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Frozen shoulder

Get your shoulder moving again

Your shoulder aches at night, and reaching overhead or behind your back has become almost impossible. Frozen shoulder is treatable, and physiotherapy can help you get movement back.

Medicare, NDIS, DVA and private health funds accepted.

Understanding Frozen shoulder

Frozen shoulder, also called adhesive capsulitis, is pain and progressive stiffness caused by tightening of the capsule that surrounds your shoulder joint. It usually starts with pain, then movement becomes harder, until tasks like fastening a seatbelt or reaching into a back pocket become a problem.

Frozen shoulder follows a pattern over months rather than weeks, and treatment works best when it matches the stage you are in. Your physiotherapist focuses on settling pain, protecting the movement you still have, then rebuilding range and strength.

Who does it affect?

most common between the ages of 40 and 60, and more common in women.

How common is it?

[CONFIRM: affects roughly 2 to 5 in every 100 adults].

What is the recovery like?

varies from person to person, and is usually measured in months.

Who should I see for treatment?

physiotherapists at OnePointHealth.

What funding options are available?

Medicare, NDIS, DVA and private health funds accepted.

What is frozen shoulder?

Your shoulder sits inside a capsule, a sleeve of connective tissue that holds the joint together. In frozen shoulder, that capsule thickens, tightens and loses its normal slack, so the joint physically cannot travel through its full range.

It often begins without any clear injury. Pain builds over weeks, you start avoiding the movements that hurt, and the capsule tightens further. Turning your arm outwards is usually the first movement to go.

Contributing factors include:

  • Diabetes and thyroid conditions, which raise the risk considerably

  • A period of immobility after shoulder surgery, a fracture or time in a sling

  • Being aged 40 to 60, and being female

  • A previous frozen shoulder in the other shoulder

Symptoms of Frozen shoulder

Your treatment plan comes out of your assessment, because the right approach in the painful phase is different from the right approach in the stiff phase.

Joint mobilisation and manual therapy

Hands-on techniques applied to the shoulder to reduce pain and improve how the joint glides within the capsule.

Graded range of movement exercise

Assisted and pendulum movements that keep the capsule moving without flaring the shoulder up.

Stretching into restricted directions

Targeted work on outward rotation and reaching behind the back, dosed to the level your shoulder tolerates.

Progressive strengthening

Rebuilding the rotator cuff and shoulder blade muscles that lose strength while the arm is being guarded.

Pain and sleep strategies

Positioning, heat and activity adjustments so you can rest, because sleep loss makes pain harder to manage.

Referral pathways

Onward referral for imaging, corticosteroid injection, hydrodilatation or a specialist opinion when your progress calls for it.

What to expect at your first appointment

  

Tell us what is going on

How the pain started, what you can no longer do, how you are sleeping, and your health history.

A full assessment

Your physiotherapist measures your shoulder range actively and passively, tests strength, and checks your neck and shoulder blade.

A clear plan

You get an explanation of what stage you are in, what treatment will involve, and what to do between visits.

Review and adjust

Your range is remeasured at follow-up appointments so exercises can progress or ease back.

When to book an appointment

    Book an assessment if:

  • Your shoulder is becoming increasingly painful or stiff, particularly if you’re noticing difficulty with everyday movements such as reaching, dressing or lifting.

  • You cannot reach overhead or behind your back for work, dressing or driving

  • Rest, heat and over-the-counter pain relief have not changed anything

  • You are unsure whether this is frozen shoulder or another shoulder problem

Looking after yourself at home

These general steps support your treatment rather than replace it.

  • Diabetes and thyroid conditions, which raise the risk considerably

  • A period of immobility after shoulder surgery, a fracture or time in a sling

  • Being aged 40 to 60, and being female

  • A previous frozen shoulder in the other shoulder

Meet the team who treat this

Behind every appointment is a team of practitioners who know each other, trust each other and work together for you. Across seven clinics and nine disciplines, our team shares expertise, coordinates treatment plans and celebrates your progress together.

