Can you fix a frozen shoulder without surgery?
Frozen shoulder, also known as adhesive capsulitis, is a condition that causes stiffness, pain, and limited range of motion in the shoulder joint. It often develops gradually and can severely impact daily activities. A common concern among patients is whether frozen shoulder surgery is the only solution — and fortunately, the answer is no.
Many effective frozen shoulder treatments are non-surgical, offering relief and recovery through less invasive methods. Here's how to treat a frozen shoulder without going under the knife.
Understanding Frozen Shoulder
This condition typically progresses in three phases:
1. Freezing Stage
Pain increases gradually, and shoulder mobility begins to decrease.
2. Frozen Stage
Stiffness becomes more prominent. Pain may lessen, but movement remains limited.
3. Thawing Stage
Range of motion starts to improve, and the shoulder slowly recovers.
Each phase can last several weeks to months. Early intervention with the right therapy can significantly reduce recovery time.
Proven Non-Surgical Treatments for Frozen Shoulder
Physical Therapy Focused on Capsule Stretching
One of the most widely recommended approaches to treat frozen shoulder is physical therapy, particularly exercises that target the shoulder capsule. The goal is to gently stretch the joint and restore flexibility over time.
Some key exercises include:
Pendulum swings
Cross-body arm stretches
Towel stretches
Wall climbing (finger walk)
Consistent practice under the supervision of a trained physiotherapist can yield significant results.
Ultrasound-Guided Hydrodilatation
Hydrodilatation (also known as distension arthrography) is a minimally invasive technique that involves injecting a sterile fluid — usually saline mixed with a corticosteroid — into the shoulder joint. Guided by ultrasound, the procedure expands the capsule, breaks adhesions, and improves mobility.
It’s an outpatient procedure with a high success rate when combined with physical therapy.
Platelet-Rich Plasma (PRP) Injections
PRP therapy involves extracting a small amount of the patient’s blood, concentrating the platelets, and injecting them into the affected area. These platelets release growth factors that promote healing and tissue regeneration.
Although more research is ongoing, many patients have reported pain relief and improved shoulder function with PRP as part of a comprehensive treatment plan.
List of Benefits: Why Avoid Surgery?
Here’s why non-surgical treatments for frozen shoulder are often preferred:
Lower risk of complications: No anesthesia or open incisions.
Shorter recovery time: Most patients resume normal activities faster.
Cost-effective: Avoids hospital and surgical fees.
Customizable approach: Treatments can be tailored based on pain level and range of motion.
Improved long-term outcomes: Combining therapies like PRP and physical therapy can restore full shoulder function.
What to Do for Frozen Shoulder: A Step-by-Step Approach
Consult a specialist to confirm the diagnosis of adhesive capsulitis.
Begin a structured physical therapy program focusing on stretching.
Evaluate if hydrodilatation is suitable for your condition.
Consider PRP injections as a regenerative alternative.
Stay consistent and patient — recovery takes time but is achievable.
Final Thoughts
If you’re wondering whether surgery is the only way to relieve a frozen shoulder, the evidence says otherwise. With the right combination of targeted physical therapy, hydrodilatation, and potentially PRP injections, it is entirely possible to fix a frozen shoulder without surgery.
Each case is unique, so consulting with an orthopedic specialist or sports medicine expert is crucial to determine the best plan for your recovery.
Ready to regain your shoulder mobility without surgery?
Book your consultation with Dr. Juan Carlos Gálvez, a trusted expert in non-surgical treatments for frozen shoulder. Take the first step toward pain-free movement today:
👉 Schedule your appointment here
