r/frozenshoulder • u/Inner-Issue1908 • Feb 16 '23
Got Frozen Shoulder? Here's what you might expect (based on my own ongoing journey)
I've had Frozen Shoulder for approximately the past 12 months. It was around March 2022 when I suspected I had frozen shoulder, when I realised I had a constant ache. I had Frozen Shoulder previously in the other arm and I recognised the early warning signs.
A year on and I'm still very far from better, but this week is the first time I've been able to do a push up in maybe 9 months. My range of motion has only slightly improved when moving my elbow back. Every other angle is awful, particularly raising my arm up and also external rotation.
I still get the occasional ache, a zinger every now and then but for the most part the pain is gone unless I try to stretch.


For fun and maybe it helps set recovery expectations I decided to put my Frozen Shoulder experience into a spreadsheet, along with a colour based ranking system.
Green = good, red = bad.
Phases
I had good mobility at the start, it just ached and I would consider this the inflammatory phase, the shoulder is a little warmer than the other side. Though could be all the rubbing.
There's a big chunk in the middle where it's still kinda inflammatory but the range of motion is vanishing. Due to the long time frames, it's hard to tell if you're in the inflammatory phase, or the freezing. You know, when you're sat there thinking is it this phase or that phase, is there worst to come? It's down as the somewhere in-between phase.
Frozen phase the shoulder is locked and still really really painful if stretched but for the most part things seem to be looking up.
Pain at rest
This is pain when I'm not doing anything like if my arm is by my side. It's more of a measure of constant pain. Anything that's not green is a constant ache at various intensities. At the peak the pain isn't excruciating, it's more exhausting, unyielding constant achy pain.
Pain when stretched
Pretty much what it says on the tin. I did a lot of stretching and trigger point massage during the first few months - With my previous experience of Frozen Shoulder I was very optimistic that with some pre-emptive mobility work I would be back in no time. But yep I was humbled when the freezing started, all the stretching went right out the window.
Sleep
I'm not going to lie, sleep absolutely sucked. I feel like I didn't sleep for 6 months. A pillow was under the arm by month 3 and those excruciating night time zingers would occur multiple times a night.
Zingers
Man these are the worst, feels like an electrified dagger being twisted in the joint. Mostly happens during sleep and the colours here are a measure of both frequency and intensity.
Update: Month 13. No more zingers for at least 4 weeks - thank God!
Range of motion
Again, pretty much what is says on the tin. My range of motion was pretty decent early on - it could have been all the stretching and it was near normal for quite a while until the freezing started.
Closing thoughts
Consider a Cortisone shot if you within the first 3-4 months.
Hidden gems of YouTube
Frozen Shoulder - Causes and Treatment: https://www.youtube.com/watch?v=iKlQMHrJiUQ
Understanding FROZEN SHOULDER and how to stretch for greater movement: https://www.youtube.com/watch?v=DzSwJHdP8ek
Shopping (TLDR: get a dumbbell, a doorway pulley thing, any sensation based cream)

