Adhesive + Capsulitis = painful complications (sticky) (inflammation)

Lining of the joint (the capsule) becomes inflamed, which causes scar tissue to form .This leaves less room for the humerus to move, hence restricting the movement of the joint.

Condition appears after 40-50 years (mostly in women).

Abduct the arm to about 90 degrees and then has the patient slowly lower the arm to their side.

Abduct the arm, If pain is elicited between about 45 and 120 degrees . Arms are brought into 90 degrees of forward flexion with the arm in supination. Arms are brought into 90 degrees of forward flexion and then into 30 degrees of

horizontal abduction, the arms are then internally rotated so the thumbs are pointed downward.

Patient performs weight and non-weight stretching exercises to improve the flexibility of shoulder joint.

Adduction /Abduction/Flexion /Extension : Put some light pressure on axillary lymph node area, and may help it drain . So excess lymph fluid moves back into circulation.

Pendulum /Rotation : Maintains mobility and flexibility of the joint.Stretch the space where the muscle tendons pass through the shoulder.Lubricate the joint capsule.Prevent the development of stiff shoulder.

1. Hand, GC, Athanasou, NA, Matthews, T, Carr, AJ. The pathology of frozen shoulder. J Bone Joint Surg Br 2007; 89:928.

2. Sheridan, MA, Hannafin, JA. Upper extremity: emphasis on frozen shoulder. Orthop Clin North Am 2006; 37:531.

3. UW Medicine: Home Exercises for Stiff Shoulder

4. Burkart S: The Shoulder: Examination and Rehabilitation, as presented in Portland<       ME, Sept. 1, 1992.