Exercises: Lean forward, allowing the affected arm to hang down. Swing it in small circles (clockwise/counter-clockwise), side-to-side, and front-to-back, using a light weight (like a soup can) to increase joint space.
External Rotation Stretch: Lie on your back or stand, holding a stick/cane with both hands. Use the healthy arm to push the affected arm outward while keeping the affected elbow tucked in and bent at 90 degrees.
Towel Stretch: Hold a towel behind your back (one hand over the shoulder, one at the waist). Use the healthy arm to pull the affected arm upward.
Finger Walk/Wall Walks: Face a wall and slowly walk your fingers up it, stretching the arm as high as comfortable.
Axilla Stretch: Place your affected arm on a shelf or surface about chest-high. Gently bend your knees to stretch the shoulder area under the armpit.
Therapeutic Approaches & Tips:
Initial Stages: Focus on pain relief and gentle movement (e.g., pendulum stretches).
Later Stages: Progress to more aggressive stretching to break up scar tissue, including strengthening the rotator cuff with bands.
Heat/Cold Therapy: Apply heat before exercises to loosen the joint and ice afterward to manage discomfort.
AR Physiotherapy and Rehabilitation Care