Meet the full team

Aimee Fuller

Healthcare Support Officer

Available at Blaxland

Alicia Whiticker

Healthcare Support Officer

Available at Blaxland

Amanda Banks

Healthcare Support Officer

Available at Blaxland

Amanda Duggan

Healthcare Support Officer

Available at Blaxland

Amy Meekings

Healthcare Support Officer

Available at Blaxland

Anita Beerapu

Healthcare Support Officer

Available at Blaxland

Benjamin Tucker

Healthcare Support Officer

Available at Blaxland

Blake Cossar

Healthcare Support Officer

Available at Blaxland

Bronte Tupper

Healthcare Support Officer

Available at Blaxland

Chris Farrugia

Healthcare Support Officer

Available at Blaxland

Corrina Aitken

Healthcare Support Officer

Available at Blaxland

David Logue

Healthcare Support Officer

Available at Blaxland

Dean Gresser

Healthcare Support Officer

Available at Blaxland

Emma Nassif

Healthcare Support Officer

Available at Blaxland

Esha Sharma

Healthcare Support Officer

Available at Blaxland

Fatima Hussaini

Healthcare Support Officer

Available at Blaxland

Felicity Spencer-Davey

Healthcare Support Officer

Available at Blaxland

Frankie Raikadroka

Healthcare Support Officer

Available at Blaxland

Hannah Norrie

Healthcare Support Officer

Available at Blaxland

Heather Edwards

Healthcare Support Officer

Available at Blaxland

Isaac Vella

Healthcare Support Officer

Available at Blaxland

Jarrah Nesbitt

Healthcare Support Officer

Available at Blaxland

Jonathan Lopez

Healthcare Support Officer

Available at Blaxland

Justin Hanna

Healthcare Support Officer

Available at Blaxland

Kasey Collins

Healthcare Support Officer

Available at Blaxland

Katrina Gauci

Healthcare Support Officer

Available at Blaxland

Kennedy Touet

Healthcare Support Officer

Available at Blaxland

Kristy Edwards

Healthcare Support Officer

Available at Blaxland

Kyle Perry

Healthcare Support Officer

Available at Blaxland

Lorna Nicastri

Healthcare Support Officer

Available at Blaxland

Maja Bosic

Healthcare Support Officer

Available at Blaxland

Marxy Koronel

Healthcare Support Officer

Available at Blaxland

Matt Barton

Healthcare Support Officer

Available at Blaxland

Michael Todd

Healthcare Support Officer

Available at Blaxland

Mr Jeffery Jenkins FACPS

Healthcare Support Officer

Available at Blaxland

Nathan Cavanagh

Healthcare Support Officer

Available at Blaxland

Patrick Celeban

Healthcare Support Officer

Available at Blaxland

Praise Khin

Healthcare Support Officer

Available at Blaxland

Sarah Bonnici

Healthcare Support Officer

Available at Blaxland

Shannon Smith

Healthcare Support Officer

Available at Blaxland

Siobhan Kelly

Healthcare Support Officer

Available at Blaxland

Taleisha Bozzi

Healthcare Support Officer

Available at Blaxland

Trystan Singh

Healthcare Support Officer

Available at Blaxland

Uty Kotwal

Healthcare Support Officer

Available at Blaxland

Yoni Hochberg

Healthcare Support Officer

Available at Blaxland

Zak Lloyd

Healthcare Support Officer

Available at Blaxland

EPC, DVA, NDIS and WorkCover welcome

Nearly half of our appointments are funded through Medicare, DVA, NDIS or WorkCover. We manage the paperwork so you can focus on your health.

NDIS

We support eligible NDIS participants across podiatry, physiotherapy, exercise physiology, dietetics and psychology, depending on your plan and goals. Eligibility and funding are set by your plan.

Learn more

Medicare

Medicare may rebate podiatry, physiotherapy, exercise physiology and dietetics sessions when your GP refers you under an Enhanced Primary Care (EPC) or Chronic Disease Management (CDM) plan, and psychology sessions under a Mental Health Care Plan. The number of sessions is set by your plan.

Learn more

DVA

Gold and White card holders can access DVA-funded care across our services with a valid referral.

Learn more

WorkCover

If you have been injured at work, we accept WorkCover referrals for physiotherapy, exercise physiology and psychology, and manage the paperwork with your insurer, with a clear return-to-work plan.

Learn more

Seven clinics across three regions

Find a clinic near you. Each location is staffed by local practitioners who know your community.

Penrith

Western Sydney

Our largest centre, with our full range of services under one roof.

510/536 High St, Penrith NSW 2750

Ropes Crossing

Western Sydney

Podiatry, at Ropes Crossing Village.

1B/2 Central Pl, Ropes Crossing NSW 2760

Blaxland

Blue Mountains

Podiatry, physiotherapy, exercise physiology and group classes.

10 Layton Ave, Blaxland NSW 2774

Springwood

Blue Mountains

Podiatry, dietetics and a boutique footwear store.

20 Ferguson Rd, Springwood NSW 2777

Katoomba

Blue Mountains

Podiatry, physiotherapy and dietetics, in a restored 1914 cottage.

69 Megalong St, Katoomba NSW 2780

Ryde

North Shore

Podiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.

819 Victoria Road, Cnr Shepherd Street, Ryde NSW 2112

Lindfield

North Shore

Podiatry, with mobile podiatry across the North Shore and Northern Beaches.

2/324 Pacific Highway, Lindfield NSW 2070
view all locations

Ready to get your shoulder moving again?

Book an assessment with a physiotherapist and start working on the range you have lost.

Frequently asked questions

Diabetes is the strongest link, and people with diabetes develop frozen shoulder several times more often than the general population. Thyroid conditions, cardiovascular disease, Parkinson’s disease and Dupuytren’s contracture are also associated with it. Tell your physiotherapist about these conditions at your first visit, because they can influence how quickly your shoulder responds and how your exercise program is paced.

Yes. This is called secondary frozen shoulder, and it can follow shoulder surgery, breast surgery, a fracture, a stroke or any period where the arm was rested in a sling. The capsule tightens quickly when the joint stops moving through its full range. Early, gentle movement after surgery or injury is one reason post-operative rehabilitation matters.

It can. A proportion of people go on to develop frozen shoulder in the opposite shoulder, usually within a few years, and the risk is higher in people with diabetes. It is uncommon for the same shoulder to freeze twice. If your second shoulder starts aching and losing outward rotation, book an assessment early rather than waiting.

Hydrodilatation is a procedure where a radiologist injects fluid, usually saline with corticosteroid and local anaesthetic, into the shoulder capsule under imaging guidance to stretch it. It may reduce pain and improve range, particularly in the painful and stiff phases. It is done alongside physiotherapy, not instead of it, because the extra range needs exercise to be maintained.

These are surgical options generally reserved for shoulders that stay significantly restricted after months of physiotherapy and injection-based management. Manipulation under anaesthetic stretches the capsule while you are asleep; arthroscopic capsular release cuts the tight tissue. Both need structured rehabilitation straight afterwards to hold the range gained. Your GP or an orthopaedic specialist makes this decision with you.

Most people regain enough movement to return to normal daily activities, though some are left with a small loss of outward rotation or reaching behind the back. Recovery varies between individuals and is usually measured in months. Consistent exercise through the stiff and recovery phases is what tends to make the difference to the range you finish with.