Frozen shoulder, known clinically as “adhesive capsulitis,” is a distinct and often severely painful condition characterized by a gradual, progressive stiffening of the shoulder joint. At Best Physiotherapy Clinic Bopal, we specialize in the diagnosis and comprehensive management of this challenging condition. Unlike other forms of [shoulder pain](/conditions/musculoskeletal/shoulder/) (like a rotator cuff tear), a frozen shoulder is not a muscle or tendon injury. It is a condition where the “capsule” (the soft tissue lining) of the ball-and-socket joint becomes inflamed, thickened, and fibrotic, which literally “sticks” the joint together and dramatically restricts your [range of motion](/treatments/exercise-therapy/range-of-motion-exercises/). This leads to intense pain, especially at night, and a profound loss of function, making simple tasks like dressing or reaching overhead impossible.
Our *adhesive capsulitis therapy* program is a non-surgical, evidence-based approach designed to manage the intense pain of the initial “freezing” phase and, most importantly, to accelerate your recovery in the “thawing” phase. Many people are told to “just wait it out,” but this can take 2-3 years and often results in a permanent loss of motion. Our Bopal physiotherapy clinic’s approach is active, not passive. We use a specific, hands-on protocol that combines gentle [joint mobilization](/treatments/manual-therapy/joint-mobilization/) to “unstick” the capsule, advanced [manual stretching](/treatments/manual-therapy/manual-stretching/) to restore flexibility, and a progressive exercise program to regain your strength and function, helping you achieve *frozen shoulder pain relief* and get your arm back much, much faster.
The Three Phases of Frozen Shoulder
Understanding the three distinct phases of adhesive capsulitis is critical to your recovery. Our *frozen shoulder treatment* in Bopal is specifically tailored to what your shoulder needs in each unique phase. Treating a “freezing” shoulder with aggressive exercise can make it worse, while treating a “thawing” shoulder too passively will slow your recovery. We are experts at identifying your phase and applying the correct treatment.
What Causes Frozen Shoulder?
The exact cause of primary (idiopathic) frozen shoulder is still not fully understood, but it involves a process of chronic inflammation and fibrosis (scarring) of the joint capsule. At our Bopal physiotherapy clinic, we are experts at identifying the risk factors and triggers. Our therapists know that certain populations are at a much higher risk, and our *adhesive capsulitis therapy* is designed with this knowledge.
Common risk factors include: **1. Systemic Conditions:** Patients with **Diabetes** are 2-4 times more likely to develop frozen shoulder. Thyroid disorders (both hyper- and hypothyroidism) are also strongly linked. **2. Prolonged Immobilization:** This is a key cause. If you have had to keep your arm in a sling for several weeks (e.g., after a fracture, rotator cuff surgery, or even a mastectomy), you are at a very high risk of developing a *secondary* frozen shoulder. Our [post-surgical rehab](/treatments/specialized-rehabilitation/post-surgical-rehabilitation/) programs are designed to prevent this. **3. Age and Gender:** It most commonly affects people (especially women) between the ages of 40 and 60. **4. Trauma:** A direct injury to the shoulder, even a minor one, can sometimes trigger the inflammatory cascade that leads to this condition. Our *stiff shoulder treatment* is designed to intervene early, before the capsule becomes completely fibrotic.
Our Diagnostic Approach to Frozen Shoulder
At Best Physiotherapy Clinic Bopal, your first 60-minute appointment is a comprehensive diagnostic deep-dive. We don’t guess. We perform a “root cause analysis” to find *why* your shoulder hurts. We listen to your history, your goals, and your fears. Then, our therapists (who are COMT-certified spinal and extremity experts) will perform a detailed physical and neurological exam. This includes a full movement screen, a postural assessment, and a complete screen of your [cervical spine](/conditions/musculoskeletal/neck-pain/) (neck) to rule out referred pain. We then perform a series of specialized orthopedic tests (like the Neer’s, Hawkins-Kennedy, and Empty Can tests) to pinpoint the *exact* tissue (e.g., specific rotator cuff tendon, bursa, labrum, or joint capsule) that is the source of your pain. This diagnostic precision is what makes our *shoulder pain treatment in Bopal* so effective.
