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The second stage is frozen. Around four to twelve months after the initial onset, motion will become even more restricted. In some cases, the level of pain may decrease during this period. The final stage is thawing. During this stage, the joint has begun recovery and motion will begin to return slowly. Pain will also begin to decrease. Depending on the severity of the frozen shoulder, thawing can last anywhere from a few months to several years.
Treatment of adhesive capsulitis may involve massage, physical therapy, exercise and stretching, anti-inflammatory medications, moist heat or cortisone injections. In rare cases which do not respond to traditional treatment, surgery may be required. It is important that treatment be done under the supervision of a physician to prevent further injury to the shoulder.
Massage treatment for frozen shoulder may involve a combination of techniques. Deep tissue massage uses pressure to the muscles around the shoulder to encourage the release of the adhesion's that cause the pain. Shiatsu uses pressure on the acupressure points along the meridians to release any energy blockages.
Trigger point therapy is sometimes very effective. This technique focuses on specific points within muscles. When pressure is applied to the proper points, it can help relieve muscle spasms. Remedial and even Swedish massage may also be helpful. Long strokes and gentle kneading of muscles are utilized to reduce tension and stress, which can exacerbate the shoulder condition.