Please note: This information was current at the time of publication but now may be out of date. This handout provides a general overview and may not apply to everyone. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education website.

brand logo

Am Fam Physician. 2011;83(4):423

See related article on adhesive capsulitis.

What is adhesive capsulitis?

Adhesive capsulitis (CAP-soo-LITE-us), or “frozen shoulder,” happens when the ligaments in the shoulder get thickened, inflamed, and scarred. This makes the shoulder painful and stiff. The symptoms usually get worse over time. Reaching away, over your head, and behind your back can be very painful. Lying on your shoulder at night can also be painful and can make it difficult to sleep.

Who gets it?

Adhesive capsulitis is more common in women and in people 40 to 70 years of age. People with diabetes and rotator cuff problems are also at risk. Sometimes people get it for no clear reason. If this is the case, your doctor may do blood work or take x-rays to see what may be causing it.

How is it treated?

People with adhesive capsulitis usually do not need surgery. Most of the time the shoulder will heal on its own. However, this can take awhile—sometimes even years.

It is important to use your shoulder as much as you can. Don't use a sling unless your doctor tells you to. This can sometimes make stiffness worse. Your doctor may want you to do shoulder exercises. It is normal to feel a little sore, but don't do anything that makes the pain much worse. You can take over-the-counter pain medicines like acetaminophen (one brand: Tylenol) or ibuprofen (one brand: Motrin).

If the pain is very bad, your doctor may prescribe cortisone. This can be taken as a pill or given as a shot into the shoulder. If the pain does not get better within six weeks, your doctor may refer you to an orthopedic surgeon. This does not necessarily mean that you need surgery.

Where can I get more information?

Your doctor

AAFP's Patient Education Resource

Continue Reading


More in AFP

Copyright © 2011 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.  See https://www.aafp.org/about/this-site/permissions.html for copyright questions and/or permission requests.