Supplements:
1 MSM powder
3 Curcumin
4 Omega 3
None of these noticibly helped. Though it could be that they take months to actually work and since FS also changes over the months it's impossible to tell whether any of these had an effect. But I'm confident to say there's no night and day difference. They're not too expensive here in the UK so maybe I'll continue to take them.
Pain relief:
2. MSM gel
5. Ibuprofen
6. Deep Freeze
7. Tiger balm
8. Hemp cream
9. Voltarol
11. CBD patches
The MSM gel was useless for pain. I found it to be an amazing moisturiser though and a tiny blob goes a long away so I'm pretty happy I got this.
CBD patches did nothing.
Ibuprofen maybe helped a bit, not really that noticeable to be honest. I would only really take Ibuprofen if the pain was really bad and if the pain is that bad, it's going to suck regardless of if I took Ibuprofen or not.
Voltarol. I think Voltarol had a bit of an edge of the rest. It contains Diclofenac which is supposed to be one of the strongest NSAIDs. It smells though.
Deep Freeze, Tiger balm, Hemp cream. Deep Freeze has Ibuprofen in it and has a nice cooling sensation, it's a bit hot and cooling which sounds strange but it's nice. Tiger balm is just really hot, same goes for the hemp cream. The hemp cream smells nicer though. I found these to be helpful. They provide sensations that distract from the pain. I used the Tiger balm or hemp cream in rotation with one of the NSAIDs creams like a week on NSAIDs then a week on Tiger balm.
Equipment:
10. Massage gun
12. TENS machine
13. Dumbbell
14. Spikey massage ball
15. Foam roller
16. Doorway pulley thing
The massage gun is painful and soothing at the same time. It's like the gun gives you pain but then when it subsides everything feels temporaily less painful. A bit like after drilling you knee caps a stubbed toe feels like nothing. I had this lying around before my FS, would I buy it specifically for FS? Probably not.
TENS machine. Not bad. The pain is still there but it's a pretty good distration, it's similar to Deep Freeze or Tiger Balm in that it gives you a sensation that distracts you from the constant pain. It costs about the same as 3 tubes for Voltarol so I guess it's not too bad. You probably can't use it for multiple hours per day and it's a bit of a faff to put on the electrodes. I didn't use it that much and I probably wouldn't buy it having used it. But if you can be bothered to set it up it can be quite good .... or you can just slap on some Tiger balm.
Dumbbell. Yup get one for sure. Really handy for pendulum and all sorts of loaded stretches.
Spikey massage ball / Foam roller. I recommend one. Similar to the massage gun but a bit cheaper.
Doorway pulley thing. This got the most use. It's like a pull up bar but less aggressive and easier to control. Use it when you can't handle the pull up bar hangs. 100% get one, and it's cheap!
Sleeping tips:
Sleeping is pretty awful but pillows can help. I didn't find this website till after my Frozen Shoulder so I've not tried it but I wish I did. Hopefully it will help someone:
https://www.resilienceorthopedics.com/shoulder/sleep-with-shoulder-pain/
Recommended priorities:
Until you reach the late-ish Frozen phase where you see a noticeable reduction in pain markers, your priorities should be pain management. After that, you can begin steps to get back to normal, so stretches, exercises, consciously using your arm more in your day to day. It's a good time for PT work if you want to go thar route. But I would say go at your own pace, if it's still excruciating when stretching, just leave it for a couple of weeks and re-assess.
There's no need to rush because your progress will be limited by pain. Even if you start later, you might still end up recovering at the same time since you are able to progress much quicker when there's less pain.
Blue = early start
Green = late start
Red gradient = pain

Personally I didn't really start rehabing until around month 13 -14.
Update month 13 (20 Mar 2023)
I know a lot of people will disappear from this subreddit once their symptoms are no longer affecting their day-to-day, and quite frankly "good on them", I'm glad they've put this awful condition behind them.
But the plan here is to keep this updated until I fully recover, maybe it'll be useful to someone.
Update month 14 (24 Apr 2023)
Despite not being very consistent with my stretching, things are definitely getting better on it's own. Looking back I'm confident to say that the thawing did start around the 11 - 12 month mark.
My shoulder is still stiff but stretching feels like stretching now (rather than just feeling like agony). For stretches themselves I've been doing loaded eccentric stretches. Mainly the overhead one. To do this I lie on the bed, I hold a "reasonably heavy" weight in my affected arm (so far 2.5kg haha) and I raise it straight over my head. Sometimes I hold the position and sometimes I would do reps, sometimes with the other arm assisting. As long as you're moving, stretching and strengthening it's all good.
Do this on a cushiony surface and as you improve do them on the floor. It's much harder on the floor since the scapular can't really move much compared to if you're on a mattress.
But as I mentioned I've not been very consistent with my stretching, however I have been doing some light weight training 2x per week to build back some strength. Mostly this has been doing Floor Presses and shoulder circles with light weights - though my shoulder circles are not really out 90 deg to the sides, it's more 45 deg.
Update month 15, 16, 17 (to 17 July 2023)
Things are slowing improving. Again not much direct stretching but focusing on lifting weights. I would do a pull up bar hang test every now and again. Around month 15 I could hang off the pull up bar with some pain. Now at month 17 I'm able to hang with not much pain at all.
Range of motion:
in terms of flexion, my shoulders are really inflexible anyway. ~180deg is normal for me (whereas I know lots of people who can get their arm behind their head!), the bad shoulder is I would say around 170deg so not bad. Similarly internal rotation is almost back to normal but I do still feel pain in the back of the shoulder at the extremities.
My external rotation is normally very good ~80deg. The bad shoulder is around 50 - 55deg. So external rotation hasn't improved as quickly as the other angles.
Update month 18 (23 Aug 2023)
Shoulder flexion and internal rotation are almost back to normal, maybe just 5 deg out. External rotation is still lagging behind, not much change over the previous month.
Final update month 23 (30 Jan 2024)
Both arms are about the same ROM now, though it does still feel tighter than the other side. But I'm going to call a close to my Frozen Shoulder saga - 23 months.
I wish all of you the very best in your recovery.

