Current concepts of natural course and in management of frozen shoulder: A clinical overview

  • Wojciech Konarski | Department of Orthopaedic Surgery, Ciechanów Hospital, Ciechanów, Poland.
  • Tomasz Poboży Department of Orthopaedic Surgery, Ciechanów Hospital, Ciechanów, Poland.
  • Martyna Hordowicz Hospice of St. Christopher, Outpatient Pain Clinic, Warsaw, Poland.
  • Kamil Poboży Medical Faculty, Warsaw Medical University, Warsaw, Poland.
  • Julia Domańska Medical Faculty, Warsaw Medical University, Warsaw, Poland.


Frozen Shoulder (FS) by many specialists is still considered a benign, self-limiting condition, which usually resolves without intervention. This concept originated in the 70’, stating that FS will proceed from “the freezing” phase, with the predominance of inflammation and pain to “the frozen” phase with marked stiffness in the joint and “the thawing” phase, with a progressive return to the normal Range Of Motion (ROM) and function. Nevertheless, numerous authors have recently challenged this concept, arguing that most patients with FS will never fully recover, and suffer from residual pain and loss of function. Lack of early intervention, when a patient does not improve with conservative treatment, might lead to disability. We have discussed the recent concepts in the natural course of the disease and discussed both noninvasive and surgical methods in the treatment of FS.



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frozen shoulder, adhesive capsulitis, shoulder pain, range of motion, menegement
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How to Cite
Konarski, W., Poboży, T., Hordowicz, M., Poboży, K., & Domańska, J. (2021). Current concepts of natural course and in management of frozen shoulder: A clinical overview. Orthopedic Reviews, 12(4).