Frozen Shoulder Treatment in Jordan

Frozen shoulder (adhesive capsulitis) is a condition in which the capsule surrounding the joint becomes inflamed and fibrotic, contracting and thickening, so range of motion progressively narrows and lifting, rotating or reaching behind becomes difficult. It most often affects middle age, is commoner in people with diabetes and thyroid disorders, and may follow a period of arm immobilisation after injury or surgery. What characterises it — and must be understood to accept treatment — is that **its course is long and passes through three phases**: a painful phase in which pain escalates as motion begins to reduce, then a stiff phase where pain relatively eases but movement is at its most restricted, then a phase of gradual recovery of motion. The whole course is usually measured in months, not weeks, and knowing this prevents patients moving between doctors seeking an instant fix. Treatment differs by phase, and this is the key to outcome: in the painful phase the focus is pain control and gently preserving remaining motion — vigorous exercise here increases inflammation and does harm. In the stiff phase, structured physiotherapy with sustained graded stretching becomes the backbone of treatment. A targeted intra-articular injection may be offered to reduce inflammation and enable stretching, and in resistant cases procedures such as hydrodilatation or capsular release are discussed. Blood-sugar control is part of treatment, not a side detail, because uncontrolled diabetes prolongs the course. Daily adherence to home exercises is what separates recovering good motion from being left with lasting limitation.