Your Frozen Shoulder Recovery Journey
Your *frozen shoulder treatment* is a journey that requires patience and expertise. Our Bopal physio team will be your partner, guiding you through the painful “freezing” phase and then actively pushing your recovery during the “thawing” phase. Our plan is based on managing pain and progressively restoring motion.
In the acute “freezing” phase, our goal is 100% *frozen shoulder pain relief*. Aggressive stretching is counterproductive here. We use gentle, pain-free [range of motion exercises](/treatments/exercise-therapy/range-of-motion-exercises/), [TENS](/treatments/electro-therapy/tens-therapy/) for pain, and patient education on how to sleep and move without aggravating the pain.
Once the acute pain settles (“frozen” phase) and you enter the “thawing” phase, we become more active. This is where our COMT-certified therapists use advanced, hands-on **[Joint Mobilization](/treatments/manual-therapy/joint-mobilization/)** (Grades III-IV) to mechanically stretch the tight, fibrotic joint capsule. This is a highly skilled, specific technique to “unstick” the joint.
We immediately follow our hands-on mobilization with a progressive program of **[Manual Stretching](/treatments/manual-therapy/manual-stretching/)** and [exercise therapy](/treatments/exercise-therapy/). We teach you specific stretches (e.g., pendulum, wall-walks, sleeper stretch) to maintain and build upon the new range of motion we’ve achieved in the clinic, ensuring you regain full, functional use of your arm.
Why Choose Us for Frozen Shoulder?
When you are suffering from shoulder pain, you need a therapist who sees the “whole picture.” Our Bopal clinic is a leader in musculoskeletal care because our therapists are **COMT-certified (Certified Orthopaedic Manual Therapists)**. This post-graduate certification makes us experts in the complex relationship between your shoulder, your shoulder blade, and your [neck](/conditions/musculoskeletal/neck-pain/). We have the advanced diagnostic skills to differentiate between a [neck problem that refers pain to your shoulder](/conditions/musculoskeletal/neck-pain/slipped-disc/) and a true shoulder problem. We then use advanced techniques like [Dry Needling](/treatments/advanced-physiotherapy/dry-needling/) to release deep trigger points or [Shock Wave Therapy](/treatments/advanced-physiotherapy/shock-wave-therapy/) for stubborn, chronic tendonitis. This combination of diagnostic skill, advanced manual therapy, and modern technology is what provides faster, more lasting relief.
We are experts in *adhesive capsulitis therapy*. Our COMT-certified therapists use advanced, hands-on [joint mobilization](/treatments/manual-therapy/joint-mobilization/) techniques to *mechanically* stretch the tight capsule, which is proven to be more effective than exercise alone. This is the gold standard *stiff shoulder treatment* that helps you recover in months, not years.
Real Patient Outcomes in Bopal
Our approach is validated by the success of our patients. We have helped hundreds of people in the Bopal & Ahmedabad area overcome debilitating shoulder pain and return to their lives, sports, and work pain-free. We are dedicated to being the best physiotherapy for shoulder pain clinic in the region.
“Couldn’t lift my arm to write on the board. Dr. Kaniya diagnosed it as impingement…”
Safety: When to Be Cautious
Your safety is our absolute, non-negotiable priority. The vast majority of shoulder pain is mechanical and responds extremely well to physiotherapy. However, our first job is to be a diagnostic expert and rule out the rare, serious “red flag” conditions. During your initial assessment, we perform a thorough medical screening. We are trained to identify any signs that your pain may be caused by a more serious, non-musculoskeletal issue.
Frequently asked question
Medical Disclaimer
This information is for educational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider or your physiotherapist at Best Physiotherapy Clinic Bopal for a diagnosis and treatment plan tailored to your specific condition.
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