A 50-year-old female patient presented with progressive shoulder pain and stiffness for three months. The patient reported difficulty performing daily activities such as combing hair, reaching overhead, and dressing.

The symptoms gradually worsened, particularly during night time.

Clinical Assessment

Subjective Findings

The patient reported:

• Persistent shoulder pain
• Difficulty lifting the arm
• Pain during sleep
• Gradual reduction in shoulder movement

These symptoms suggested adhesive capsulitis.

Objective Findings

Physical examination revealed:

• Limited shoulder abduction
• Restricted external rotation
• Pain during end-range movements
• Tight shoulder capsule

These findings confirmed frozen shoulder.

Physiotherapy Management

The rehabilitation program included several interventions.

Stretching Exercises

Gentle stretching exercises were prescribed to improve shoulder capsule flexibility.

Joint Mobilization

Manual therapy techniques were used to improve joint mobility and reduce capsular stiffness.

Strengthening Exercises

Strengthening of the rotator cuff and scapular muscles improved shoulder stability.

Postural Education

Postural correction helped reduce excessive stress on the shoulder joint.

Outcome

After eight weeks of physiotherapy, the patient showed significant improvement in shoulder mobility and reduction in pain. Daily functional activities gradually became easier.

Conclusion

Physiotherapy rehabilitation for frozen shoulder mainly focuses on restoring joint mobility, reducing capsular stiffness, and improving shoulder strength. Consistent physiotherapy treatment can significantly improve functional outcomes.